The Turkish version of the Preschool Eating, Lifestyle, and Sleeping Attitudes (PRELSA) Scale is a valid and reliable instrument for assessing parental attitudes toward eating behaviors, physical activity, screen use, and sleep routines in early childhood.
Key Findings
Results
The Turkish PRELSA Scale demonstrated good overall internal consistency reliability.
The overall Cronbach's alpha coefficient was 0.887
The scale comprised 39 items across 13 subscales
The study was conducted with 460 parents of children aged 2-6 years from seven preschools in Central Anatolia, Türkiye
Results
Exploratory factor analysis of the Turkish PRELSA Scale explained 58.5% of the total variance.
Factor loadings ranged from 0.353 to 0.890
The EFA was conducted as part of the psychometric evaluation process
The scale maintained the same 13-subscale structure as the original
Results
Confirmatory factor analysis indicated acceptable model fit for the Turkish PRELSA Scale.
These values collectively indicate acceptable model fit according to the authors
Results
The Turkish PRELSA Scale demonstrated high test-retest reliability and good temporal stability.
Test-retest reliability correlation was r = 0.911
The intraclass correlation coefficient (ICC) was 0.865
The 95% confidence interval for the ICC was 0.738–0.933
These values indicate good temporal stability of the instrument
Methods
The adaptation process of the Turkish PRELSA Scale followed a systematic methodological protocol.
The process included forward-backward translation, expert review, face validity assessment, and psychometric evaluation
Data were collected using a family and child information form alongside the PRELSA Scale
Data were analyzed using exploratory and confirmatory factor analyses, Cronbach's alpha, test-retest reliability, and intraclass correlation coefficients
Background
Childhood obesity in preschool years is strongly influenced by modifiable parental attitudes and behaviors.
This premise motivated development of the PRELSA Scale to assess parental attitudes related to childhood obesity during the preschool period
The scale addresses eating behaviors, physical activity, screen use, and sleep routines
The study targeted parents of children aged 2–6 years as the relevant population
What This Means
This research suggests that a Turkish-language version of a parenting attitudes survey — called the PRELSA Scale — can reliably and accurately measure how parents think and behave around their young children's eating habits, physical activity, screen time, and sleep routines. The study tested the survey with 460 parents of preschool-aged children (ages 2–6) across seven schools in Central Anatolia, Turkey. The researchers used multiple statistical methods to confirm that the 39-item, 13-subscale questionnaire performs well: scores were consistent over time (test-retest reliability of 0.911) and the survey's internal structure held together strongly (Cronbach's alpha of 0.887).
The importance of this work lies in the fact that obesity during the preschool years is closely tied to parental habits and attitudes that can be changed. Having a validated tool in Turkish means that researchers and healthcare providers in Turkey can now systematically measure these attitudes in large groups of parents, which is a necessary first step before designing or evaluating programs aimed at reducing childhood obesity. Previously, no such validated Turkish instrument existed for this specific purpose.
This research suggests that the Turkish PRELSA Scale can serve as a practical and trustworthy assessment tool in clinical and research settings. By identifying which parental attitudes around food, activity, screen use, and sleep are problematic, health professionals may be better positioned to target interventions during the critical early childhood window when lifestyle habits are first being formed.
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Bolacali E, Bolacali M. (2026). Psychometric properties of the Turkish version of the Preschool Eating, Lifestyle, and Sleeping Attitudes (PRELSA) scale.. BMC pediatrics. https://doi.org/10.1186/s12887-026-07532-9