TY - JOUR
T1 - Validation of the Comprehensive Feeding Practices Questionnaire among Brazilian Families of School-Aged Children
AU - Mais, Laís Amaral
AU - Warkentin, Sarah
AU - Latorre, Maria do Rosário Dias de Oliveira
AU - Carnell, Susan
AU - Taddei, José Augusto de Aguiar Carrazedo
N1 - Funding Information:
Data collection was performed at schools in Campinas and São Paulo, SP, Brazil. The authors thank the participant schools, parents, and children for their valuable contribution. We also thank the CAPES for scholarships for LM and SW, the National Institute of Health (NIH) for research funding for SC (R00DK088360), and the Conselho Nacional de Pesquisa (CNPq) for a productivity scholarship for JT.
Funding Information:
Data collection was performed at schools in Campinas and S?o Paulo, SP, Brazil. The authors thank the participant schools, parents, and children for their valuable contribution. We also thank the CAPES for scholarships for LM and SW, the National Institute of Health (NIH) for research funding for SC (R00DK088360), and the Conselho Nacional de Pesquisa (CNPq) for a productivity scholarship for JT.
Publisher Copyright:
© Copyright © 2015 Mais, Warkentin, Latorre, Carnell and Taddei.
PY - 2015/11/3
Y1 - 2015/11/3
N2 - Introduction: Children’s eating behaviors are influenced by parents, who are the first nutritional educators. The comprehensive feeding practices questionnaire (CFPQ) was developed to measure feeding practices among parents, but has not yet been validated in Brazil, where child obesity rates are steeply increasing. The aim of the study was to test the validity of the CFPQ among Brazilian parents of school-aged children and propose a new version of the instrument. Methods: Transcultural adaptation included translation into Portuguese, back translation, content validity, testing for semantic equivalence, and piloting. Questionnaire data were obtained for 659 parents of 5- to 9-year olds. Confirmatory and exploratory factor analyses and psychometric analyses (tests for internal consistency, factor correlations, item-discriminant and convergent validity, and test–retest reliability) were conducted. Results: Confirmatory factor analysis demonstrated a poor fit of the data to the original 12-factor model. Exploratory factor analysis generated a 6-factor model composed of 42 items: healthy eating guidance, monitoring, restriction for weight control, restriction for health, emotion regulation/food as reward, and pressure. This factor solution was supported by internal consistency tests (α = 0.71–0.91) and factor correlations (ρ = −0.16 to 0.32). Item-discriminant and convergent validity tests showed that parents who used coercive practices had more overweight children and were more concerned about their child’s weight (ρ = 0.09–0.40). Test–retest reliability was acceptable (intraclass correlation coefficient = 0.45–0.77). Conclusion: Since parental practices are highly culturally and age group sensitive, it is essential to conduct careful evaluations of questionnaires when introduced into specific age groups within new cultural settings. This modified six-factor model of the CFPQ is valid to measure parental feeding behaviors of school-aged children in urban Brazilian settings.
AB - Introduction: Children’s eating behaviors are influenced by parents, who are the first nutritional educators. The comprehensive feeding practices questionnaire (CFPQ) was developed to measure feeding practices among parents, but has not yet been validated in Brazil, where child obesity rates are steeply increasing. The aim of the study was to test the validity of the CFPQ among Brazilian parents of school-aged children and propose a new version of the instrument. Methods: Transcultural adaptation included translation into Portuguese, back translation, content validity, testing for semantic equivalence, and piloting. Questionnaire data were obtained for 659 parents of 5- to 9-year olds. Confirmatory and exploratory factor analyses and psychometric analyses (tests for internal consistency, factor correlations, item-discriminant and convergent validity, and test–retest reliability) were conducted. Results: Confirmatory factor analysis demonstrated a poor fit of the data to the original 12-factor model. Exploratory factor analysis generated a 6-factor model composed of 42 items: healthy eating guidance, monitoring, restriction for weight control, restriction for health, emotion regulation/food as reward, and pressure. This factor solution was supported by internal consistency tests (α = 0.71–0.91) and factor correlations (ρ = −0.16 to 0.32). Item-discriminant and convergent validity tests showed that parents who used coercive practices had more overweight children and were more concerned about their child’s weight (ρ = 0.09–0.40). Test–retest reliability was acceptable (intraclass correlation coefficient = 0.45–0.77). Conclusion: Since parental practices are highly culturally and age group sensitive, it is essential to conduct careful evaluations of questionnaires when introduced into specific age groups within new cultural settings. This modified six-factor model of the CFPQ is valid to measure parental feeding behaviors of school-aged children in urban Brazilian settings.
KW - child
KW - child nutrition
KW - feeding behavior
KW - parent–child relations
KW - validation studies
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U2 - 10.3389/fnut.2015.00035
DO - 10.3389/fnut.2015.00035
M3 - Article
AN - SCOPUS:85013265803
SN - 2296-861X
VL - 2
JO - Frontiers in Nutrition
JF - Frontiers in Nutrition
M1 - 35
ER -