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Table 1 Content validity and face validity of MOPE-Q

From: Exploring obesogenic environments: the design and development of the migrant obesogenic perception of the environment questionnaire (MOPE-Q) using a sample of Iranian migrants in Australia

Original items Comments final decision Amended items Obesogenic Likert scale
Physical environment for physical activity (PEPA)
1. Air pollution inhibited your ability to engage in daily physical activity in Iran Keep and revise 1. Air pollution discourages me from being physically active 7
2. The availability of "green space" such as parks encouraged you to engage in physical activity in Iran Keep and revise 2. The accessibility of "green spaces" such as parks encourages me to be physically active 1
3. Accessibility to foot paths and cycle paths encouraged you to be more physically active in Iran Keep and revise 3. Accessibility to walking and cycling paths encourages me to be physically active 1
4. Street safety encouraged you to be more physically active in Iran Keep and revise 4. Lack of safety on the streets (e.g. Harassment or traffic) discourages me from being physically active 7
5. The availability of quality hobby spaces encouraged you to participation in active leisure activities in Iran Keep and revise 5. The availability of quality leisure facilities (e.g. gyms and pools) encourages me to be physically active 1
Physical environment for food habits (PEFH)
6. You had easy access to a variety of food service outlets which served unhealthy food in Iran Keep and revise split into two groups(unhealthy food/service outlet) 6. Ready access to unhealthy food service outlets encourages me to eat unhealthy foods 7
- Added 7. Ready access to unhealthy foods such as packaged snacks, soft drinks and fatty meats encourages me to eat unhealthy foods 7
- Need a new question because it is not the flip side of the unhealthy food outlets 8. Ready access to healthy food service outlets encourages me to eat healthy foods 1
7. You had easy access to a variety of healthy food such as fruits, vegetables, whole grains and fish in Iran Keep and revise, split into two healthy food groups 9. Ready access to fruit, vegetables and whole grains encourages me to eat healthy foods 1
- Added 10. Ready access to lean meat and fish encourages me to eat healthy foods 1
Public policy for physical activity (PPPA)
8. Expertise and information could help you to have regular physical activity was available/easily accessed in Iran Keep and revise 11. Ready access to reliable expertise and information encourages me to be physically active 1
9. Regular usage of exercise facilities (e.g., gym and pool) was expensive in Iran Drop, Expensive in both countries - 7
10. Work demands (i.e. typically long working hours) made having a healthy life style difficult in Iran Keep and revise 12. Work demands (i.e. working long hours) discourages me from being physically active 7
11. Regulations surrounding appropriate dressing/public behaviour inhibited you from doing regular PA in Iran Keep and revise 13. Government rules about appropriate clothes and behaviours discourage me from being physically active in public 7
Public policy for food habits (PPFH)
12. Nutritional expertise and information helped you to have a healthy diet was available/easily accessed in Iran Keep and revise 14. Ready access to reliable expertise and information encourages me to have a healthy diet 1
13. Consumption of healthy food was expensive in Iran Keep and revise, split into two groups 15. Fruit and vegetables are expensive and this discourages me from having a healthy diet 7
-   16. Lean meat and fish are expensive and this discourages me from having a healthy diet 7
14. An unhealthy diet was cheaper than a healthy diet in Iran Keep and revise 17. Unhealthy food is cheap and this encourages me to have an unhealthy diet 7
Public policy for body concern (PPBC)
15. Dress codes (regulations surrounding appropriate dressing) influenced your eating behaviour in Iran Keep and revise, question was around eating but the sense should be around body size 18. Government rules about appropriate clothes encourages a lack of concern about my body weight and size 7
Socio-cultural environment for physical activity (SCPA)
16. Family, friends and community gathering promote sedentary lifestyles in Iran Keep and revise, Possible confusion with food - only need one question of PA or sedentary behaviour 19. Social gatherings of families, friends and communities inhibit me from being physically active 7
17. Family, friends and community gatherings promote active lifestyles in Iran Drop - 1
