Department of Pediatrics, University of Maryland School of Medicine, Baltimore, MD; 4Center for Human Nutrition, Department of International Health, The Johns Hopkins Bloomberg School of Public Health, Baltimore, MD; 5Department of Pediatrics, MedStar Georgetown University Hospital, Washington, DC.
J Nutr. 2013 Dec;143(12):2044-9. doi: 10.3945/jn.113.179846. Epub 2013 Sep 25.
This paper describes the development and validation of a 27-item caregiver-reported questionnaire on toddler feeding. The development of the Toddler Feeding Behavior Questionnaire was based on a theory of interactive feeding that incorporates caregivers' responses to concerns about their children's dietary intake, appetite, size, and behaviors rather than relying exclusively on caregiver actions. Content validity included review by an expert panel (n = 7) and testing in a pilot sample (n = 105) of low-income mothers of toddlers. Construct validity and reliability were assessed among a second sample of low-income mothers of predominately African-American (70%) toddlers aged 12-32 mo (n = 297) participating in the baseline evaluation of a toddler overweight prevention study. Internal consistency (Cronbach's α: 0.64-0.87) and test-retest (0.57-0.88) reliability were acceptable for most constructs. Exploratory and confirmatory factor analyses revealed 5 theoretically derived constructs of feeding: responsive, forceful/pressuring, restrictive, indulgent, and uninvolved (root mean square error of approximation = 0.047, comparative fit index = 0.90, standardized root mean square residual = 0.06). Statistically significant (P < 0.05) convergent validity results further validated the scale, confirming established relations between feeding behaviors, toddler overweight status, perceived toddler fussiness, and maternal mental health. The Toddler Feeding Behavior Questionnaire adds to the field by providing a brief instrument that can be administered in 5 min to examine how caregiver-reported feeding behaviors relate to toddler health and behavior.
本文描述了一种 27 项由照顾者报告的幼儿喂养问卷的开发和验证。幼儿喂养行为问卷的开发基于一种互动喂养理论，该理论结合了照顾者对孩子饮食摄入、食欲、体型和行为的关注的反应，而不仅仅依赖于照顾者的行动。内容有效性包括由专家小组（n=7）进行的审查和在一个低收入幼儿母亲的试点样本（n=105）中进行的测试。在一项针对主要为非洲裔美国儿童（70%）的 12-32 月龄幼儿超重预防研究的基线评估中参与的第二个样本（n=297）中，评估了构念有效性和可靠性。大多数结构的内部一致性（Cronbach's α：0.64-0.87）和测试-重测可靠性（0.57-0.88）是可以接受的。探索性和验证性因子分析显示了 5 个理论上得出的喂养结构：响应性、强制性/施压性、限制性、放纵性和不参与性（均方根误差近似值=0.047，比较拟合指数=0.90，标准化均方根残差=0.06）。具有统计学意义的（P<0.05）收敛有效性结果进一步验证了该量表，证实了喂养行为、幼儿超重状况、感知幼儿烦躁程度和母亲心理健康之间的既定关系。幼儿喂养行为问卷通过提供一种简短的工具来增加该领域的知识，该工具可以在 5 分钟内进行管理，以检查照顾者报告的喂养行为如何与幼儿健康和行为相关。
