The development of the parental feeding behaviours questionnaire for Indonesian parents with toddlers: preliminary result

Lely Lusmilasari; Waraporn Chaiyawat; Branom Rodcumdee

doi:10.18203/2394-6040.ijcmph20151047

Authors

Lely Lusmilasari PhD Candidate, Faculty of Nursing, Chulalongkorn University, Bangkok
Waraporn Chaiyawat Associate Professor, Faculty of Nursing, Chulalongkorn University, Bangkok
Branom Rodcumdee Assistant Professor, Faculty of Nursing, Chulalongkorn University, Bangkok

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20151047

Keywords:

Instrument development, Parental feeding behaviours, Preliminary result

Abstract

Background: An accurate assessment of parents feeding behaviors is needed to determine current feeding behaviors of parents that are closely associated with the fulfillment of their toddlers’ nutritional needs. This study aims to develop an instrument, the Parental Feeding Behaviors Questionnaire (PFBQ), for measuring feeding behaviors of Indonesian parents with toddlers.

Methods:An initial seventy-item instrument was developed after a comprehensive literature review which was submitted to be reviewed by six experts to evaluate the content validity of the PFBQ. The pre-test study was conducted by a convenience sampling of 30 parents who have toddlers both in urban and rural area in Yogyakarta, Indonesian for the first draft of 80-item instrument. Initial item analysis was measured using inter-item correlation, inter-total correlation and Cronbach’ s alpha.

Results: The PFBQ is the ways that Indonesian parents do that consist of three dimensions which are to provide healthy food, provide pleasant eating environment for their toddlers, as well as enhance the toddlers’ good eating behaviors. The score of the Content Validity Index of the PFBQ is I-CVI (.83-1.00) and S-CVI (.98). Most of the items have acceptable inter-item correlation value (>.3). There are 56 items that are correlated with the total scores which range .30 to .62. The value of Cronbach’s alpha is .94.

Conclusions:The PFBQ shows initial reliability and validity to assess the parental feeding behaviours for their toddlers. However, further testing is needed to test construct validity and reliability with a large sample for the improvement of the instrument.

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References

Lutter CK, Daelmans BMEG, de Onis M, Kothari MT, Ruel MT, Arimond M, Borghi E. Undernutrition, poor feeding practices, and low coverage of key nutrition interventions. Pediatrics. 2011;128(6):e1418–27.

Word Health Organization. Strengthening action to improve feeding of infants and young children 6-23 months of age in nutrition and child health programmes. In strengthening action to improve feeding of infants and young children 6-23 months of age in nutrition and child health programmes. Geneva: WHO Press; 2008.

Ministry of Health. Republic of Indonesia. Buku Sakut Asuhan Gizi di Puskesmas Pedoman Pelayanan Gizi bagi Petugas Kesehatan. Jakarta: Kementrian Kesehatan RI;2012.

Orem, D.E., Taylor, S.G., & Renpenning, K.L. Nursing concepts of practices (6thedition). St. Louis: Mosby a Harcout Health Science;2001.

Savage JS, Fisher JO, Birch LL. Parental influence on eating behavior. J Law Med Ethics, 2008;35(1):22–34.

Jansen, P. W., Roza, S. J., Jaddoe, V. W., Mackenbach, J. D., Raat, H., Hofman, A., Tiemeier, H. Children’s eating behavior, feeding practices of parents and weight problems in early childhood: results from the population-based Generation R Study. Int J Behav Nutr Phys Act, 2012;9(1), 130. Doi:10.1186/1479-5868-9-130.

Rodgers, 2013 Rodgers, R. F., Paxton, S. J., Massey, R., Campbell, K. J., Wertheim, E. H., Skouteris, H., & Gibbons, K. (2013). Maternal feeding practices predict weight gain and obesogenic eating behaviours in young children : a prospective study. Int J Behav Nutr Phys Act, 10(1), 1. Doi:10.1186/1479-5868-10-24.

Loth, 2013 Loth, A. K. A., & Maclehose, R. F. Food-Related Parenting Practices and Adolescent Weight Status : A Population-Based Study. Pediatrics, 2013;131(5), 1443–1450. doi:10.1542/peds.2012-3073.

Moore, A. C., Akhter, S., & Aboud, F. E. Responsive complementary feeding in rural Bangladesh. Soc Sci Med, 2006; 62(8), 1917–30. doi:10.1016/j.socscimed.2005.08.058.

Tschan Tschann, J. M., Gregorich, S. E., Penilla, C., Pasch, L. a, de Groat, C. L., Flores, E., Butte, N.F. Parental feeding practices in Mexican American families: initial test of an expanded measure. Int J Behav Nutr Phys Act, 2013;10(1), 6. doi:10.1186/1479-5868-10-6.

