Validity and Reliability of the Arabic Version of the Three-Factor Eating Questionnaire-R18

The present study translated and validated an Arabic version of the Three-Factor Eating Questionnaire-R18 (TFEQ-R18), which assesses eating behaviour traits among Arabic speakers in the three domains: cognitive restraint (CR), uncontrolled eating (UE), and emotional eating (EE). Three bilingual expe...

Full description

Bibliographic Details
Main Authors: Salma Alhebshi, Serene Hilary, Samir K.H. Safi, Habiba I. Ali, Leila Cheikh Ismail, Ayesha Al Dhaheri, Lily Stojanovska
Format: Article
Language:English
Published: Elsevier 2023-07-01
Series:Heliyon
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2405844023048314
_version_ 1827892379353350144
author Salma Alhebshi
Serene Hilary
Samir K.H. Safi
Habiba I. Ali
Leila Cheikh Ismail
Ayesha Al Dhaheri
Lily Stojanovska
author_facet Salma Alhebshi
Serene Hilary
Samir K.H. Safi
Habiba I. Ali
Leila Cheikh Ismail
Ayesha Al Dhaheri
Lily Stojanovska
author_sort Salma Alhebshi
collection DOAJ
description The present study translated and validated an Arabic version of the Three-Factor Eating Questionnaire-R18 (TFEQ-R18), which assesses eating behaviour traits among Arabic speakers in the three domains: cognitive restraint (CR), uncontrolled eating (UE), and emotional eating (EE). Three bilingual experts first translated the English questionnaire into Arabic, and the questionnaire's comprehension was tested among 298 Arabic speakers. Confirmatory factor analysis (CFA) tested the model fit and flagged four items in the questionnaire with low consistency. These items were modified, and the revised Arabic version of TFEQ-R18 was validated in a population of 513 individuals. Validity was evaluated using CFA and Pearson's correlation coefficients, internal consistency using Cronbach's α, and the reproducibility of the questionnaire was confirmed with Bland-Altman analysis and T-test. The construct validity of the Arabic TFEQ-R18 was evaluated by comparing the response score in the population based on gender, BMI and age group. CFA confirmed that the model fit is good and strongly agrees with the collected data. Except for item 15 in the CR domain, all questions showed moderate to high correlation within their respective domains. The Cronbach's α for UE, EE, and CR domains recorded was 0.778, 0.784 and 0.588, respectively. Item 15 had the lowest consistency in the Arabic-TFEQ-R18, and Cronbach's α increased to 0.608 with its removal. There was no significant difference between the first and second attempts of the Arabic TFEQ-R18, indicating good test-retest reliability. Moreover, UE and EE were positively correlated to the BMI of the participants (r = 0.159, p = 0·000; r = 0.158, p = 0·000, respectively). The study concludes that the Arabic TFEQ is a valid and reliable tool for studying the three psychometric domains of UE, EE and CR among Arabic speakers.
first_indexed 2024-03-12T21:38:56Z
format Article
id doaj.art-ecf8597913dd442ca2e51a748f613565
institution Directory Open Access Journal
issn 2405-8440
language English
last_indexed 2024-03-12T21:38:56Z
publishDate 2023-07-01
publisher Elsevier
record_format Article
series Heliyon
spelling doaj.art-ecf8597913dd442ca2e51a748f6135652023-07-27T05:56:51ZengElsevierHeliyon2405-84402023-07-0197e17623Validity and Reliability of the Arabic Version of the Three-Factor Eating Questionnaire-R18Salma Alhebshi0Serene Hilary1Samir K.H. Safi2Habiba I. Ali3Leila Cheikh Ismail4Ayesha Al Dhaheri5Lily Stojanovska6Department of Nutrition and Health, College of Medicine and Health Sciences, United Arab Emirates University, PO Box, 15551, Al Ain, United Arab EmiratesDepartment of Nutrition and Health, College of Medicine and Health Sciences, United Arab Emirates University, PO Box, 15551, Al Ain, United Arab EmiratesDepartment of Statistics and Business Analytics, College of Business and Economics, United Arab Emirates University, PO Box, 15551, Al Ain, United Arab EmiratesDepartment of Nutrition and Health, College of Medicine and Health Sciences, United Arab Emirates University, PO Box, 15551, Al Ain, United Arab EmiratesDepartment of Clinical Nutrition and Dietetics, College of Health Sciences, University of Sharjah, Sharjah, 27272, United Arab Emirates; Nuffield Department of Women's and Reproductive