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Innovative application of a multidimensional item response model in assessing the influence of social desirability on the pseudo-relationship between self-efficacy and behavior Kathy Watson 1 *, Tom Baranowski 1 , Debbe Thompson 1 , Russell Jago 2 , Janice Baranowski 1 and Lisa M. Klesges 3 Abstract This study examined multidimensional item re- sponse theory (MIRT) modeling to assess social desirability (SocD) influences on self-reported physical activity self-efficacy (PASE) and fruit and vegetable self-efficacy (FVSE). The observed sample included 473 Houston-area adolescent males (10–14 years). SocD (nine items), PASE (19 items) and FVSE (21 items) were measured with previously validated self-report instruments containing Likert-type responses. Physical activ- ity was objectively measured using the Computer Science Application Incorporated/Manufacturing Technology Incorporated (CSA/MTI) accelerom- eter. Total fruit, juice and vegetable consumption was measured with a food frequency question- naire. Correlations between self-efficacy and be- haviors were minimal, regardless of controlling for SocD. However, in a simulated sample derived to demonstrate the utility of MIRT when relation- ships exist, the pseudo-relationships between self- efficacy and behaviors were substantially weaker after controlling for SocD. MIRT provided dis- attenuated correlations between SocD and self- efficacy, thereby providing more precise estimates of the real influence of SocD on the relationship between self-efficacy and behavior. However, as shown in the observed sample, more research is needed to understand the influence of SocD on the relationship between self-efficacy and behav- iors for different populations and for different degrees of SocD response bias. Introduction Social desirability (SocD) response bias is the self- reported overestimation of acceptable traits or behaviors and the underestimation of unacceptable ones [1, 2]. Responding in a socially desirable manner is considered a normal part of child de- velopment and often decreases as children age. Although SocD response bias has been assessed in conjunction with some age-related psychological constructs and socially unacceptable behaviors [1, 2], little research has examined the relationship between SocD and physical activity and diet-related self-efficacy. Several studies examined the associ- ation between SocD and nutrition/energy intake [3, 4] and physical activity [5] in adults and college students. There was no effect of SocD on total energy intake and fruit and vegetable (FV) intake derived from 24-hour daily recalls and three self- report measures in the overall sample [4]. However, when comparing highly educated women to women with less than a college education, the educated women tended to underreport on the food frequency self-report by SocD [6]. SocD also was associated 1 Department of Pediatrics, Children’s Nutrition Research Center, Baylor College of Medicine, 1100 Bates Street, Houston, TX 77030, USA, 2 Department of Exercise and Health, Centre for Sport and Exercise, University of Bristol, Tyndall Avenue, Bristol BS8 1TP, UK, 3 Department of Epidemiology and Cancer Control, St. Jude Children’s Research Hospital, 332 N. Lauderdale Street, Memphis, TN 38105, USA *Correspondence to: K. Watson. E-mail: [email protected] Ó 2006 The Author(s). This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/ licenses/by-nc/2.0/uk/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. doi:10.1093/her/cyl137 HEALTH EDUCATION RESEARCH Vol.21 (Supplement 1) 2006 Theory & Practice Pages i85–i97 Advance Access publication 3 November 2006 by guest on June 20, 2014 http://her.oxfordjournals.org/ Downloaded from
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Page 1: Innovative application of a multidimensional item response model in assessing the influence of social desirability on the pseudo-relationship between self-efficacy and behavior

Innovative application of a multidimensional itemresponse model in assessing the influence of social

desirability on the pseudo-relationship betweenself-efficacy and behavior

Kathy Watson1*, Tom Baranowski1, Debbe Thompson1, Russell Jago2,Janice Baranowski1 and Lisa M. Klesges3

Abstract

This study examined multidimensional item re-sponse theory (MIRT) modeling to assess socialdesirability (SocD) influences on self-reportedphysical activity self-efficacy (PASE) and fruitand vegetable self-efficacy (FVSE). The observedsample included 473 Houston-area adolescentmales (10–14 years). SocD (nine items), PASE(19 items) and FVSE (21 items) were measuredwith previously validated self-report instrumentscontaining Likert-type responses. Physical activ-ity was objectively measured using the ComputerScienceApplication Incorporated/ManufacturingTechnology Incorporated (CSA/MTI) accelerom-eter. Total fruit, juice and vegetable consumptionwas measured with a food frequency question-naire. Correlations between self-efficacy and be-haviors were minimal, regardless of controllingfor SocD. However, in a simulated sample derivedto demonstrate the utility ofMIRTwhen relation-ships exist, the pseudo-relationships between self-efficacy and behaviors were substantially weakerafter controlling for SocD. MIRT provided dis-

attenuated correlations between SocD and self-efficacy, thereby providingmore precise estimatesof the real influence of SocD on the relationshipbetween self-efficacy and behavior. However, asshown in the observed sample, more research isneeded to understand the influence of SocD onthe relationship between self-efficacy and behav-iors for different populations and for differentdegrees of SocD response bias.

