Department of Nutrition Science and Food Hygiene, Central South University Xiangya School of Public Health, Changsha, China.
Department of Child Care, Changsha Maternal and Child Health Care Hospital, Changsha, China.
BMJ Open. 2019 Aug 21;9(8):e026729. doi: 10.1136/bmjopen-2018-026729.
To adapt the Child Food Neophobia Scale (CFNS) cross-culturally for use among 12-36-month-old Chinese toddlers and to perform a preliminary assessment of its construct validity and reliability.
Food neophobia is the fear of eating new or unfamiliar foods, which affects the type and quality of individual dietary intake, especially during early childhood. However, measurements of child food neophobia have rarely been reported in China due to a lack of reliable and valid measurements.
The CFNS was translated and adapted into a Chinese version (CFNS-CN) through a forward translation, reconciliation, a back translation, expert review and pretesting. The construct validity and reliability of the CFNS-CN were tested in 390 caregivers of 12-36 months old Chinese toddlers through convenience sampling in Changsha Maternal and Child Health Care Hospital, Hunan Province, China. The internal consistency, confirmatory factor analysis (CFA) and reliability were estimated.
The kappa coefficients indicated moderate to perfect agreement between the test and retest, and Cronbach's α coefficient was 0.91. A normal χ, CMIN/DF=3.302, Comparative Fit Index, CFI=0.993, Tucker-Lewis Index, TLI=0.986 and root mean square error of approximation, RMSEA=0.077 were found. The CFA results showed that the model indicators were acceptable. High food neophobia was observed in 25.1% of individuals.
The CFNS-CN showed good internal consistency reliability and construct validity. The CFNS-CN may become an effective tool for assessing food neophobia in Chinese toddlers.
This trial was pre-registered at the China Clinical Trial Registration Center under registration number ChiCTR1800015890.
跨文化适应儿童食物厌恶量表（CFNS）用于 12-36 月龄中国幼儿，并初步评估其结构效度和信度。
食物厌恶是对新的或不熟悉的食物的恐惧，它影响个体饮食的类型和质量，尤其是在幼儿期。然而，由于缺乏可靠和有效的测量方法，中国很少有关于儿童食物厌恶的测量报告。
通过正向翻译、协调、反向翻译、专家评审和预测试，将 CFNS 翻译成中文版本（CFNS-CN）。通过便利抽样，在中国湖南省长沙市妇幼保健院，对 390 名 12-36 月龄中国幼儿的照料者进行 CFNS-CN 的结构效度和信度测试。评估内部一致性、验证性因素分析（CFA）和可靠性。
kappa 系数表明测试和重测之间具有中度至极好的一致性，Cronbach's α 系数为 0.91。χ 正态分布，CMIN/DF=3.302，比较拟合指数，CFI=0.993，Tucker-Lewis 指数，TLI=0.986 和均方根误差逼近，RMSEA=0.077。CFA 结果表明模型指标是可接受的。25.1%的个体表现出较高的食物厌恶。
CFNS-CN 具有良好的内部一致性信度和结构效度。CFNS-CN 可能成为评估中国幼儿食物厌恶的有效工具。
本试验在中国临床试验注册中心进行了预注册，注册号 ChiCTR1800015890。
