Preliminary development and evaluation of a scale to assess caregivers' responsive feeding behaviors for children aged 0-24 months

Chen-Peng WANG, Jing WANG, Bing-Jie FAN, Lei YANG, Jing DONG, Jun QIAN, Min ZHANG

Chinese Journal of Contemporary Pediatrics ›› 2025, Vol. 27 ›› Issue (11) : 1346-1352.

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Chinese Journal of Contemporary Pediatrics ›› 2025, Vol. 27 ›› Issue (11) : 1346-1352. DOI: 10.7499/j.issn.1008-8830.2501099
CLINICAL RESEARCH

Preliminary development and evaluation of a scale to assess caregivers' responsive feeding behaviors for children aged 0-24 months

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Abstract

Objective To develop a scale for evaluating responsive feeding behaviors among caregivers of children aged 0-24 months in China, and to examine its reliability and validity. Methods An initial item pool was constructed through literature review, expert panel discussions, and caregiver interviews. Items were screened and revised using expert consultation and item analysis. A total of 523 caregivers of children aged 0-24 months were randomly selected from urban community health service centers in Nanjing for a formal survey to assess the scale's reliability and validity. Results The scale comprised two age-specific subscales: 0-6 months (4 dimensions, 18 items) and 7-24 months (5 dimensions, 29 items). Cronbach's alpha values for the two subscales were 0.766 and 0.850, respectively; split-half reliability coefficients were 0.616 and 0.716. Content validity indices were 0.83 for the 0-6 months subscale and 0.86 for the 7-24 months subscale. Confirmatory factor analysis supported the structural validity of both subscales, with all fit indices within acceptable ranges. Conclusions The two age-specific subscales demonstrate good reliability and validity and can serve as practical tools for assessing caregivers' responsive feeding behaviors in children aged 0-24 months, suitable for clinical application and dissemination.

Key words

Responsive feeding / Scale development / Reliability / Validity / Child

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Chen-Peng WANG , Jing WANG , Bing-Jie FAN , et al . Preliminary development and evaluation of a scale to assess caregivers' responsive feeding behaviors for children aged 0-24 months[J]. Chinese Journal of Contemporary Pediatrics. 2025, 27(11): 1346-1352 https://doi.org/10.7499/j.issn.1008-8830.2501099