Introduction

Social desirability (SocD) response bias is the self-

reported overestimation of acceptable traits or

behaviors and the underestimation of unacceptable

ones [1, 2]. Responding in a socially desirable

manner is considered a normal part of child de-

velopment and often decreases as children age.

Although SocD response bias has been assessed in

conjunction with some age-related psychological

constructs and socially unacceptable behaviors

[1, 2], little research has examined the relationship

between SocD and physical activity and diet-related

self-efficacy. Several studies examined the associ-

ation between SocD and nutrition/energy intake

[3, 4] and physical activity [5] in adults and college

students. There was no effect of SocD on total

energy intake and fruit and vegetable (FV) intake

derived from 24-hour daily recalls and three self-

report measures in the overall sample [4]. However,

when comparing highly educated women to women

with less than a college education, the educated

women tended to underreport on the food frequency

self-report by SocD [6]. SocD also was associated

1Department of Pediatrics, Children’s Nutrition Research

Center, Baylor College of Medicine, 1100 Bates Street,

Houston, TX 77030, USA, 2Department of Exercise and

Health, Centre for Sport and Exercise, University of Bristol,

Tyndall Avenue, Bristol BS8 1TP, UK, 3Department of

Epidemiology and Cancer Control, St. Jude Children’s

Research Hospital, 332 N. Lauderdale Street, Memphis,

TN 38105, USA

*Correspondence to: K. Watson.

E-mail: [email protected]

� 2006 The Author(s).This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/2.0/uk/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work isproperly cited.

doi:10.1093/her/cyl137

HEALTH EDUCATION RESEARCH Vol.21 (Supplement 1) 2006

Theory & Practice Pages i85–i97

Advance Access publication 3 November 2006

by guest on June 20, 2014http://her.oxfordjournals.org/

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with energy underreporting in women only [7],

with underreporting of energy/FV intake [8, 9], and

was among the best predictors of the 24-hour recall

[but not the food frequency questionnaire (FFQ)] in

men and women [10].

Although SocD was not correlated with several

measures of self-report physical activity in a sam-

ple of women in a study by Adams et al. [11],additional results indicated inconsistencies with as-

sociations between SocD and the overreporting of

physical activity and the underestimation of the

duration of physical activity. There was minimal

evidence of a weak relationship between SocD and

two self-report measures of physical activity in

a large sample of college students [5], but SocD was

the strongest predictor of physical activity in adults

[12]. In a sample of young African–American girls,

SocD was positively associated with physical

activity [1]. These studies provide evidence of

potential confounding of health outcomes due to

SocD response bias in self-reported behaviors. New

methods for assessing how and when SocD influ-

ences responses should enable other researchers to

better control for it.

Traditionally, SocD is represented as a composite

average or summative score (based on classical test

theory methods) and its influence is statistically con-

trolled through its treatment as a covariate in analysis

(e.g. partial correlations, multiple regression analy-

ses, analyses of covariance). Item response theory

(IRT) modeling [13, 14] offers an alternative

multidimensional method for analyzing the effects

of SocD bias. The multidimensional item response

theory (MIRT) analyses can be performed with the

self-efficacy scales and SocD by assessing SocD as

a second dimension of self-efficacy [15–18]. The

MIRT model provides more precise measures

(higher reliability, better model fit) of SocD and

self-efficacy by incorporating additional information

[15–18]. For example, in the estimation of self--

efficacy, the method of estimation accounts for the

relationship between self-efficacy and SocD. The

relationship between IRT model-derived scores for

self-efficacy and behaviors controlling for SocD can

then be investigated. This study demonstrated the

utility of the MIRT method in examining the role of

SocD influences on physical activity and fruit and

vegetable self-efficacy (FVSE) and behaviors.

