Validation of a measurement instrument for parental child feeding in a low and middle-income country

Purwaningrum, Digna Niken; Sibagariang, Helda Yessy Maria; Arcot, Jayashree; Hadi, Hamam; Hasnawati, Rasita Amelia; Rahmita, Risma Saski; Jayasuriya, Rohan

doi:10.1186/s12966-018-0736-7

Cited by 9 publications

(7 citation statements)

References 37 publications

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“…The details of the qualitative study have been described previously (28) . In brief, the study was conducted using in-depth interviews with twenty-four mothers in April 2016.…”

Section: Assessment Of Content Validity (Qualitative Study)mentioning

confidence: 99%

A cultural adaptation and validation of a child eating behaviour measure in a low- and middle-income country

Purwaningrum

Arcot

Hadi

et al. 2020

Public Health Nutr.

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AbstractObjective:The Child Eating Behaviour Questionnaire (CEBQ), a widely used instrument that has been validated mostly in high-income countries, has limitations in its factorial validity when used among different cultures. This study examines whether the CEBQ instrument is culturally appropriate and valid to be used in a low- and middle-income country (LMIC) in a setting where child undernutrition remains prevalent.Design:The study employed a qualitative process to validate the content of items relative to the culture and setting, which was followed by a survey to test the psychometric properties of the instrument. Tests of factorial validity, convergent validity and reliability were performed.Setting:Three different socio-economic settings of Yogyakarta, Indonesia.Participants:The participants of this study were mothers of children aged 25–60 months. In-depth interviews were conducted with twenty-four mothers and the questionnaire validation process involved 238 mothers in the survey.Results:A Confirmatory Factor Analysis model with eight subscales provided the best fit (root-mean-square error of approximation = 0·048 (90 % CI 0·040, 0·057); Comparative Fit Index = 0·95 and Tucker Lewis Index = 0·95) after three new items and eight items from the original CEBQ were removed. Convergent validity with child’s weight was found for two subscales, slowness in eating and satiety responsiveness. Reliability measured using Cronbach’s alpha provided values between 0·62 and 0·78.Conclusion:The original eight-factor structure of the CEBQ showed adequate content validity and provided factorial, discriminant and convergent validity with mothers of preschool children living in a LMIC where child nutrition remains a significant public health issue.

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“…The details of the qualitative study have been described previously (28) . In brief, the study was conducted using in-depth interviews with twenty-four mothers in April 2016.…”

Section: Assessment Of Content Validity (Qualitative Study)mentioning

confidence: 99%

A cultural adaptation and validation of a child eating behaviour measure in a low- and middle-income country

Purwaningrum

Arcot

Hadi

et al. 2020

Public Health Nutr.

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“…The self-administered parental survey collected information on family socio-economic background, parental recall of children’s last 7 d consumption of various foods, physical activity, sedentary behaviour, home food environment, and parental practices. The survey instruments were obtained from existing validated tools such as the FFQ ( 27 , 28 ) and Child Feeding Questionnaire ( 29 , 30 ) . A bilingual researcher translated the survey instruments into Bahasa Indonesia.…”

Section: Methodsmentioning

confidence: 99%

Behavioural and environmental risk factors associated with primary schoolchildren’s overweight and obesity in urban Indonesia

Mecheva

Rieger

Sparrow

et al. 2023

Public Health Nutr.

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Objectives: To aid the design of nutrition interventions in low- and middle-income countries undergoing a nutrition transition, this study examined behavioral and environmental risk factors associated with childhood overweight and obesity in urban Indonesia. Design: Body height and weight of children were measured to determine BMI-for-age Z-scores and childhood overweight and obesity status. A self-administered parental survey measured socioeconomic background, children’s diet, physical activity, screen time, and parental practices. Logistic and quantile regression models were used to assess the association between risk factors and the BMI-for-age Z-score distribution. Setting: Public primary schools in Central Jakarta, sampled at random. Participants: Children (n=1,674) aged 6-13 years from 18 public primary schools. Results: Among the children, 31.0% were overweight or obese. The prevalence of obesity was higher in boys (21.0%) than in girls (12.0%). Male gender and height (aOR=1.67; 95% CI 1.30, 2.14 and aOR=1.16; 95% CI 1.14, 1.18, respectively) increased the odds of being overweight or obese, while the odds reduced with every year of age (aOR=0.43; 95% CI 0.37, 0.50). Maternal education was positively associated with children’s BMI at the median of the Z-score distribution (P=0.026). Dietary and physical activity risk scores were not associated with children’s BMI at any quantile. The obesogenic home food environment score was significantly and positively associated with the BMI-for-age Z-score at the 75th and 90th percentiles (P=0.022 and 0.023, respectively). Conclusions: This study illustrated the demographic, behavioral, and environmental risk factors for overweight and obesity among primary school children in a middle-income country. To foster healthy behaviors in primary school children, parents need to ensure a positive home food environment. Future gender-responsive interventions should involve both parents and children, promote healthy diets and physical activity and improve food environments in homes and schools.

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“…Parents who have healthy lifestyles help to facilitate their children's adoption of healthy habits by encouraging family mealtime routines, creating access to a healthy food environment, and supporting healthy physical activity and screen time habits. 3 , 4 Although there are already some instruments developed to assess the family's health behavior, the available instruments generally focus on the family's health and well-being 5 ; or measure the quality of the diet, assessing the frequency of consumption of certain food groups 6 ;or focus on child physical activity habits. 7 Comprehensive questionnaires targeting all the preceding domains are limited.…”

Section: Introductionmentioning

confidence: 99%

Validation of the Family Health Behavior Scale for the Brazilian population

Preto

Scarpatto

Ley

et al. 2022

Jornal de Pediatria

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Validation of a measurement instrument for parental child feeding in a low and middle-income country

Cited by 9 publications

References 37 publications

A cultural adaptation and validation of a child eating behaviour measure in a low- and middle-income country

A cultural adaptation and validation of a child eating behaviour measure in a low- and middle-income country

Behavioural and environmental risk factors associated with primary schoolchildren’s overweight and obesity in urban Indonesia

Validation of the Family Health Behavior Scale for the Brazilian population

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