Sleep

Psychometric properties of the Turkish version of the Preschool Eating, Lifestyle, and Sleeping Attitudes (PRELSA) scale.

TL;DR

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

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

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

Confirmatory factor analysis indicated acceptable model fit for the Turkish PRELSA Scale.

  • χ²/df = 1.434, RMSEA = 0.031, SRMR = 0.046
  • CFI = 0.904, IFI = 0.907, GFI = 0.911, TLI = 0.888
  • These values collectively indicate acceptable model fit according to the authors

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

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

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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Citation

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