Methods

Sample

The sample included 473 Houston-area 10- to 14-

year old boys from 42 Boy Scout troops recruited to

participate in a randomized intervention involving

either a 9-week Internet-based physical activity [19]

or nutrition program (Thompson et al., submitted).

The data reported in the current analyses used

only baseline assessment from the study. The race

and ethnic distribution of youth consisted of 73%

non-Hispanic white, 4% non-Hispanic African

American, 13% Hispanic and 10% classified as

‘other’. Approximately 36% of the participants

were considered to be at risk of overweight [body

mass index (BMI) > 85%] using Centers for

Disease Control and Prevention norms [20]. The

Baylor College of Medicine’s Institutional Review

Board approved the study protocol. Written in-

formed parental consent and youth assent were

obtained from all study participants.

Instruments

Social desirability

SocD was ascertained with the ‘lie scale’, from

Reynolds’ and Paget’s Revised Children’s Manifest

Anxiety Scale [21]. The scale has shown to be reliable

and valid in children 8–10 years of age [1]. Concur-

rent validity of the lie scale as a measure of SocDwas

also established in a study by Hagborg [22]. The lie

scale consisted of nine items related to SocD. Item

responses were modified from the original two-point

scale (‘yes/no’) to a five-point Likert scale from ‘1 =

always true of me’ to ‘5 = never true of me’. The

items were recoded so that a higher score indicated

a greater tendency to respond in amoreSocDmanner.

The internal consistency of the scale, based on

Cronbach’s alpha, was 0.86 in this sample.

Physical activity self-efficacy

The physical activity self-efficacy (PASE) scale

included Saunders’ et al. [23] scale plus two

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additional items. The scale was shown to be reliable

and valid in a sample of 558 youth. In the original

study, test–retest reliability was 0.76, 0.82 and 0.61

for the support seeking, barriers and positive

alternatives subscales, respectively. In the develop-

mental sample, construct validity was established

with observed significant correlations among the

subscales and intention to be physically active.

Additionally, the barriers subscale was significantly

correlated with a self-report measure of physical

activity. The scale contained 19 Likert-type items

with each response scored between ‘1 = disagree

a lot’ and ‘5 = agree a lot’. High PASE scores

indicated a strong sense of self-efficacy. The

internal consistency of the scale, based on Cron-

bach’s alpha, was 0.94 for this sample.

Fruit and vegetable self-efficacy

The 21 FVSE items included two subscales:

‘shopping/asking’ self-efficacy and ‘selection’

self-efficacy [24, 25]. The original 34-item scale

[24] employed three response options to each item:

‘not at all sure’, ‘a little sure’ and ‘very sure’. The

original scale demonstrated adequate 2-week test–

retest reliability (r = 0.70) and high internal

consistency (Cronbach’s a > 0.80). Content validity

of the instrument in the original study was assessed

through a series of steps: pilot testing, revisions and

principal components with stable loadings across

two split-half samples. Construct validity was

assessed through correlations among the FVSE

subscales, preferences, outcomes expectancies and

FV consumption. Three of four subscales were

significantly correlated with preferences (r = 0.18–

0.49) and health/physical activity outcomes expec-

tancies (r = 0.13–0.25). One subscale (‘breakfast

and lunch FV, and paying for FV’) was signifi-

cantly correlated (r = 0.18) with FV consumption.

In the second study [25], the number of items was

reduced and content validity of the reduced scale

was assessed using principal components. The two-

factor scale demonstrated adequate reliability

(Cronbach’s a > 0.78). The two subscales were

significantly correlated with FV preferences, expo-

sure, knowledge, outcome expectancies, social

norms and asking behaviors (r = 0.15–0.43). The

two subscales were significantly correlated (r = 0.12)

with FV consumption. In this study, the scale em-

ployed five Likert-type responses scored between ‘1

= disagree a lot’ and ‘5 = agree a lot’. High FVSE

scores indicated a strong sense of self-efficacy. The

internal consistency of the scale, based onCronbach’s

alpha, for this sample was 0.91.

Fruit, juice and vegetable consumption

Fruit, juice and vegetable consumption was mea-

sured through the use of a FFQ previously validated

against the 24-hour recall in a sample of Boy Scouts

[26]. In the validation study, there was evidence of

strong validity (r = 0.92) between the first assess-

ment of the FFQ and the 24-hour daily recall for

fruit, juice and vegetable consumption, after cor-

recting for the reliability of the recall [26]. The

FFQ contained a list of four juices, 17 fruits and

17 vegetables. The response scale represented the

number of servings consumed in the past week,

thereby avoiding averaging. Total consumption

was computed as the sum of all servings of fruit,

100% juice and vegetables in the past week.