Health, University of Oxford, Oxford, United KingdomDepartment of Nutrition and Health, College of Medicine and Health Sciences, United Arab Emirates University, PO Box, 15551, Al Ain, United Arab EmiratesDepartment of Nutrition and Health, College of Medicine and Health Sciences, United Arab Emirates University, PO Box, 15551, Al Ain, United Arab Emirates; Institute for Health and Sport, Victoria University, Melbourne, VIC 3011, Australia; Corresponding author: Lily StojanovskaThe present study translated and validated an Arabic version of the Three-Factor Eating Questionnaire-R18 (TFEQ-R18), which assesses eating behaviour traits among Arabic speakers in the three domains: cognitive restraint (CR), uncontrolled eating (UE), and emotional eating (EE). Three bilingual experts first translated the English questionnaire into Arabic, and the questionnaire's comprehension was tested among 298 Arabic speakers. Confirmatory factor analysis (CFA) tested the model fit and flagged four items in the questionnaire with low consistency. These items were modified, and the revised Arabic version of TFEQ-R18 was validated in a population of 513 individuals. Validity was evaluated using CFA and Pearson's correlation coefficients, internal consistency using Cronbach's α, and the reproducibility of the questionnaire was confirmed with Bland-Altman analysis and T-test. The construct validity of the Arabic TFEQ-R18 was evaluated by comparing the response score in the population based on gender, BMI and age group. CFA confirmed that the model fit is good and strongly agrees with the collected data. Except for item 15 in the CR domain, all questions showed moderate to high correlation within their respective domains. The Cronbach's α for UE, EE, and CR domains recorded was 0.778, 0.784 and 0.588, respectively. Item 15 had the lowest consistency in the Arabic-TFEQ-R18, and Cronbach's α increased to 0.608 with its removal. There was no significant difference between the first and second attempts of the Arabic TFEQ-R18, indicating good test-retest reliability. Moreover, UE and EE were positively correlated to the BMI of the participants (r = 0.159, p = 0·000; r = 0.158, p = 0·000, respectively). The study concludes that the Arabic TFEQ is a valid and reliable tool for studying the three psychometric domains of UE, EE and CR among Arabic speakers.http://www.sciencedirect.com/science/article/pii/S2405844023048314TFEQ-R18Three-Factor Eating QuestionnaireEating behaviourObesityValidationArabic translation
spellingShingle Salma Alhebshi
Serene Hilary
Samir K.H. Safi
Habiba I. Ali
Leila Cheikh Ismail
Ayesha Al Dhaheri
Lily Stojanovska
Validity and Reliability of the Arabic Version of the Three-Factor Eating Questionnaire-R18
Heliyon
TFEQ-R18
Three-Factor Eating Questionnaire
Eating behaviour
Obesity
Validation
Arabic translation
title Validity and Reliability of the Arabic Version of the Three-Factor Eating Questionnaire-R18
title_full Validity and Reliability of the Arabic Version of the Three-Factor Eating Questionnaire-R18
title_fullStr Validity and Reliability of the Arabic Version of the Three-Factor Eating Questionnaire-R18
title_full_unstemmed Validity and Reliability of the Arabic Version of the Three-Factor Eating Questionnaire-R18
title_short Validity and Reliability of the Arabic Version of the Three-Factor Eating Questionnaire-R18
title_sort validity and reliability of the arabic version of the three factor eating questionnaire r18
topic TFEQ-R18
Three-Factor Eating Questionnaire
Eating behaviour
Obesity
Validation
Arabic translation
url http://www.sciencedirect.com/science/article/pii/S2405844023048314
work_keys_str_mv AT salmaalhebshi validityandreliabilityofthearabicversionofthethreefactoreatingquestionnairer18
AT serenehilary validityandreliabilityofthearabicversionofthethreefactoreatingquestionnairer18
AT samirkhsafi validityandreliabilityofthearabicversionofthethreefactoreatingquestionnairer18
AT habibaiali validityandreliabilityofthearabicversionofthethreefactoreatingquestionnairer18
AT leilacheikhismail validityandreliabilityofthearabicversionofthethreefactoreatingquestionnairer18
AT ayeshaaldhaheri validityandreliabilityofthearabicversionofthethreefactoreatingquestionnairer18
AT lilystojanovska validityandreliabilityofthearabicversionofthethreefactoreatingquestionnairer18