Validation of the comprehensive feeding practices questionnaire in parents of preschool children in Brazil

Abstract Background Recent national surveys in Brazil have demonstrated a decrease in the consumption of traditional food and a parallel increase in the consumption of ultra-processed food, which has contributed to a rise in obesity prevalence in all age groups. Environmental factors, especially fam...

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Main Authors: Sarah Warkentin, Laís Amaral Mais, Maria do Rosário Dias de Oliveira Latorre, Susan Carnell, José Augusto de Aguiar Carrazedo Taddei
Format: Article
Language:English
Published: BMC 2016-07-01
Series:BMC Public Health
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12889-016-3282-8
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author Sarah Warkentin
Laís Amaral Mais
Maria do Rosário Dias de Oliveira Latorre
Susan Carnell
José Augusto de Aguiar Carrazedo Taddei
author_facet Sarah Warkentin
Laís Amaral Mais
Maria do Rosário Dias de Oliveira Latorre
Susan Carnell
José Augusto de Aguiar Carrazedo Taddei
author_sort Sarah Warkentin
collection DOAJ
description Abstract Background Recent national surveys in Brazil have demonstrated a decrease in the consumption of traditional food and a parallel increase in the consumption of ultra-processed food, which has contributed to a rise in obesity prevalence in all age groups. Environmental factors, especially familial factors, have a strong influence on the food intake of preschool children, and this has led to the development of psychometric scales to measure parents’ feeding practices. The aim of this study was to test the validity of a translated and adapted Comprehensive Feeding Practices Questionnaire in a sample of Brazilian preschool-aged children enrolled in private schools. Methods A transcultural adaptation process was performed in order to develop a modified questionnaire (43 items). After piloting, the questionnaire was sent to parents, along with additional questions about family characteristics. Test-retest reliability was assessed in one of the schools. Factor analysis with oblique rotation was performed. Internal reliability was tested using Cronbach’s alpha and correlations between factors, discriminant validity using marker variables of child’s food intake, and convergent validity via correlations with parental perceptions of perceived responsibility for feeding and concern about the child’s weight were also performed. Results The final sample consisted of 402 preschool children. Factor analysis resulted in a final questionnaire of 43 items distributed over 6 factors. Cronbach alpha values were adequate (0.74 to 0.88), between-factor correlations were low, and discriminant validity and convergent validity were acceptable. Conclusions The modified CFPQ demonstrated significant internal reliability in this urban Brazilian sample. Scale validation within different cultures is essential for a more comprehensive understanding of parental feeding practices for preschoolers.
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spelling doaj.art-78226da6778b4683a24903e0a1ec84222022-12-22T03:37:08ZengBMCBMC Public Health1471-24582016-07-0116111210.1186/s12889-016-3282-8Validation of the comprehensive feeding practices questionnaire in parents of preschool children in BrazilSarah Warkentin0Laís Amaral Mais1Maria do Rosário Dias de Oliveira Latorre2Susan Carnell3José Augusto de Aguiar Carrazedo Taddei4Department of Pediatrics, Discipline of Nutrology, Federal University of São Paulo (UNIFESP)Department of Pediatrics, Discipline of Nutrology, Federal University of São Paulo (UNIFESP)Department of Epidemiology, University of São Paulo (USP), School of Public HealthDepartment of Psychiatry and Behavioral Sciences, Division of Child & Adolescent Psychiatry, Johns Hopkins University School of MedicineDepartment of Pediatrics, Discipline of Nutrology, Federal University of São Paulo (UNIFESP)Abstract Background Recent national surveys in Brazil have demonstrated a decrease in the consumption of traditional food and a parallel increase in the consumption of ultra-processed food, which has contributed to a rise in obesity prevalence in all age groups. Environmental factors, especially familial factors, have a strong influence on the food intake of preschool children, and this has led to the development of psychometric scales to measure parents’ feeding practices. The aim of this study was to test the validity of a translated and adapted Comprehensive Feeding Practices Questionnaire in a sample of Brazilian preschool-aged children enrolled in private schools. Methods A transcultural adaptation process was performed in order to develop a modified questionnaire (43 items). After piloting, the questionnaire was sent to parents, along with additional questions about family characteristics. Test-retest reliability was assessed in one of the schools. Factor analysis with oblique rotation was performed. Internal reliability was tested using Cronbach’s alpha and correlations between factors, discriminant validity using marker variables of child’s food intake, and convergent validity via correlations with parental perceptions of perceived responsibility for feeding and concern about the child’s weight were also performed. Results The final sample consisted of 402 preschool children. Factor analysis resulted in a final questionnaire of 43 items distributed over 6 factors. Cronbach alpha values were adequate (0.74 to 0.88), between-factor correlations were low, and discriminant validity and convergent validity were acceptable. Conclusions The modified CFPQ demonstrated significant internal reliability in this urban Brazilian sample. Scale validation within different cultures is essential for a more comprehensive understanding of parental feeding practices for preschoolers.http://link.springer.com/article/10.1186/s12889-016-3282-8Child nutritionFeeding behaviorFood consumptionPreschool childValidation studiesParent-child relations
spellingShingle Sarah Warkentin
Laís Amaral Mais
Maria do Rosário Dias de Oliveira Latorre
Susan Carnell
José Augusto de Aguiar Carrazedo Taddei
Validation of the comprehensive feeding practices questionnaire in parents of preschool children in Brazil
BMC Public Health
Child nutrition
Feeding behavior
Food consumption
Preschool child
Validation studies
Parent-child relations
title Validation of the comprehensive feeding practices questionnaire in parents of preschool children in Brazil
title_full Validation of the comprehensive feeding practices questionnaire in parents of preschool children in Brazil
title_fullStr Validation of the comprehensive feeding practices questionnaire in parents of preschool children in Brazil
title_full_unstemmed Validation of the comprehensive feeding practices questionnaire in parents of preschool children in Brazil
title_short Validation of the comprehensive feeding practices questionnaire in parents of preschool children in Brazil
title_sort validation of the comprehensive feeding practices questionnaire in parents of preschool children in brazil
topic Child nutrition
Feeding behavior
Food consumption
Preschool child
Validation studies
Parent-child relations
url http://link.springer.com/article/10.1186/s12889-016-3282-8
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