Cronbach’s alpha for the FFQ in this sample

was 0.88.

CSA/MTI accelerometer

Habitual physical activity was measured with the

CSA/MTI accelerometer which has previously been

demonstrated to be valid and reliable [19, 27–29].

The accelerometer was validated and calibrated

against several measures of energy expenditure for

a period of six continuous hours. Correlations with

the accelerometer located on the hip were 0.66, 0.61

and 0.57 for respiration calorimetry, activity by

microwave detector and heart rate by telemetry,

respectively [28]. The CSA/MTI was placed above

the right hip and the boys were instructed to wear

the accelerometer at all times, except when in

contact with water, for three consecutive days.

After 3 days, the information obtained from the

CSA/MTI was downloaded. Only minutes between

6.00 a.m. and midnight were included in the

analyses. Unrecorded time (or time the monitor

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was not worn) was determined as any interval of

>20 min of continuous zero CSA counts. Days with

recorded time <800 out of a possible 1080 min were

considered invalid and excluded from analyses [19].

The number of minutes of moderate-to-vigorous

physical activity (MVPA) was classified at or above

the cut point of 3200 counts minute�1 as determined

against energy expenditure [28]. Minutes with CSA

counts equal to or above this threshold indicated

that the participant was engaged in MVPA and

were subsequently summed each day. To account for

differences in the time the monitor was worn, the

average number of minutes of MVPA was weighted

by the inverse of the proportion of time the monitor

was worn providing an estimate of number of

MVPA minutes per 1080 minutes.

Statistical analyses

Overview of Rasch IRT models

IRT, a method for determining the psychometric

properties of a scale, consists of a variety of

mathematical models that link the probability of

a response to the underlying (latent) ability or ‘trait’

being measured [13, 14, 30]. For this study, the

traits being measured were self-efficacy (e.g. PASE

and FVSE) and SocD. Each item and each person

are ordered by their location along the latent

continuum of the construct being measured. ‘Item

difficulty’ refers to the underlying trait and how

difficult it is for a person to respond affirmatively to

an item. ‘Item discrimination’ refers to how well an

item can discriminate between persons who have

relatively higher or lower levels than the item on the

continuum [14]. The Rasch family of models,

a special case of IRT, assumes constant slope (fixed

at 1.0) across all items in the instrument [13]. In

other words, items are assumed to discriminate

equally well between persons with traits above and

below the difficulty of the item. Results from the

Rasch model for data yield item location and person

ability/trait estimates, model fit values [infit mean

square (MSQ) values] and reliability measures [13,

30, 31]. A more detailed discussion of the Rasch

family of models may be found in the introductory

articles of this issue [30, 31].

Model development

Although a primary assumption for most IRT

models is that the underlying trait is unidimen-

sional, there are circumstances in which this

assumption may not be valid. As such, the potential

benefit of incorporating multidimensionality into

IRT models has been recognized [15, 17, 32, 33].

Additional issues to consider are local indepen-

dence of items and appropriate sample size. Local

independence may be inferred when the unidimen-

sionality assumption is met [14]. The sample size

issue is complex and depends on a number of

factors (e.g. number of items, goal of the study,

number of responses per item, the IRT model, the

distribution of the sample) [34, 35]. According to

Lincare [34], a sample size of 150 is adequate for

a simple Rasch model and an additional 10 partic-

ipants per response category is needed for polyto-

mous items. In a study by Choi et al. [36], a sample

of 250 participants has been demonstrated to be

adequate for the estimation of the partial credit

model. Only two additional parameters, in addition

to the total number of item parameters associated

with the SocD and self-efficacy scales, were esti-

mated due to multidimensionality. The partial credit

model [37] is an extension of the Rasch model and

accounted for the ordinal nature of the responses.

A between-item multidimensional model was

used in this study, indicating that each item

measured only one dimension. This model provides

more efficiency in regard to reliability and model fit

than independent unidimensional models [15, 18].

Any possible interrelationship between items in the

PASE (or FVSE) and SocD would be ignored if

each scale were treated independently; therefore,

consideration of multidimensionality would show

influence from another variable, in this case SocD.

