Objective To reevaluate the Preschool Children Eating Behavior Questionnaire by using multidimensional item response theory(MIRT),and to explore the feasibility and effectiveness of MIRT in the development of medical scale,in order to make Preschool Children Eating Behavior Questionnaire more completed and concise,thereby providing basic tools for the assessment of children's eating behavior and related research in China. Methods On the basis of extensive review of relevant literature,data were from the results of the Preschool Children Eating Behavior Questionnaire from children aged 3 to 6 in Xi'an city in June 2017. The MIRT were used to evaluate and select the items,such as degree of differentiation,difficulty and guessing coefficient,etc. Reliability and validity of the questionnaire were evaluated by result of Cronbach's α coefficient,split-half reliability coefficient,retest reliability coefficient and factor analysis. And the results were compared with those of the original scale. Results Three items were deleted according to the differentiation degree and difficulty under MIRT,and the dimension of one item was adjusted. The Cronbach’s α coefficient of revised questionnaire was 0.94,the Guttman split-half reliability was 0.81,and the test-retest reliability was 0.73. Exploratory factor analysis showed that the cumulative variance contribution rate was 59.04%,and confirmatory factor analysis indicated that the values of NFI,NNFI,CFI,RMSR were 0.86,0.92,0.93,and 0.04,respectively. There were significant differences on the scores of satiety responsiveness,food responsiveness,food fussiness,and eating habit dimensions among different weight groups. Finally,the reliability and validity of the revised scale were better than the original one. Conclusions The item screening method based on MIRT could improve the reliability and validity of the scale,making the scale more concise. The newly revised Preschool Children's Eating Behavior Questionnaire is more appropriate for evaluation and study of children's eating behavior problems.
Key words
preschool children /
eating behavior /
questionnaire /
multidimensional item response theory
{{custom_sec.title}}
{{custom_sec.title}}
{{custom_sec.content}}
References
[1] Viana V,Sinde S,Saxton JC.Children's Eating Behaviour Questionnaire:associations with BMI in Portuguese children[J].Br J Nutr,2008,100(2):445-450.
[2] Monica L,White A,Welch P. Factors affecting the formation of food preferences in preschool children[J]. Early Child Development and Care,1985,21(4):265-276.
[3] 杨显君,江逊,张玉海,等. 学龄前儿童饮食行为量表的编制与评价[J].中国儿童保健杂志,2012,20(8):682-685.
[4] Jiang X,Yang X,Zhang Y,et al.Development and preliminary validation of Chinese preschoolers' eating behavior questionnaire[J].Plos One,2014,9(2):e88255.
[5] 邵象清.人体测量手册[M].上海:上海辞书出版社,1985:264-300.
[6] 李辉,季成叶,宗心南,等.中国0～18岁儿童、青少年体块指数的生长曲线[J].中华儿科杂志,2009,47:493-498.
[7] Zuofeng Shang.On latent process models in multi-dimensional space[J].Statistics & Probability Letters,2012,82(7):1259-1266.
[8] Reckase MD,McKinley RL.The discriminating power of items that measure more than one dimension[J].Applied Psychological Measurement,1991,15(4),361-373.
[9] 付志慧.多维项目反应模型应用理论[M].北京:科学出版社,2017.
[10] 刘丹,包含,苏少飞,等.多维项目反应理论模型在疾病治疗质量评价中的应用[J].中国卫生统计,2015,32(4):565-567.
[11] Shen M,Cui YW,Hu M,et al.Quantifying traditional Chinese medicine patterns using modern test theory:an example of functional constipation[J].BMC Complement Altern Med,2017,17(1):44.
[12] 曹月红.多维项目反应理论框架下功能性消化不良中医辨证量表研究[D].广州:广州中医药大学,2015.
[13] 杨显君,江逊,张玉海,等.学龄前儿童饮食行为与超重/肥胖的相关性研究[J].中国儿童保健杂志,2013,21(3):259-261.
[14] Wardle J,Guthrie CA,Sanderson S,et al.Development of the children's eating behaviour questionnaire[J].J Child Psychol Psychiat,2001,42(7):963.
[15] Devellis RF.德威利斯.量表编制:理论与应用[M].席仲恩,杜珏,译.重庆:重庆大学出版社,2004.
PDF(1133 KB)