Arcan, C., Neumark-Sztainer, D., Hannan, P., Berg, P., Story, M., & Larson, N. Parental eating behaviors, home food environment and adolescent intakes of fruit, vegetables and dairy foods: longitudinal findings from project EAT. Pub Health Nutr, 2007;10,1257-1265.

Birch, L.L., & Fisher, J.O. Mothers’ child feeding practices influence daughters’ eating and weight. Am J Clin Nutr, 2000;71,1054-1061.

Sandefur, G.D., & Meier, A. The family environment: structure, material resources, and child care. In: Brown B, ed. Key Indicators of Children and Youth Well-being. New York: Lawrence Erlbaum Associates; 2008:237-257.

Moore, J. B., Pawloski, L., Baghi, H., Whitt, K., Rodriguez, C., Lumbi, L., & Bashatah, A. Development and examination of psychometric properties of Self-Care instruments to measure nutrition practices for English and Spanish- speaking adolescents. Self -Care and Dependent Care Nursing: The Official Journal of the International Orem Society, 2005;13(1), 9–17.

Birch, L.L., Fisher, J.O., Grimm-Thomas, K., Markey, C.N., Sawyer, R., & Johnson, S.L Confirmatory factor analysis of the child feeding questionnaire: a measure of parental, attitude, beliefs and practices about child feeding and obesity proneness. Appetite 2001;36, 201-210.

Musher-Eizenman, D.R, & Holub, S.C. Comprehensive feeding practices questionnaire: validation of a new measure of parental feeding practices. J Pediatr Psycho. 2007;32(8):960-72.

Hodges, E.A., Houck, G.M., Kindermann, T. Validity of the nursing child assessment feeding scale during toddlerhood. West J Nurs Res. 2007;31:662-78.

Ha PB., Bentley ME, Pachon H, Sripaipan T, Caulfield LE, Marsh DR, Scroeder DG. Caregiver styles of feeding and child acceptance of food in rural Viet Nam. (Supplemental material). Food and Nutrition Buletin. 2002; 23(4), 92-98.

DeVellis. Scale Development. Theory and Applications (2nd Ed.). USA: Sage Publication, Inc; 2003.

Mishel MH. Methodological studies: Instrument development. In P.J. Brink & M.J. Wood (Eds.). Advanced design in nursing research. (2nded.). Thousand Oaks, CA: SAGE; 1998.

Benson J, Clark F. A Guide for Instrument Development and Validation. The American Journal of Occupational Therapy. 1992; 36(12), 789-800.

Wynd, C.A., Schmidth B., & Schaefer, M.A. Two quantitative approaches for estimating content validity. West J Nurs, 2003; 25, 508-517.

Taylor, S.G., Renpenning, K.E., Geden, E.A., Neuman, B.M., & Hart, M.A. A Theory of Dependent-Care: A corollary theory to Orem’s theory of self-care. Nurs Sci Q 2001;14(1), 39-47.

Weaver, L. Feeding the normal infant, child and adolescent. The Medicine Publishing Company Ltd, 38-42, 2003.

Worthington-Roberts, B.S., & Williams, S.R. Nutrition Throughout the life cycle. Singapore: McGraw-Hills Companies, 2000.

Burns, N., & Grove, S.K. The Practice of Nursing Research. Conduct, Critique, & Utilization (4th Edition). Philadelphia: W.B. Saunders, 2001.

Chaiyawat, W., & Brown, J. Psychometric properties of the Thai versions of State-Trait anxiety inventory for children and child medical fear scale. Res Nurs Health, 2000, 23, 406-414

Lynn, M. Determination and Quantification of content validity. Nurs Res 1986;35,382-385.

Hair, J.F., Black, W.C., Babin, B.J., & Anderson, R.E. Multivariate data analysis: a global perspective (7th Ed). Boston: Pearson, 2010.

Polit, D.F., & Beck. C.T. Nursing Research. Principles and Methods (Seventh Edition). Philadelphia: Lippincott Williams & Wilkins, 2004.

Nunnally, J., & Bernstein, I. Psychometric Theory (third edition). New York: McGraw Hill, 1994.

DiSantis, K. I., Hodges, E. A., Johnson, S. L., & Fisher, J. O. The role of responsive feeding in overweight during infancy and toddlerhood: A systematic review. Int J Obesity, 2011;35, 480-492. DOI: 10.1038/ijo.2011.

Hennessy E, Hughes, Goldberg JP, Hyatt RR. Parent behaviour and child weight status among a diverse group of underserved rural families. Appetite. 2010;54:369–77.

Pett MA, Lackey NR, Sullivan JJ. Making sense of factor analysis: the use of factor analysis for instrument development in health care research. Thousand Oaks, CA: Sage Publications, 2003.