When a relationship between variables is present,

more efficient estimation [smaller standard errors

(SEs)] is possible. The additional information pro-

vided by participants’ SocD responses may provide

additional information regarding the participants’

reports of self-efficacy and would best be utilized

by choosing multidimensional modeling. As an

example, better fit was demonstrated with the

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multidimensional model in a study regarding

mathematical proficiency classification [32]. The

multidimensional approach has the advantage of

providing a measure for each trait being assessed

while simultaneously considering any correlation

between the latent constructs [38]. In other exam-

ples [17, 33], estimates from the unidimensional

model as opposed to the multidimensional model

were attenuated substantially. All IRT analyses

were performed using ConQuest [38].

Although there are several methods to assess

unidimensionality [39], the IRT assumption of

unidimensionality for each of the scales (SocD,

PASE and FVSE) was assessed through confirma-

tory factor analyses (CFAs). Item fit was examined

through the use of infit MSQ summary statistics.

MSQ fit values range between zero and infinity

with values near one indicating close agreement

between observed and expected values. Values

>1.0 indicate more variation in the responses and

values <1.0 indicate less variation in the responses

than expected. Infit MSQ values outside the range

of 0.75 and 1.33, with significant t values, wereused for establishing item misfit [30]. Reliability,

conditional on the trait, was also used to assess the

model [13, 31].

Item and person difficulty (latent variable) esti-

mates were obtained for each scale. Thurstonian

thresholds were presented to describe the degree of

difficulty of selecting the various responses for each

of the items. Person estimates were obtained from

the plausible values (PVs) computed during the

estimation process [38, 40]. PVs, as opposed to

maximum likelihood estimates and expected a pos-teriori estimates, were used because the PVs pro-

vide unbiased estimates of the latent traits [38, 40].

Simulated data

Preliminary analyses showed weak correlations

among the SocD raw scores, self-efficacy raw

scores and physical activity and dietary intake

behaviors. Therefore, a data set was simulated for

the purpose of demonstrating the influence of

SocD when a relationship among SocD, self-

efficacy and behaviors was present. In other words,

a pseudo-relationship among SocD, self-efficacy

and behaviors was created to demonstrate the utility

of MIRT. The simulated data consisted of a subset

of participants who met the following criteria: (i) the

observed standardized (Std) PASE score was within

the 68% confidence bands corresponding to the

hypothesized regression line representing the de-

sired moderate correlation between Std PASE and

Std SocD and (ii) within the same confidence band

for the regression line representing the desired

moderate correlation between Std PASE and Std

MVPA. Participants were selected in a similar

fashion for the FVSE analysis. The simulated data

consisted of 206 participants for the PASE analyses

and 210 participants for the FVSE analyses. Please

note that these data were selected to demonstrate

the utility of the MIRT procedure, and should not

be construed to reflect true relationships

Correlational analyses

Pearson bivariate correlations were used to examine

the relationships among self-efficacy, SocD and

behavior. Partial correlations were used to assess

the associations between self-efficacy and behav-

iors, controlling for SocD. SocD was deemed to be

a substantial confounder if the change-in-estimate

due to confounder [(crude � adjusted estimate)/

crude estimate 3 100%] [1] was >25%. The

correlations between self-efficacy and SocD were

extracted from the ConQuest output and all other

correlationswere performed usingSPSS forWindows

Release 11.0.01 [41].

Results

Participants

Although 473 Houston-area Boy Scouts partici-

pated in the study, only 452 scouts provided PASE,

FVSE and SocD data. Race/ethnicity was the only

significant (P < 0.05) difference observed in de-

mographic and anthropometric characteristics be-

tween those with and without complete data.

Although Hispanic and other youth did not

have any missing data, the overall distribution of

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participants with complete data was nearly the same

as the total sample with 73% white, 3% African

American, 14% Hispanic and 10% other youth. A

large portion (70.4%) of scouts came from homes

with a parent who had at least a college education.

Roughly one-fourth (23.8%) of the scouts lived in

homes where the parent had at least some college or

technical education and 5.6% of the scouts came in

homes where the parents had a high school

education or less. The majority (64.2%) of scouts

was considered to have a normal (BMI < 85%) for

their age and gender. The mean age of the scouts

was 12.8 years (SE = 0.05). Mean SocD and self-

efficacy IRT-derived scores were 0.45 (SE = 0.05),

1.01 (SE = 0.06) and 0.84 (SE = 0.04) for SocD,

PASE and FVSE, respectively. Scouts spent an

average of 5.31 (SE = 1.10) min day�1 engaged

in MVPA and consumed 0.84 (SE = 0.04) servings

of FV per day based on IRT.

