Am J Speech Lang Pathol. 2014 Feb;23(1):46-59. doi: 10.1044/1058-0360(2013/12-0069).
In this article, the authors describe the development and content validation of a parent-report measure of problematic eating behaviors: the Pediatric Eating Assessment Tool (Pedi-EAT).
In Phase I, items were generated from parents' descriptions of problematic feeding behaviors of children, review of literature, and review of existing eating-related instruments. In Phase II, interdisciplinary experts on pediatric eating behaviors rated the items for clarity and relevance using content validity indices (CVI) and provided feedback on the comprehensiveness of the instrument. In Phases III and IV, 2 groups of parents of children with and without feeding difficulties participated in cognitive interviews to gain respondent feedback on content, format, and item interpretation. The authors analyzed interviews using matrix display strategies.
Experts rated the total scale CVI > .90 for both relevance and clarity; item CVI ranged from .67 to 1.0 for relevance and .5 to 1.0 for clarity. Analysis of each item with low scores, along with experts' and parents' feedback, resulted in refinement of the items, scoring options, and directions. Experts and parents added additional items. Readability after refinements was acceptable at less than a 5th-grade level.
The Pedi-EAT was systematically developed and content validated with input from researchers, clinicians, and parents.
本文作者描述了一种用于评估儿童问题性进食行为的家长报告测量工具——小儿进食评估工具（Pedi-EAT）的开发和内容验证过程。
在第一阶段，研究人员从家长对儿童喂养问题的描述、文献回顾和现有进食相关工具的评估中生成项目。在第二阶段，儿科进食行为方面的跨学科专家使用内容有效性指数（CVI）对项目的清晰度和相关性进行评估，并就工具的全面性提供反馈。在第三和第四阶段，两组有和无进食困难的儿童家长参加了认知访谈，以获得对内容、格式和项目解释的受访者反馈。作者使用矩阵显示策略分析访谈。
专家对总量表的相关性和清晰度的 CVI 值均>.90；项目的相关性 CVI 值范围为.67 至 1.0，清晰度 CVI 值范围为.5 至 1.0。对评分较低的每个项目进行分析，并结合专家和家长的反馈，对项目、评分选项和方向进行了改进。专家和家长还添加了其他项目。经过改进后，可读性可接受，难度在五年级以下。
Pedi-EAT 是通过研究人员、临床医生和家长的共同努力，经过系统开发和内容验证而得到的。
