The Psychometric Properties of the Caregiver Feeding Style Questionnaire: A Cross-Cultural Validation in Spanish Parents.

The sample was Spanish parents of middle-to-upper socioeconomic status, so the findings may not apply to other countries or income groups. The paper says 191 parents completed the questionnaire and were included in analyses, but some tables and the factor analysis report N=194, so the analysed sample size is unclear. The sample was too small to test whether the questionnaire works the same for mothers and fathers. The original questionnaire was developed in low-income Hispanic and African-American mothers, so some items may not represent higher-income Spanish families. Model fit was imperfect because RMSEA exceeded the recommended threshold of 0.08 in all models. Many items had floor or ceiling effects, and items 4 and 8 did not correlate adequately with the total score. Parents reported their own feeding behaviour and child eating, so answers may reflect recall or social desirability. The study did not control for eating disorders or other conditions affecting children's eating at the time.

No conflicts of interest were declared. Funding was provided by Instituto de Salud Carlos III and Universidad de Alicante.

Do not use this questionnaire to conclude that a parent's feeding style is causing a child's eating problem. The study tested measurement properties only, found imperfect fit and unclear items, and did not test whether the questionnaire changes care or improves outcomes.