{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,15]],"date-time":"2025-12-15T21:53:06Z","timestamp":1765835586077,"version":"3.48.0"},"reference-count":48,"publisher":"BMJ","issue":"11","funder":[{"DOI":"10.13039\/501100001659","name":"Deutsche Forschungsgemeinschaft","doi-asserted-by":"publisher","award":["JU 2998\/1-1"],"award-info":[{"award-number":["JU 2998\/1-1"]}],"id":[{"id":"10.13039\/501100001659","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2016,9,30]]},"published-print":{"date-parts":[[2016,11]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>High prevalence rates of childhood obesity urgently call for improved effectiveness of intervention programmes for affected children and their families. One promising attempt can be seen in tailoring interventions according to the motivational stages of parents as \u2018agents of change\u2019 for their children. Evidence from other behavioural contexts (eg, addiction) clearly shows the superiority of motivational-stage dependent tailored (behavioural) interventions. For the time-efficient assessment of motivational stages of change, this study aims to develop and psychometrically validate a \u2018Parent Perspective Version\u2019 of the existing University of Rhode Island Change Assessment-Short, an instrument assessing the motivational stages based on the theoretical fundamentals of the Transtheoretical Model of Psychotherapy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods and analysis<\/jats:title>\n                    <jats:p>In a multistep Delphi procedure, involving experts from the study context, the original items of the University of Rhode Island Change Assessment-Short Questionnaire will be transformed from the \u2018self-perspective\u2019 (\u2018I am having a problem\u2019) to the parent perspective (\u2018my child is having a problem\u2019). Following item adaptation, the new version of the questionnaire will be psychometrically validated in a cohort of N=300 parents with overweight or obese children. Parents will be recruited within a multicentre and multisite approach involving private paediatric practices, specialised outpatient clinics as well as inpatient and rehabilitation sites. Analyses will include confirmatory factor analyses, internal consistencies (reliability) as well as convergent and criterion validity. Convergent validity will be analysed using subscales of the HAKEMP-90 Questionnaire, an instrument which has been shown to differentiate between \u2018state\u2019 and \u2018action\u2019 orientation of individuals.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Ethics and dissemination<\/jats:title>\n                    <jats:p>This study has been granted ethics committee approval by the University of Tuebingen (number 644\/2014BO2). The results of this study will be released to the participating study centres and will be submitted to peer-reviewed journals and presented at international conferences.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial registration number<\/jats:title>\n                    <jats:p>\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"http:\/\/versorgungsforschung-deutschland.de\/show.php?pid=2607\" ext-link-type=\"uri\">VfD_PURICA-S_15_003607<\/jats:ext-link>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2016-012711","type":"journal-article","created":{"date-parts":[[2016,11,17]],"date-time":"2016-11-17T22:40:29Z","timestamp":1479422429000},"page":"e012711","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":7,"title":["Development and psychometric validation of the \u2018Parent Perspective University of Rhode Island Change Assessment-Short\u2019 (PURICA-S) Questionnaire for the application in parents of children with overweight and obesity"],"prefix":"10.1136","volume":"6","author":[{"given":"Florian","family":"Junne","sequence":"first","affiliation":[{"name":"Department of Psychosomatic Medicine and Psychotherapy, Medical University Hospital Tuebingen, Tuebingen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6111-4082","authenticated-orcid":false,"given":"Katrin","family":"Ziser","sequence":"additional","affiliation":[{"name":"Department of Psychosomatic Medicine and Psychotherapy, Medical University Hospital Tuebingen, Tuebingen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Johannes","family":"Mander","sequence":"additional","affiliation":[{"name":"Centre for Psychological Psychotherapy, University of Heidelberg, Heidelberg, 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Ulm, Ulm, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Susanna","family":"Wiegand","sequence":"additional","affiliation":[{"name":"Pedatric Obesity Outpatient Department, Medical University Hospital Charit\u00e9 Berlin, Berlin, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tobias","family":"Renner","sequence":"additional","affiliation":[{"name":"Department of Child and Adolescence Psychiatry, Medical University Hospital Tuebingen, Tuebingen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katrin E","family":"Giel","sequence":"additional","affiliation":[{"name":"Department of Psychosomatic Medicine and Psychotherapy, Medical University Hospital Tuebingen, Tuebingen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martin","family":"Teufel","sequence":"additional","affiliation":[{"name":"Department of Psychosomatic Medicine and Psychotherapy, Medical University Hospital Tuebingen, 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