Revising the comprehensive feeding practices questionnaire used in planning preventive overweight, obesity, and underweight programs for 2-5-year-old children

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Publisher: Medknow Publications and Media Pvt. Ltd.
Document Type: Report
Length: 2,222 words
Lexile Measure: 1740L

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Byline: Mina. Minaie, Khadijeh. Mirzaei, Ramin. Heshmat, Ariyo. Movahedi, Ahmadreza. Motlagh, Mahboubeh. Parsaeian, Soori. Raghebi, Abolghasem. Djazayery

Background: Overweight, obesity, and underweight are common child health problems in Iran. Child-feeding practices are one of the major factors affecting children's weight through eating behavior and dietary intake. The Comprehensive Feeding Practices Questionnaire (CFPQ), a 49-item measure comprising 12 subscales, assesses parental child-feeding practices. It is used to determine factors that may affect the development of overweight, obesity, and underweight and therefore, helps us plan appropriate preventive action. The aim of this study was to revise and adapt CFPQ to be used for 2-5-year-old children. Methods: This study including, 300 mothers selected by simple systematic random sampling, was conducted in the rural and urban areas of Birjand city, Iran. Health workers interviewed the mothers and completed questionnaire according to the standard protocol. Exploratory factor analysis (EFA), tests for internal consistency, and test-retest reliability were conducted. Results: EFA resulted in a final questionnaire with 39 items distributed over seven factors, including Healthy Eating Guidance, Modeling, Parent Pressure, Monitoring, Emotion Regulation, Child Control, and Restriction. The internal consistency reliability for the proposal scales was acceptable for five out of the seven factors and all of the seven factors demonstrated excellent test-retest reliability. Conclusions: The revised CFPQ is a valid tool for determining the various aspects of parental feeding practices aiming to prevent overweight, obesity, and underweight among 2-5-year-old children.

Introduction

Overweight, obesity, and underweight are common children's nutritional issues in some provinces of Iran.[1] Parental feeding practices, especially pressure to eat and restriction to food intake, can influence weight outcomes (over- or under-weight) through eating behavior and dietary intake.[2],[3],[4]

The Comprehensive Feeding Practices Questionnaire (CFPQ) is an instrument that can determine many new aspects of parental feeding practices. The CFPQ is used for assessing feeding practices of parents of 2-8-year-old children. It consists of a 49-item measure comprising 12 subscales that is completed with using a 5-point Likert response scale. The CFPQ subscales include child control, emotion regulation, encourage balance and variety, environment, food as reward, involvement, modeling, monitoring, pressure, restriction for health, restriction for weight control, and teaching about nutrition subscales.[5]

Understanding the factors that can influence a child's weight, dietary intake, and eating behaviors is very important for planning preventive overweight, obesity, and underweight programs for 2-5-year-old children. The aim of this study was to revise and adapt CFPQ to be used for 2-5-year-old children.

Methods

Translation and content validity of the CFPQ was done in a previous study in Iran, so we used the translated CFPQ in our study.[6] The study was conducted in rural and urban areas of Birjand city, capital city of the South Khorasan province in Iran. An acceptable sample size for doing factor analysis (300 mothers with 2-5-year-old children) was selected with simple systematic random sampling.[7]

Trained local health workers, after obtaining mothers' agreement and signature of written consent, interviewed them and filled the CFPQ according to the standard protocol. In order to determine test-retest reliability of...

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Gale Document Number: GALE|A604880948