Abstract

Citation

Birch LL, Fisher JO, Grimm-Thomas K, Markey CN, Sawyer R, Johnson SL. Confirmatory factor analysis of the Child Feeding Questionnaire: a measure of parental attitudes, beliefs and practices about child feeding and obesity proneness. Appetite 2001 Jun;36(3):201-10.

Abstract

The Child Feeding Questionnaire (CFQ) is a self-report measure to assess parental beliefs, attitudes, and practices regarding child feeding, with a focus on obesity proneness in children. Confirmatory factor analysis tested a 7-factor model, which included four factors measuring parental beliefs related to child's obesity proneness, and three factors measuring parental control practices and attitudes regarding child feeding. Using a sample of 394 mothers and fathers, three models were tested, and the third model confirmed an acceptable fit, including correlated factors. Internal consistencies for the seven factors were above 0.70. With minor changes, this same 7-factor model was also confirmed in a second sample of 148 mothers and fathers, and a third sample of 126 Hispanic mothers and fathers. As predicted, four of the seven factors were related to an independent measure of children's weight status, providing initial support for the validity of the instrument. The CFQ can be used to assess aspects of child-feeding perceptions, attitudes, and practices and their relationships to children's developing food acceptance patterns, the controls of food intake, and obesity. The CFQ is designed for use with parents of children ranging in age from about 2 to 11 years of age.

Full Text

The full text is available at https://dx.doi.org/10.1006/appe.2001.0398

At A Glance

Domain(s)

Not reported

Measure Type

Questionnaire

Measure Availability

Measure included in article

Number of Items

31 Reported

Study location

Metro/Urban

Denver, Colorado, Central Pennsylvania, USA

Languages

English

Information about Development of Measure

The first version of the Child Feeding Questionnaire (CFQ) consisted of twenty four forced-choice items measuring parents' attitudes, beliefs, and tendencies to use control in feeding, as well as parental concerns about child weight status. Items were revised and exploratory factor analysis was conducted. Items regarding parents' perceived responsibility for child-feeding tasks were added.

Study Design

Study Participants

Age

2 - 5 Years

6 - 11 Years

Sex

Female

Male

Race/Ethnicity

Hispanic

White

Black/African American

Predominantly Low-income/Low-SES

No

Sample Size

640

Study Design

Design Type

Validation/Reliability

Health Outcomes Assessed

None

Obesity Measures

Weight-for-height percentile scores

BMI Measured or Self-reported

Measured height

Measured weight

Covariates

Sociodemographic characteristics (socioeconomic status, race)

Data Reported on Race/Ethnicity

Quantitative data on study sample

Data Reported on SES

Quantitative data on study sample

SES-related Variables

Income

Education

How To Use

Administration

Who Administered

Third-party administered (e.g., parent/staff)

How Administered

Not reported

Time Required

Not reported

Training Required

Not reported

Instructions on Use

Instructions on instrument use included in article

Data Analysis

Data Collection/Analysis Costs

Not reported

Data Collection/Protocol

Three samples of parents were recruited. Sample one was recruited from central Pennsylvania from parents participating in a larger study on growth, nutrition, and development in five to nine year-old girls. Samples two and three were recruited from a private school and a public school in Denver, CO. These parents were contacted by mail.

Instructions on Data Analysis

Instructions on analysis included in article

Validity (0)

There are no validity tests reported for this measure.

Reliability (1)

Type of reliability Construct/subscale assessed Test/statistic used Result
Internal Consistency Child Feeding Practices Questionnaire (CFP) factor items (Sample one) Cronbach's alpha Alpha (Perceived responsibility) = 0.88; Alpha (Perceived parent weight) = 0.71; Alpha (Perceived child weight) = 0.83; Alpha (Concern about child weight) = 0.75; Alpha (Pressure to eat) = 0.70; Alpha (Restriction) = 0.73; Alpha (Monitoring) = 0.92