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      Assessing self-regulation strategies: development and validation of the tempest self-regulation questionnaire for eating (TESQ-E) in adolescents

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          Abstract

          Background

          Applying self-regulation strategies have proven important in eating behaviors, but it remains subject to investigation what strategies adolescents report to use to ensure healthy eating, and adequate measures are lacking. Therefore, we developed and validated a self-regulation questionnaire applied to eating (TESQ-E) for adolescents.

          Methods

          Study 1 reports a four-step approach to develop the TESQ-E questionnaire (n = 1097). Study 2 was a cross-sectional survey among adolescents from nine European countries (n = 11,392) that assessed the TESQ-E, eating-related behaviors, dietary intake and background characteristics. In study 3, the TESQ-E was administered twice within four weeks to evaluate test-retest reliability (n = 140). Study 4 was a cross-sectional survey (n = 93) that assessed the TESQ-E and related psychological constructs (e.g., motivation, autonomy, self-control). All participants were aged between 10 and 17 years.

          Results

          Study 1 resulted in a 24-item questionnaire assessing adolescent-reported use of six specific strategies for healthy eating that represent three general self-regulation approaches. Study 2 showed that the easy-to-administer theory-based TESQ-E has a clear factor structure and good subscale reliabilities. The questionnaire was related to eating-related behaviors and dietary intake, indicating predictive validity. Study 3 showed good test-retest reliabilities for the TESQ-E. Study 4 indicated that TESQ-E was related to but also distinguishable from general self-regulation and motivation measures.

          Conclusions

          The TESQ-E provides a reliable and valid measure to assess six theory-based self-regulation strategies that adolescents may use to ensure their healthy eating.

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          Most cited references52

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          High self-control predicts good adjustment, less pathology, better grades, and interpersonal success.

          What good is self-control? We incorporated a new measure of individual differences in self-control into two large investigations of a broad spectrum of behaviors. The new scale showed good internal consistency and retest reliability. Higher scores on self-control correlated with a higher grade point average, better adjustment (fewer reports of psychopathology, higher self-esteem), less binge eating and alcohol abuse, better relationships and interpersonal skills, secure attachment, and more optimal emotional responses. Tests for curvilinearity failed to indicate any drawbacks of so-called overcontrol, and the positive effects remained after controlling for social desirability. Low self-control is thus a significant risk factor for a broad range of personal and interpersonal problems.
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            Equivalence of electronic and paper-and-pencil administration of patient-reported outcome measures: a meta-analytic review.

            Patient-reported outcomes (PROs; self-report assessments) are increasingly important in evaluating medical care and treatment efficacy. Electronic administration of PROs via computer is becoming widespread. This article reviews the literature addressing whether computer-administered tests are equivalent to their paper-and-pencil forms. Meta-analysis was used to synthesize 65 studies that directly assessed the equivalence of computer versus paper versions of PROs used in clinical trials. A total of 46 unique studies, evaluating 278 scales, provided sufficient detail to allow quantitative analysis. Among 233 direct comparisons, the average mean difference between modes averaged 0.2% of the scale range (e.g., 0.02 points on a 10-point scale), and 93% were within +/-5% of the scale range. Among 207 correlation coefficients between paper and computer instruments (typically intraclass correlation coefficients), the average weighted correlation was 0.90; 94% of correlations were at least 0.75. Because the cross-mode correlation (paper vs. computer) is also a test-retest correlation, with potential variation because of retest, we compared it to the within-mode (paper vs. paper) test-retest correlation. In four comparisons that evaluated both, the average cross-mode paper-to-computer correlation was almost identical to the within-mode correlation for readministration of a paper measure (0.88 vs. 0.91). Extensive evidence indicates that paper- and computer-administered PROs are equivalent.
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              A hot/cool-system analysis of delay of gratification: dynamics of willpower.

              A 2-system framework is proposed for understanding the processes that enable--and undermine--self-control or "willpower" as exemplified in the delay of gratification paradigm. A cool, cognitive "know" system and a hot, emotional "go" system are postulated. The cool system is cognitive, emotionally neutral, contemplative, flexible, integrated, coherent, spatiotemporal, slow, episodic, and strategic. It is the seat of self-regulation and self-control. The hot system is the basis of emotionality, fears as well as passions--impulsive and reflexive--initially controlled by innate releasing stimuli (and, thus, literally under "stimulus control"): it is fundamental for emotional (classical) conditioning and undermines efforts at self-control. The balance between the hot and cool systems is determined by stress, developmental level, and the individual's self-regulatory dynamics. The interactions between these systems allow explanation of findings on willpower from 3 decades of research.
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                Author and article information

                Contributors
                emely.devet@wur.nl
                d.t.d.deridder@uu.nl
                f.m.stok@uu.nl
                kab@asb.dk
                adrianababan@gmail.com
                tania.gaspar.barra@gmail.com
                Journal
                Int J Behav Nutr Phys Act
                Int J Behav Nutr Phys Act
                The International Journal of Behavioral Nutrition and Physical Activity
                BioMed Central (London )
                1479-5868
                2 September 2014
                2 September 2014
                2014
                : 11
                : 1
                : 106
                Affiliations
                [ ]Clinical and Health Psychology, Utrecht University, Heidelberglaan 1, 3508 TC Utrecht, The Netherlands
                [ ]Chair group Strategic Communication, Wageningen University, Hollandseweg 1, 6706 KN Wageningen, The Netherlands
                [ ]Department of Business Administration, Aarhus University, Bartholins Allé 10, 8000 Aarhus, Denmark
                [ ]Department of Psychology, Babes-Bolyai University, 37 Republicii, 400015 Cluj-Napoca, Romania
                [ ]Faculty of Human Kinetics, Technical University of Lisbon, Estrada da Costa1495 - 688 Cruz Quebrada, Lisbon, Portugal
                Article
                106
                10.1186/s12966-014-0106-z
                4161904
                67b9e5cb-c9ab-4175-9917-80b66b964f6d
                © De Vet et al.; 2014

                licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

                History
                : 10 October 2013
                : 11 August 2014
                Categories
                Methodology
                Custom metadata
                © The Author(s) 2014

                Nutrition & Dietetics
                self-regulation,temptations,goals,eating,adolescence,measurement,questionnaire,diet
                Nutrition & Dietetics
                self-regulation, temptations, goals, eating, adolescence, measurement, questionnaire, diet

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