References

[1]
Matvienko-Sikar K, Toomey E, Delaney L, et al. Effects of healthcare professional delivered early feeding interventions on feeding practices and dietary intake: a systematic review[J]. Appetite, 2018, 123: 56-71. DOI: 10.1016/j.appet.2017.12.001 .
[2]
中华预防医学会儿童保健分会. 婴幼儿喂养与营养指南[J]. 中国妇幼健康研究, 2019, 30(4): 392-417. DOI: 10.3969/j.issn.1673-5293.2019.04.001 .
[3]
齐明春. 早期综合发展指导对婴幼儿体格和智能发育的影响[J]. 妇儿健康导刊, 2024, 3(5): 58-61. DOI: 10.3969/j.issn.2097-115X.2024.05.whbb202405019 .
[4]
文静, 樊欣, 赵妍. 超重肥胖婴幼儿饮食行为问题的调查分析[J]. 中国医药指南, 2020, 18(6): 13. DOI: 10.15912/j.cnki.gocm.2020.06.010 .
[5]
中国妇幼保健协会婴幼儿养育照护专业委员会. 婴幼儿养育照护专家共识[J]. 中国儿童保健杂志, 2020, 28(9): 1063-1068. DOI: 10.11852/zgetbjzz2020-1357 .
[6]
Pérez-Escamilla R, Segura-Pérez S. Can a pragmatic responsive feeding scale be developed and applied globally?[J]. Matern Child Nutr, 2020, 16(3): e13004. PMCID: PMC7296815. DOI: 10.1111/mcn.13004 .
[7]
中国营养学会膳食指南修订专家委员会妇幼人群指南修订专家工作组. 6月龄内婴儿母乳喂养指南[J]. 临床儿科杂志, 2016, 34(4): 287-291. DOI: 10.3969/j.issn.1000-3606.2016.04.011 .
[8]
中国营养学会膳食指南修订专家委员会妇幼人群指南修订专家工作组. 7~24月龄婴幼儿喂养指南[J]. 临床儿科杂志, 2016, 34(5): 381-387. DOI: 10.3969/j.issn.1000-3606.2016.05.016 .
[9]
国家卫生健康委办公厅. 国家卫生健康委办公厅关于印发婴幼儿喂养健康教育核心信息的通知(国卫办妇幼函〔2020〕649号)[EB/OL].[2024-07-06].
[10]
中国妇幼保健协会婴幼儿养育照护专业委员会. 婴幼儿养育照护专家共识[J]. 中国儿童保健杂志, 2020, 28(9): 1063-1068. DOI: 10.11852/zgetbjzz2020-1357 .
[11]
WHO. WHO Guideline for complementary feeding of infants and young children 6-23 months of age[EB/OL]. [2024-07-20].
[12]
Phillips JA. Dietary guidelines for Americans, 2020-2025[J]. Workplace Health Saf, 2021, 69(8): 395. DOI: 10.1177/21650799211026980 .
[13]
Jansen E, Mallan KM, Nicholson JM, et al. The feeding practices and structure questionnaire: construction and initial validation in a sample of Australian first-time mothers and their 2-year olds[J]. Int J Behav Nutr Phys Act, 2014, 11(1): 72. PMCID: PMC4053399. DOI: 10.1186/1479-5868-11-72 .
[14]
Jansen E, Mallan KM, Daniels LA. Extending the validity of the Feeding Practices and Structure Questionnaire[J]. Int J Behav Nutr Phys Act, 2015, 12: 90. PMCID: PMC4487203. DOI: 10.1186/s12966-015-0253-x .
[15]
Musher-Eizenman D, Holub S. Comprehensive Feeding Practices Questionnaire: validation of a new measure of parental feeding practices[J]. J Pediatr Psychol, 2007, 32(8): 960-972. DOI: 10.1093/jpepsy/jsm037 .
[16]
Warkentin S, Mais LA, Latorre Mdo R, et al. Validation of the Comprehensive Feeding Practices Questionnaire in parents of preschool children in Brazil[J]. BMC Public Health, 2016, 16: 603. PMCID: PMC4952239. DOI: 10.1186/s12889-016-3282-8 .
[17]
McCurdy K, Gorman KS. Measuring family food environments in diverse families with young children[J]. Appetite, 2010, 54(3): 615-618. DOI: 10.1016/j.appet.2010.03.004 .
[18]
Baughcum AE, Powers SW, Johnson SB, et al. Maternal feeding practices and beliefs and their relationships to overweight in early childhood[J]. J Dev Behav Pediatr, 2001, 22(6): 391-408. DOI: 10.1097/00004703-200112000-00007 .
[19]
Thompson AL, Mendez MA, Borja JB, et al. Development and validation of the Infant Feeding Style Questionnaire[J]. Appetite, 2009, 53(2): 210-221. PMCID: PMC3130353. DOI: 10.1016/j.appet.2009.06.010 .
[20]
Heller RL, Mobley AR. Instruments assessing parental responsive feeding in children ages birth to 5 years: a systematic review[J]. Appetite, 2019, 138: 23-51. DOI: 10.1016/j.appet.2019.03.006 .
[21]
谢丽惠. 婴幼儿家长喂养行为量表编制及评价[D]. 北京: 首都儿科研究所, 2017.
[22]
李明霞, 魏猛, 董菊. 6~36月龄婴幼儿顺应性喂养行为及相关危险因素分析[J]. 新疆医科大学学报, 2020, 43(12): 1626-1629. DOI: 10.3639/j.issn.1009-5551.2020.12.022 .
[23]
苏涛敏, 潘志刚, 高俊岭.妊娠期糖尿病高危人群知信行问卷编制及信效度检验[J].复旦学报(医学版), 2020, 47(5): 728-734. DOI: 10.3969/j.issn.1672-8467.2020.05.013 .
[24]
吴明隆. 问卷统计分析实务[M]. 重庆: 重庆大学出版社, 2010: 158-224.
[25]
沈颖, 肖丽丽, 罗琼, 等. 格拉斯哥受益量表中文版的效度和信度评价[J]. 临床耳鼻咽喉头颈外科杂志, 2020, 34(8): 689-694. DOI:10.13201/j.issn.2096-7993.2020.08.004 .
[26]
Lee HB, Comrey AL. Distortions in a commonly used factor analytic procedure[J]. Multivariate Behav Res, 1979, 14(3): 301-321. DOI: 10.1207/s15327906mbr1403_2 .
[27]
Saw ZK, Yuen JJX, Ashari A, et al. Forward-backward translation, content validity, face validity, construct validity, criterion validity, test-retest reliability, and internal consistency of a questionnaire on patient acceptance of orthodontic retainer[J]. PLoS One, 2025, 20(1): e0314853. PMCID: PMC11698520. DOI: 10.1371/journal.pone.0314853 .
[28]
王飞, 汤靖琪, 孙小楠, 等. 初级卫生保健领域量表的设计与开发: 实用步骤与统计方法[J]. 中国全科医学, 2024, 27(13): 1573-1583. DOI: 10.12114/j.issn.1007-9572.2022.0819 .
[29]
Doll WJ, Xia W, Torkzadeh G. A confirmatory factor analysis of the end-user computing satisfaction instrument[J]. MIS Quarterly, 1994, 18(4): 453-461. DOI: 10.2307/249524 .
[30]
倪蓓君. 幼师生情绪调控能力问卷的编制及信效度检验[J]. 现代职业教育, 2023(20): 21-24.
[31]
刘岩, 于桂玲, 李智慧, 等. 婴幼儿照护者顺应喂养评估工具的研究进展[J]. 护理学杂志, 2022, 37(2): 105-109. DOI: 10.3870/j.issn.1001-4152.2022.02.105 .

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