The Feeding Practices and Structure Questionnaire : Development and validation of age appropriate versions for infants and toddlers

Journal article

Jansen, E., Russell, C. G., Appleton, J., Byrne, R., Daniels, L. A., Fowler, C., Rossiter, C. and Mallan, K. M.. (2021). The Feeding Practices and Structure Questionnaire : Development and validation of age appropriate versions for infants and toddlers. International Journal of Behavioral Nutrition and Physical Activity. 18(1), p. Article 13. https://doi.org/10.1186/s12966-021-01079-x
AuthorsJansen, E., Russell, C. G., Appleton, J., Byrne, R., Daniels, L. A., Fowler, C., Rossiter, C. and Mallan, K. M.
Abstract

Background
In order to measure and understand trajectories of parental feeding practices and their relationship with child eating and weight, it is desirable to perform assessment from infancy and across time, in age-appropriate ways. While many feeding practices questionnaires exist, none is presently available that enables tracking of feeding practices from infancy through childhood. The aim of the study was to develop a version of the Feeding Practices and Structure Questionnaire (FPSQ) for parents with infants and toddlers (< 2 years) to be used in conjunction with the original FPSQ for older children (≥2 years) to measure feeding practices related to non-responsiveness and structure across childhood.

Methods
Constructs and items for the FPSQ for infants and toddlers were derived from the existing and validated FPSQ for older children and supplemented by a review of the literature on infant feeding questionnaires. Following expert review, two versions of the questionnaire were developed, one for milk feeding parents and one for solid feeding parents. Data from two studies were combined (child ages 0–24 months) to test the derived constructs with Confirmatory Factor Analysis for the milk feeding (N = 731) and solid feeding (N = 611) versions.

Results
The milk feeding version consisted of four factors (18 items) and showed acceptable model fit and good internal reliability: ‘feeding on demand vs. feeding routine’ (α = 0.87), ‘using food to calm’ (α = 0.87), ‘persuasive feeding’ (α = 0.71), ‘parent-led feeding’ (α = 0.79). The same four factors showed acceptable model fit for the solid feeding version (21 items), likewise with good internal reliability (α = 0.74, 0.86, 0.85, 0.84 respectively). Two additional factors (13 items) were developed for the solid feeding version that appeared developmentally appropriate only for children aged 12 months or older: ‘family meal environment’ (α = 0.81) and ‘using (non-)food rewards’ (α = 0.92). The majority of factor-factor correlations were in line with those of the original FPSQ.

Conclusions
The FPSQ milk and solid feeding versions are the first measures specifically developed as precursors to the FPSQ to measure parental feeding practices in children < 2 years, particularly practices related to non-responsiveness and structure. Further validation in more diverse samples is required.

Keywordsfeeding practices; structured mealtimes; responsive feeding; infants; toddlers; questionnaire; development; validation
Year2021
JournalInternational Journal of Behavioral Nutrition and Physical Activity
Journal citation18 (1), p. Article 13
PublisherBiomed Central Ltd
ISSN1479-5868
Digital Object Identifier (DOI)https://doi.org/10.1186/s12966-021-01079-x
PubMed ID33468156
Scopus EID2-s2.0-85100092028
PubMed Central IDPMC7814443
Research or scholarlyResearch
Page range1-14
Publisher's version
License
File Access Level
Open
Output statusPublished
Publication dates
Online19 Jan 2021
Publication process dates
Accepted05 Jan 2021
Deposited25 Nov 2021
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An early feeding practices intervention for obesity prevention
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Electro-cortical implicit race bias does not vary with participants' race or sex
Lipp, Ottmar V., Mallan, Kimberley M., Martin, Frances H., Terry, Deborah J. and Smith, Joanne R.. (2011). Electro-cortical implicit race bias does not vary with participants' race or sex. Social Cognitive and Affective Neuroscience. 6(5), pp. 591 - 601. https://doi.org/10.1093/scan/nsq089
The relationship between self-reported animal fear and ERP modulation : Evidence for enhanced processing and fear of harmless invertebrates in snake- and spider-fearful individuals
Mallan, Kimberley and Lipp, Ottmar. (2011). The relationship between self-reported animal fear and ERP modulation : Evidence for enhanced processing and fear of harmless invertebrates in snake- and spider-fearful individuals. Motivation and Emotion. 35(4), pp. 474 - 483. https://doi.org/10.1007/s11031-011-9218-9
The effects of verbal instruction on affective and expectancy learning
Lipp, Ottmar V., Mallan, Kimberley M., Libera, Marilia and Tan, Mingshen. (2010). The effects of verbal instruction on affective and expectancy learning. Behaviour Research and Therapy. 48(3), pp. 203 - 209. https://doi.org/10.1016/j.brat.2009.11.002