Clinical Research Center (CRC), Level 4, Ambulatory Care Centre (ACC) Building, Raja Permaisuri Bainun Hospital, Jalan Raja Ashman Shah, Ministry of Health, Ipoh, Perak, 30450, Malaysia.
Dietetic Department, Hospital Umum Sarawak, Ministry of Health, Kuching, Sarawak, Malaysia.
Health Qual Life Outcomes. 2023 Aug 29;21(1):101. doi: 10.1186/s12955-023-02182-2.
Eating behavior primarily depends on eating patterns which are largely influenced by interactions between physiology, environment, psychology, culture and socio-economic status. This study was designed to translate and validate the Eating Behavior Pattern Questionnaire (EBPQ) among Malaysian women.
A cross-sectional study involving translation and validation of the English version of EBPQ. The original questionnaire, contained 51 items extracted into six domains was translated in Malay using forward and backward translation, pre-tested and validated among conveniently sampled female healthcare personnel. Vegetarians, pregnant ladies and women in confinement were excluded due to special daily dietary plans. Construct validity, reliability and feasibility were analyzed using Exploratory Factor Analysis (EFA) and Confirmatory Factor Analysis (CFA).
During translation, item modifications were made and subjected to field testing among 394 women. The original questionnaire was used as a reference to identify the positioning of items in constructs. Fifteen items were removed due to poor correlation with items within constructs. Seven factors were extracted using Varimax rotation with Kaiser-Meyer-Olkin (KMO) value range from 0.725-0.872 and significant Bartlett's test of Sphericity (p < 0.001). The item-loading of the items within the constructs ranged between 0.415-0.812 (explained variation = 62.7%). Cultural and lifestyle behavior was relabeled to lifestyle and behavioral eating, and snacking on sweets was relabeled as snacking pattern. Emotional eating was divided into two sub-factors as snacking behavior and emotional influence. CFA resulted with an acceptable fit with no presence of floor and ceiling effects. Intra-class correlation coefficient (ICC) for all the constructs were reported good and excellent. The overall internal consistency was reported as good.
The modified 36-item Malay-EBPQ had moderate internal consistency, reliable and fit with multi-dimensional measures of eating behaviors and dietary patterns among women in the multi-racial population with cultural diversity.
饮食行为主要取决于饮食模式，而饮食模式在很大程度上受到生理、环境、心理、文化和社会经济地位等因素的相互影响。本研究旨在将英文版的饮食行为模式问卷（EBPQ）翻译并验证在马来西亚女性中使用。
采用横断面研究，对英文版 EBPQ 进行翻译和验证。原始问卷包含 51 个项目，分为六个领域，采用正向和反向翻译法翻译成马来语，对方便抽样的女性医疗保健人员进行预测试和验证。由于特殊的日常饮食计划，排除了素食者、孕妇和产妇。采用探索性因子分析（EFA）和验证性因子分析（CFA）分析结构效度、信度和可行性。
在翻译过程中，对项目进行了修改，并在 394 名女性中进行了现场测试。原始问卷被用作参考，以确定项目在构建中的定位。由于与构建内项目的相关性较差，有 15 个项目被删除。使用 Varimax 旋转提取 7 个因子，Kaiser-Meyer-Olkin（KMO）值范围为 0.725-0.872，Bartlett 球形检验显著（p<0.001）。构建内项目的项目加载范围为 0.415-0.812（解释方差为 62.7%）。文化和生活方式行为被重新标记为生活方式和行为饮食，吃甜食被重新标记为吃零食模式。情绪性进食被分为两个亚因素：吃零食行为和情绪影响。验证性因子分析（CFA）结果显示，模型拟合良好，不存在地板效应和天花板效应。所有构建的内部一致性的 ICC 均报告为良好和优秀。整体内部一致性报告为良好。
经修改的 36 项马来语 EBPQ 在多民族、文化多样性的女性人群中具有中等的内部一致性、可靠性和对多维饮食行为和饮食模式的拟合度。
