Stages of change in obesity and weight management: factorial structure of the Italian version of the University of Rhode Island Change Assessment Scale

Eat Weight Disord. 2017 Jun;22(2):361-367. doi: 10.1007/s40519-016-0289-1. Epub 2016 May 10.

Abstract

Purpose: To examine the factorial structure of the University of Rhode Island Change Assessment Scale (IT-URICA) for weight management in a sample of Italian overweight and obese patients enrolled in a nutritional rehabilitation program.

Methods: 334 inpatients completed the translated and adjusted version of the IT-URICA at admission to the hospital. Psychometric testing included confirmatory factor analysis and internal consistency (Cronbach's α).

Results: The IT-URICA for weight management was successfully translated into Italian, and the factorial analysis confirmed the four-factor solution of the commonly accepted version of the measure.

Conclusion: High levels of RTC are considered critical to the long-term success of weight management, and the IT-URICA may be an appropriate measure of motivational readiness for use among Italian overweight and obese patients. Its use is, therefore, recommended for clinical and research purposes.

Keywords: Obesity; Overweight; Readiness to change; Stages of change; University of Rhode Island Change Assessment Scale; Validation.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Body Weight*
  • Factor Analysis, Statistical
  • Female
  • Humans
  • Italy
  • Male
  • Middle Aged
  • Motivation*
  • Obesity / psychology*
  • Obesity / rehabilitation
  • Overweight / psychology*
  • Overweight / rehabilitation
  • Psychometrics
  • Reproducibility of Results
  • Translations
  • Young Adult