Adolescents' perception of parental feeding practices: Adaptation and validation of the Comprehensive Feeding Practices Questionnaire for Brazilian adolescents—The CFPQ-Teen

PLOS ONE, Nov 2017

Background Parental feeding practices may play a key role in dietary habits and nutritional status of adolescents, but research from adolescents’ point of view on this topic is scarce. Objective To adapt and validate an instrument of parental feeding practices as perceived by adolescents in a Brazilian setting. Methods The Comprehensive Feeding Practices Questionnaire was translated into Portuguese and adapted to be answered by adolescents (ages 12 to 18). Content analysis and FACE validity to assess cultural equivalence was undertaken by experts in the adolescent nutritional and psychological fields. Pilot study was evaluated in 23 adolescents. The final version was administered to 41 students to assess instrument reproducibility (Intraclass Correlation Coefficient). Internal consistency (Cronbach's Alpha) and construct validity (Confirmatory Factor Analysis) were assessed in a third sample of 307 adolescents. Results Experts and adolescents considered content validity as appropriate. In reproducibility analysis (Intraclass Correlation Coefficient), 10 of the 12 factors were above 0.7. The factors “teaching about nutrition” and “food as reward” obtained values of 0.60 and 0.68, respectively. The Cronbach's Alpha of the whole scale was 0.83 and alphas for subscales ranged from 0.52 to 0.85; the factors “teaching about nutrition” and “food as a reward” had the lowest values (0.52). After removing these two factors, the Confirmatory Factor Analysis indicated that the structural model was appropriate. The final scale was made up of 10 factors with 43 questions. Conclusions The Comprehensive Feeding Practices Questionnaire-Teen demonstrates validity and reliability, and is a suitable tool to evaluate the perceptions of adolescents regarding parental feeding practices.

A PDF file should load here. If you do not see its contents the file may be temporarily unavailable at the journal website or you do not have a PDF plug-in installed and enabled in your browser.

Alternatively, you can download the file locally and open with any standalone PDF reader:

http://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0187041&type=printable

Adolescents' perception of parental feeding practices: Adaptation and validation of the Comprehensive Feeding Practices Questionnaire for Brazilian adolescents—The CFPQ-Teen

November Adolescents' perception of parental feeding practices: Adaptation and validation of the Comprehensive Feeding Practices Questionnaire for Brazilian adolescentsÐThe CFPQ-Teen AÃ ngela Bein Piccoli 0 1 Lucas Neiva-Silva 0 Clarisse Pereira Mosmann 0 Dara Musher- Eizenman 0 Lucia C. Pellanda 0 1 0 Editor: Sarah Warkentin, Universidade Federal de Sao Paulo , BRAZIL 1 Post Graduation Program in Health Sciences: Cardiology, Instituto de Cardiologia / FundacËão Universit aÂria de Cardiologia. Porto Alegre, Brazil, 2 Psychology Graduate Program, Post Graduation Program in Public Health, Universidade Federal do Rio Grande. Rio Grande, Brazil, 3 Psychology Graduate Program, Universidade do Vale do Rio dos Sinos. São Leopoldo, Brazil, 4 Department of Psychology, Bowling Green State University, Bowling Green, United States of America, 5 Universidade Federal de Ciências da SauÂde de Porto Alegre. Porto Alegre , Brazil - OPEN ACCESS Data Availability Statement: All relevant data are within the paper and its Supporting Information files. Funding: The authors received no specific funding for this work. Competing interests: The authors have declared that no competing interests exist. Objective Methods cents in a Brazilian setting. The Comprehensive Feeding Practices Questionnaire was translated into Portuguese and adapted to be answered by adolescents (ages 12 to 18). Content analysis and FACE validity to assess cultural equivalence was undertaken by experts in the adolescent nutritional and psychological fields. Pilot study was evaluated in 23 adolescents. The final version was administered to 41 students to assess instrument reproducibility (Intraclass Correlation Coefficient). Internal consistency (Cronbach's Alpha) and construct validity (Confirmatory Factor Analysis) were assessed in a third sample of 307 adolescents. Results Experts and adolescents considered content validity as appropriate. In reproducibility analysis (Intraclass Correlation Coefficient), 10 of the 12 factors were above 0.7. The factors ªteaching about nutritionº and ªfood as rewardº obtained values of 0.60 and 0.68, respectively. The Cronbach's Alpha of the whole scale was 0.83 and alphas for subscales ranged from 0.52 to 0.85; the factors ªteaching about nutritionº and ªfood as a rewardº had the lowest values (0.52). After removing these two factors, the Confirmatory Factor Analysis indicated that the structural model was appropriate. The final scale was made up of 10 factors with 43 questions. Conclusions The Comprehensive Feeding Practices Questionnaire-Teen demonstrates validity and reliability, and is a suitable tool to evaluate the perceptions of adolescents regarding parental feeding practices. Background Obesity is currently considered one of the most important challenges in public health [ 1 ]. Adolescence represents an important period with potentially high risk for the development of obesity and other feeding disorders. Physical and psychosocial complications of obesity may represent significant losses in quality of life. Diseases associated with excessive weight, which previously manifested during adulthood, are now often diagnosed among children and adolescents, including dyslipidemia, cardiovascular disease, sleep apnea, type II diabetes mellitus, and respiratory and orthopedic complications [2±4]. Parents are primarily in charge of the feeding and development of their children's food habits through behaviors such as incentive, restriction, permission, or passivity in the face of certain foods [ 5 ]. Through models that are internalized, children tend to develop eating behaviors like those of their family members [ 6 ]. The influence of parental feeding practices on dietary habits and weight status in children and adolescents has become the subject of research in recent years [6±14]. However, although parent-child relationships are bidirectional, the majority of studies focus on the perspective of parents. There is a gap in the literature on instruments to measure the perception of children about their parent's feeding practices. This is especially important in this age group, when there is more autonomy and parents may become more permissive. Although adolescents have already acquired greater autonomy in relation to food consumption and lifestyle choices, they are, in many cases, still dependent on routines established by parents for acquiring and preparing food [ 15 ]. An instrument that includes food practices perceived by children can be considered a diagnostic tool for health professionals to support their interventions and decisions. For this reason, is important to develop a comprehensive instrument to meet various aspects of nutrition education for adolescents. The Comprehensive Feeding Practices Questionnaire (CFPQ) is a validated scale designed to measure feeding practices for young children (2±8 years old). This instrument was developed by Musher-Eizenman and Holub (2007) and i (...truncated)


This is a preview of a remote PDF: http://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0187041&type=printable

Ângela Bein Piccoli, Lucas Neiva-Silva, Clarisse Pereira Mosmann, Dara Musher-Eizenman, Lucia C. Pellanda. Adolescents' perception of parental feeding practices: Adaptation and validation of the Comprehensive Feeding Practices Questionnaire for Brazilian adolescents—The CFPQ-Teen, PLOS ONE, 2017, Volume 12, Issue 11, DOI: 10.1371/journal.pone.0187041