Rasch models

CFA was performed using LISREL 8.54 [42] to

establish unidimensionality of the scales. CFA

indicated adequate model fit of the SocD scale

[goodness of fit v2 = 78.37, df = 21, P < 0.001; root

mean square error of approximation (RMSEA) =

0.078; comparative fit index (CFI) = 0.98] [43].

Adequate model fit was also demonstrated for the

PASE scale (v2 = 537.72, df = 142, P < 0.001;

RMSEA = 0.079, CFI = 0.98) and the FVSE scale

(v2 = 607.69, df = 181, P < 0.001; RMSEA = 0.072,

CFI = 0.97). Upon examination of the SocD and

PASE IRT analysis, all average item location infit

indices and step parameter indices for the SocD and

PASE model were within the range (0.75–1.33) of

acceptable fit. These results indicated that the SocD

and PASE model fit the data reasonably well.

Thurstone item threshold estimates for SocD and

PASE are shown in Fig. 1. Threshold 1 for the

SocD scale represents the point at which the

cumulative effect of the ‘sometimes true of me’,

‘not sure’, ‘not often true of me’ and ‘never true of

me’ options are more likely than ‘always true of

me’. Threshold 1 for the PASE scale represents the

point at which the cumulative effect of the ‘disagree

a little’, ‘not sure’, ‘agree a little’ and ‘agree a lot’

options are more likely than ‘disagree a lot’. For

a more complete discussion of the Thurstone

thresholds, refer to the paper of Wilson et al. [30]in this issue. The latent distribution for SocD and

PASE, in conjunction with item thresholds, are also

shown in the Wright map in Fig. 1. While the SocD

item thresholds (Items 1–9) extended over most of

the SocD person trait distribution, the PASE trait

distribution appears to be top heavy, meaning that

the PASE scale items (Items 10–28) did not

encompass participants with high levels of PASE.

The reliability for the PASE scale derived from

the multidimensional model is shown in Fig. 2, as a

function of PASE. Lower reliability was seen at the

extreme ends of the PASE continuum. Except at

the extreme ends, the reliability was acceptable.

The summary measures of between-person reliab-

ility, analogous to Cronbach’s alpha, were 0.80

and 0.94 for SocD and PASE, respectively.

Examination of the SocD and FVSE analysis

yielded average item location infit indices, with

exception of the first SocD item (infit = 1.49, t =4.2), within the range (0.75–1.33) of acceptable fit.

All step parameter estimates were within the range

of acceptable fit. Overall, these results indicated

that the SocD and FVSE model fit the data

reasonably well. Thurstone item threshold esti-

mates for SocD and FVSE are shown in Fig. 3.

Similar to PASE, Threshold 1 for the FVSE scale

represents the point at which the cumulative effect

of the ‘disagree a little’, ‘not sure’, ‘agree a little’

and ‘agree a lot’ options are more likely than

‘disagree a lot’. The latent distribution for SocD and

FVSE traits, in conjunction with item thresholds,

are also shown in Fig. 3. As expected, examination

of the Wright map indicated that the SocD thresh-

olds (Items 1–9) covered the range of the trait

distribution. The FVSE trait was more tightly

distributed with a more restrictive range. The item

thresholds for the FVSE scale (Items 10–30) pro-

vided better coverage of higher levels of self-

efficacy than the PASE. For participants at high

levels of FVSE, the majority of item coverage was

at the lower extreme of this trait. The reliability for

the FVSE scale derived from the multidimensional

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Fig. 1. Wright map of item thresholds for multidimensional PASE and SocD model (each ‘X’ represents 10.5 cases and the labels

for thresholds show the levels of item and step, respectively).

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model is shown in Fig. 4, as a function of FVSE.

Lower reliability was seen at the extreme ends of

the FVSE continuum. Except at the extreme ends,

the measurement error was small and the reliability

was adequate. The summary measures of between-

person reliability were 0.86 and 0.80 for SocD and

FVSE, respectively.

