Adaptação transcultural para o português (Brasil) dos instrumentos Caregiver´s Feeding Styles Questionnaire e Child Feeding Questionnaire

Abstract

Three articles were created for the construction of this Thesis. The first one evaluated the phases of the cross-cultural adaptation (CCA) process of the Brazilian version (Rio de Janeiro-RJ) of the Caregiver´s Feeding Styles Questionnaire (CFSQ), an instrument that assesses parental feeding styles (PFS) in the behavior prone to obesity in their children. The second presents an association between PFS and overweight in children. The third presented the first phases of the CCA process of the Brazilian version (RJ) of the Child Feeding Questionnaire (CFQ), a scale that evaluates parental feeding practices. To perform both CCA, we execute literature review, translation and backtranslation of the instruments, semantic evaluations, cognitive interviews with the target population, discussion with specialists, pre-testing of the first version and proposition of the final version of the instrument, as well as its mode of application. In the first study the equivalency measurement testing and functional were evaluated. For this, 181 caregivers of children in the third to fifth year of life, users of the Clínica da Família, RJ, Brazil. Regarding the article 2, the PFS were measured using CFSQ and the children's overweight were evaluated by BMI-for-age. The results shows that the concepts of CFSQ and CFQ exist in the Brazilian culture and that the instruments are understandable for the target population. The CFSQ measurements measure the assurance of confidence. The factorial analysis identified two dimensions and 19 items, 16 laps consistent with the original instrument and the functional equivalence of the CFSQ was confirmed. The association between PFS and overweight was a way of relating to the child, with less responsiveness and less chance of having children with overweight compared to those with high responsiveness, even after the positive results (RC = 0.46, 95% CI = 0.21-0.99). The satisfactory results of the CCA of the Brazilian version of the CFSQ suggest that the applicability in its population of interest with a possible reduction of some items in the scale. In addition, due to the consequences of infant overweight, negative measures on the health of children and adults, it is necessary to allow future research to investigate parental feeding patterns as determinants of the relationship of children with a repercussion on the etiology of the obese children. To unveil psychobiological aspects, the infant behavior of children is an aid in the construction of prevention programs and the treatment of overweight in children