18. Regular/daily exercise was a part of the culture in Iran Keep and revise 20. There is a culture of being physically active and this encourages me to be physically active 1
19. You preferred active transport over motorized transport (cars, lifts, escalators) in Iran Keep and revise 21. The cultural norm of using your own car discourages me from walking, cycling or taking public transport 7
20. Religious leaders had a strong influence on your beliefs/behaviour related to diet and activity in Iran Drop, the question was unclear, whether their influence promotes or inhibits healthy lifestyle. Also, asking about religious leaders’ influence could be a sensitive issue for this specific migrant group - Unclear
21. Celebrities and fashion models had a strong influence on your beliefs/behaviour related to diet and activity in Iran Drop, too general and unclear whether their influence promotes or inhibits healthy lifestyle - Unclear
22. Seeing of people doing exercise in the public motivated you to be more physically active in Iran Keep and revise 22. Seeing people doing physical activity in public encourages me to be physically active 1
23. The media (e.g. TV programs, magazines) encouraged you to being more physically active in Iran Keep and revise 23. The media (e.g. TV programs, magazines) encourages me to be physically active 1
Socio-cultural environment for food (SCFH)
24. Family, friends and community gathering leaded you to consume a lot of fatty and sugary food in Iran Keep and revise, Using 'fatty and sugary' rather than 'unhealthy' foods 24. The cultural norms at social gatherings of families, friends and communities encourages me to eat a lot of fatty and sugary foods 7
25. The media encouraged you to follow a healthy diet in Iran Keep and revise 25. The media encourages me to follow a healthy diet 1
26. You were exposed to unhealthy food (i.e. high in fat and sugar) through media advertising in Iran Keep and revise 26. The high level of advertising encourages me to eat unhealthy foods 7
Socio-cultural environment for body size concern (SCBC)
27. People had negative attitudes/beliefs about overweight/obesity in Iran Keep and revise 27. People’s negative attitudes or beliefs about overweight or obese people encourages me to be concerned about my body size and weight 1
28. Good looking and beautiful for girls meant being thin in Iran Drop, as specifically asking from only one gender, male or female, merged to items about marriage with considering good looking - 1
29. Good looking/beautiful for girls meant having a muscular body in Iran Drop, as above - 1
30. Good looking/beautiful for girls meant having some extra weight in Iran Drop, as above - 7
31. Good looking/handsome for boys meant being thin in Iran Drop, as above - 1
32. Good looking/handsome for boys meant having a muscular body in Iran Drop, as above - 1
33. Good looking/handsome for boys meant having some extra weight (being chubby) in Iran Drop, as above - 7
34. You would prefer to marry a slender (slim) girl/boy in Iran Keep and revise 28. If I was considering marriage, I would feel a lot of pressure to marry a slim person 1
35. You would prefer marry to a girl/boy with a muscular body in Iran Keep and revise 29. If I was considering marriage, I would feel a lot of pressure to marry a muscular person 1
36. You would prefer marry to a girl/boy with some extra weight (being chubby) in Iran Drop, unclear - 7
37. When trying to lose weight, you were more likely choose unhealthy strategies rather than healthy lifestyle in Iran Keep and revise 30. If I want to lose weight, I would feel a lot of pressure to choose unhealthy strategies such as rigorous dieting, diet pills or liposuction rather than regular physical activity and healthy diet 1
38. Observing people's body shapes acts as a wakeup call for not wanting to get obese in Iran Keep and revise 31. Seeing overweight or obese people in public makes me worry about becoming obese myself 1
39. You felt too much pressure to be slim from your partner and family in Iran Keep and revise 32. I feel a lot of social pressure to be slim 1
40. You felt too much pressure to be slim from your Peers/friends in Iran Keep and revise 33. I feel a lot of social pressure to be fit and muscular 1
41. You felt too much pressure to be slim from Media in Iran Keep and revise 34. I feel a lot of pressure from the media to be slim 1
42. People critically evaluated your body image in Iran Keep and revise 35. People critically evaluate my body size 1
43. Seeing of people being conscious about their body size leads an individual to watch his/her own weight in Iran Keep and revise 36. Seeing people being conscious about their body size leads me to watch my weight and size 1