Correlational analyses

Results from the correlational analyses for the

observed sample and the simulated sample are

shown in Table I. The observed sample yielded

extremely weak to no correlations (0.01–0.18) among

SocD, PASE and MVPA, regardless of controlling

for SocD. Similar results were observed among

SocD, FVSE and FV intake. There was minimal

(4.3–5.8%) change-in-estimate due to confounding

by SocD for PASE and FVSE, respectively.

Results from the simulated sample yielded

a moderate correlation (r = 0.60) between SocD

and PASE. The correlation between PASE and

MVPA minutes was moderately weak (r = 0.35).

However, after controlling for the effect of SocD,

the correlation between PASE and MVPA minutes

was very weak (r = 0.23). The correlation between

SocD and MVPA minutes was 0.30. The change-

in-estimate decrease for PASE after including SocD

was 34.3%. Similar results were observed for the

relationship between FVSE and FV intake. The

correlation between SocD and FVSE was 0.56.

The correlation between FVSE and FV intake was

moderate (r = 0.43). However, after controlling for

the effect of SocD, the correlation was weak (r =

0.29). The change-in-estimate decrease for FVSE

after including SocD was 32.6%. The correlation

between SocD and FV intake was 0.37.

In IRT analyses where SocD and self-efficacy

were estimated using separate unidimensional

models (analyses not shown), the correlations (r =0.42 and 0.38) between SocD and self-efficacy

were moderately weak for PASE and FVSE, re-

spectively. With the sample sizes >200, all the

above correlations in the simulated sample were

statistically significant (P < 0.05).

Discussion

The analyses from the original data demonstrated

a weak relationship, at best, among SocD, self-

efficacy and physical activity and dietary behaviors

among adolescent males. Since these analyses were

conducted, in part, to demonstrate the utility of

MIRT in assessing the influence of SocD on the

relationship between self-efficacy and behaviors,

the results from the simulated data did show the

pseudo-relationship between self-efficacy and

behaviors were noticeably weaker when control-

ling for SocD. These findings suggest that when

a strong relationship exists between SocD and

self-efficacy and a moderate relationship exists

between SocD and behaviors, the influence of

SocD on the relationship between self-efficacy

and behaviors is substantial as shown by change-

in-estimates >25%. With an objective measure of

MVPA, it is more likely that the influence of SocD

was more highly related to the self-efficacy re-

sponses and less for the accelerometer data. Fur-

thermore, the moderate correlations between SocD

and self-efficacy were not attenuated as observed

with the unidimensional models of SocD with

PASE (from r = 0.60 to 0.42) and FVSE (from

r = 0.56 to 0.38). In other words, the attenuated

correlations were lower than the true correlations

Physical Activity Self-Efficacy6420-2-4-6

Rel

iabi

lity

1.0

.8

.6

.4

.2

0.0

minimum acceptablereliability (0.70)

Fig. 2. The reliability plotted against the multidimensional

trait estimate for PASE.

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Fig. 3. Wright map of item thresholds for multidimensional FVSE and SocD model (each ‘X’ represents 17.0 cases and the labels

for thresholds show the levels of item and step, respectively).

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due to measurement error and thus misrepresent

the true relationship.

The strengths of this study include the use of

instruments (SocD, PASE and FVSE) that were

validated in previous studies; the use of two (not

one) measures of self-efficacy (PASE and FVSE) to

replicate findings; and the use of statistical techni-

ques that overcame limitations of traditional psy-

chometric techniques. In general, the use of IRT

provided difficulty estimates that were not depen-

dent on this sample and ability estimates of SocD

and self-efficacy that were not specific to the items

on the instrument. Additionally, by using IRT,

specific areas (e.g. the extremes) along the SocD

and self-efficacy constructs that were not well

measured by the items were identified. More

specifically, by using the multidimensional model,

additional information related to correlated con-

structs, e.g. SocD, was used to provide more

reliable estimates. The MIRT model also allowed

the examination of the ability distributions and item

difficulty estimates of both constructs along the

same continuum. Although the self-efficacy scales

exhibited adequate reliability, except for partici-

pants with scores at the extreme ends, the FVSE

scale was better able to capture and discriminate

among participants with high levels of self-efficacy

than the PASE scale. The practical implications

would be that it may be necessary to add a couple

of items that would discriminate among particip-

ants with high levels of PASE or caution should

be used when trying to interpret the relationship

between self-efficacy and behaviors for a very

extreme homogeneous sample. Additionally, the

FVSE distribution of scores was much tighter than

the PASE distribution, which could be indicative of

a less heterogeneous sample. Perhaps, the relation-

ship between FVSE and behaviors might be

different in a more diverse sample.

