PMID- 30454059 OWN - NLM STAT- MEDLINE DCOM- 20190122 LR - 20191210 IS - 1479-5868 (Electronic) IS - 1479-5868 (Linking) VI - 15 IP - 1 DP - 2018 Nov 20 TI - Validation of a measurement instrument for parental child feeding in a low and middle-income country. PG - 113 LID - 10.1186/s12966-018-0736-7 [doi] LID - 113 AB - BACKGROUND: Parental child feeding practices (PCFP) are a key factor influencing children's dietary intake, especially in the preschool years when eating behavior is being established. Instruments to measure PCFP have been developed and validated in high-income countries with a high prevalence of childhood obesity. The aim of this study was to test the appropriateness, content, and construct validity of selected measures of PCFP in a low and middle-income country (LMIC) in which there is both undernutrition and obesity in children. METHODS: An expert panel selected subscales and items from measures of PCFP that have been well-tested in high-income countries to measure both "coercive" and "structural" behaviors. Two sequential cross-sectional studies (Study 1, n = 154; Study 2, n = 238) were conducted in two provinces in Indonesia. Findings of the first study were used to refine subscales used in Study 2. An additional qualitative study tested content validity from the perspective of mothers (the intended respondents). Factorial validation and reliability were also tested. Convergent validity was tested with child nutritional status. RESULTS: In Study 1, a confirmatory factor analysis (CFA) model with 11 factors provided good fit (RMSEA = 0.045; CFI = 0.95 and TLI = 0.95) after two subscales were removed. Reliability was good among seven of the subscales. Following a decision to take out an additional subscale, the instrument was tested for factorial validity (Study 2). A CFA model with 10 subscales provided good fit (RMSEA = 0.03; CFI = 0.92 and TLI = 0.90). The reliability of subscales was lower than in Study 1. Convergent validity with nutrition status was found with two subscales. CONCLUSIONS: The two studies provide evidence of acceptable psychometric properties for 10 subscales from tested instruments to measure PCFP in Indonesia. This provides the first evidence of the validity of these measures in a LMIC setting. Some shortcomings, such in the reliability of some subscales and further tests of predictive validity, require further investigation. FAU - Purwaningrum, Digna Niken AU - Purwaningrum DN AUID- ORCID: 0000-0002-2419-778X AD - School of Public Health and Community Medicine, Faculty of Medicine, The University of New South Wales, Level 3 Samuels Building, Sydney, 2052, Australia. digna.purwa@gmail.com. AD - The Centre for Health Policy and Management, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Jalan Farmako Sekip Utara, Daerah Istimewa Yogyakarta, DIY, 55281, Indonesia. digna.purwa@gmail.com. FAU - Sibagariang, Helda Yessy Maria AU - Sibagariang HYM AD - Pesawaran District Health Office Gedong Tataan, Pesawaran, Lampung, 35371, Indonesia. FAU - Arcot, Jayashree AU - Arcot J AD - Food Science and Technology, School of Chemical Engineering, Faculty of Engineering, The University of New South Wales, Chemical Sciences Building F10, Sydney, 2052, Australia. FAU - Hadi, Hamam AU - Hadi H AD - Universitas Alma Ata, Jalan Ringroad Barat Daya No.1, Tamantirto, Bantul, Daerah Istimewa Yogyakarta, DIY, 55184, Indonesia. FAU - Hasnawati, Rasita Amelia AU - Hasnawati RA AD - The Centre for Health Policy and Management, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Jalan Farmako Sekip Utara, Daerah Istimewa Yogyakarta, DIY, 55281, Indonesia. FAU - Rahmita, Risma Saski AU - Rahmita RS AD - The Centre for Health Policy and Management, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Jalan Farmako Sekip Utara, Daerah Istimewa Yogyakarta, DIY, 55281, Indonesia. FAU - Jayasuriya, Rohan AU - Jayasuriya R AD - School of Public Health and Community Medicine, Faculty of Medicine, The University of New South Wales, Level 3 Samuels Building, Sydney, 2052, Australia. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Validation Study DEP - 20181120 PL - England TA - Int J Behav Nutr Phys Act JT - The international journal of behavioral nutrition and physical activity JID - 101217089 SB - IM MH - Adolescent MH - Adult MH - Body Mass Index MH - Child Nutritional Physiological Phenomena MH - Child, Preschool MH - Cross-Sectional Studies MH - Developing Countries MH - *Diet MH - Female MH - Health Behavior MH - Humans MH - Indonesia MH - Infant MH - Male MH - Middle Aged MH - *Parenting MH - Psychometrics MH - Reproducibility of Results MH - Socioeconomic Factors MH - Surveys and Questionnaires MH - Young Adult PMC - PMC6245694 OTO - NOTNLM OT - Child feeding practices OT - Indonesia OT - Parental child feeding OT - Validation COIS- ETHICS APPROVAL AND CONSENT TO PARTICIPATE: Ethics approvals for Study 1 were obtained from the Human Research Ethic Committee, University of New South Wales, Australia, and the Human Ethics Committee, Faculty of Medicine (HC15303), University of Lampung (No. 1740/UN26/8/DT/2015). Ethics approvals for Study 2 were obtained from the Human Research Ethics Committee, University of New South Wales, Australia (HC15826), and the Medical and Health Research Ethics Committee, Universitas Gadjah Mada, Indonesia (KE/FK/196/EC/2016). All research activities in Lampung and Yogyakarta provinces were approved by local governments (Research and Development Department and the District Health Offices). Informed consent was obtained in writing from all participants before data collection in all phases. CONSENT FOR PUBLICATION: Not applicable (this manuscript does not contain any individual details, images or videos. Only aggregate data were used in this publication). COMPETING INTERESTS: The authors declare that they have no competing interests. PUBLISHER'S NOTE: Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. EDAT- 2018/11/21 06:00 MHDA- 2019/01/23 06:00 PMCR- 2018/11/20 CRDT- 2018/11/21 06:00 PHST- 2017/09/01 00:00 [received] PHST- 2018/10/11 00:00 [accepted] PHST- 2018/11/21 06:00 [entrez] PHST- 2018/11/21 06:00 [pubmed] PHST- 2019/01/23 06:00 [medline] PHST- 2018/11/20 00:00 [pmc-release] AID - 10.1186/s12966-018-0736-7 [pii] AID - 736 [pii] AID - 10.1186/s12966-018-0736-7 [doi] PST - epublish SO - Int J Behav Nutr Phys Act. 2018 Nov 20;15(1):113. doi: 10.1186/s12966-018-0736-7.