This MIRT method may also be used for other

correlated psychological constructs such as norms,

attitudes and beliefs. The benefits of this study in

relation to the association among SocD, self-

efficacy and physical activity and diet behavior,

support the need for further research in these areas.

The limitations of the study include the lack of

generalization of the relationship among SocD,

self-efficacy and behaviors because of the deliber-

ate selection of the subset for creating simulated

data. Additionally, different magnitudes of the

relationship among SocD, self-efficacy and behav-

iors were not examined.

In summary, MIRT methods to assess response

biases such as socially desirable responding holds

promise of more precisely estimating self-reported

psychosocial measures. The advantages of IRT in

scale construction and assessment have been well

documented [14]. Through the enhancement of the

precision of measurement and the dimensions un-

derlying psychosocial measures, IRT techniques

will likely provide more precise estimates of their

relationship to behaviors and a more comprehen-

sive understanding of the true nature of the re-

lationship. Furthermore, by obtaining more

information about a scale through improved mea-

surement, such as identifying levels of the trait

that are not as reliable, and levels of the trait

which are not being reached, knowledge of the

association between psychosocial measures and

behaviors can be enhanced. Recommendations

for future research would include additional studies

to examine the influence of SocD on the relation-

ship between subconstructs of self-efficacy and

behaviors as well as using MIRT to examine the

relationship among other psychosocial constructs

and behavior.

Fruit-Vegetable Self-Efficacy6420-2-4-6

Rel

iabi

lity

1.0

.8

.6

.4

.2

0.0

minimum acceptablereliability (0.70)

Fig. 4. The reliability plotted against the multidimensional

trait estimate for FVSE.

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Table I. Correlations and corresponding 95% confidence intervals among SocD, self-efficacy and behaviors

Physical Activity Observed sample (n = 452)

(representing actual relationship)

Simulated sample (n1 = 206; n2 = 210)

(representing pseudo-relationship)

PASE SocD MVPA PASE SocD MVPA

PASE – 0.18a (0.06, 0.30),

P = 0.004, 5.8%b

– 0.23a (0.09, 0.37),

P = 0.001, 34.3%b

SocD 0.12 (0.03, 0.22),

P = 0.010

– 0.60 (0.47, 0.71),

P < 0.001

MVPA 0.17 (0.05, 0.29),

P = 0.005

0.01 (�0.11, 0.14),

P = 0.833

– 0.35 (0.22, 0.48),

P < 0.001

0.30 (0.16, 0.43),

P < 0.001

Fruits and Vegetables FVSE SocD FV FVSE SocD FV intake

FVSE – 0.24a (0.13, 0.33),

P < 0.001, 4.3%b

– 0.29a (0.14, 0.43),

P < 0.001, 34.3%b

SocD 0.28 (0.19, 0.37),

P < 0.001

– 0.56 (0.42, 0.68),

P < 0.001

FV intake 0.23 (0.14, 0.32),

P < 0.001

0.03 (�0.54, 0.62),

P = 0.907

– 0.43(0.30, 0.55),

P < 0.001

0.37 (0.23, 0.51),

P < 0.001

Simulated sample size for PASE analysis (n1) and FVSE analysis (n2).aCorrelations in lower triangle are Pearson correlations, correlations in upper diagonal are partial correlations controlling for the effect of SocD.bChange-in-estimate [(crude � adjusted estimate)/crude estimate 3 100%] after including SocD.

Social

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Acknowledgements

The writing of this paper was supported in part by

a grant from the American Cancer Society, ACS

TURSG-01. This work is also a publication of the

US Department of Agriculture (USDA)/Agricul-

tural Research Service (ARS) Children’s Nutrition

Research Center, Department of Pediatrics, Baylor

College of Medicine and Texas Children’s Hospi-

tal, Houston, TX. This project has been funded in

part by federal funds from the USDA/ARS under

cooperative agreement 58-6250-6001. The contents

of this publication do not necessarily reflect the

views or polices of the USDA, nor does mention of

trade names, commercial products or organizations

imply endorsement by the US Government.

Conflicts of interest statement

None declared.

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Received on February 16, 2006; accepted on September 25,2006

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