Children's eating attitudes test: Validation in a sample of Spanish schoolchildren

Rojo-Moreno, Luís; García-Miralles, Isabel; Plumed, Jaime Sánchez; Barberá, M.; Morales, María Pérez; Ruiz, Elías; Livianos, Lorenzo

doi:10.1002/eat.20855

Cited by 25 publications

(27 citation statements)

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“…In previous studies, the typical number of factors has been four or five, which is in line with our results [ 27 , 31 , 55 , 58 – 60 ]. In some previous studies [ 27 , 31 , 61 ], factor analysis revealed a factor representing behaviors or thoughts related to purging. In our analysis, purging (‘I vomit after I have eaten’ and ‘I have the urge to vomit after a meal’) did not stand out as an independent factor, but rather was associated with behaviors related to controlling the amount of food eaten.…”

Section: Discussionsupporting

confidence: 93%

“…There are several instruments that can be used to assess DES in children, such as the SCOFF [ 19 ], the Eating Disorder Examination Questionnaire (EDE-Q) [ 20 ], the Eating Disorder Examination Questionnaire adapted for children (ChEDE-Q8) [ 21 ], the Eating Disorder Inventory for children (EDI-C) [ 22 ], the Kids’ Eating Disorders Survey (KEDS) [ 23 ], and the Children’s Eating Attitudes Test (ChEAT) [ 24 ]. ChEAT has been previously utilized in large cohort studies [ 25 , 26 ], and it has been validated in Spain [ 27 , 28 ], Portugal [ 29 ], Belgium [ 30 ], Japan [ 31 ], and the USA [ 24 , 32 , 33 ]. ChEAT has also been successfully used in Sweden [ 34 ]; however, to our knowledge, it has not yet been validated in Finland or in any of the other Nordic countries.…”

Section: Introductionmentioning

confidence: 99%

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Children’s Eating Attitudes Test (ChEAT): a validation study in Finnish children

et al. 2019

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Purpose To validate the Children's Eating Attitudes Test (ChEAT) in the Finnish population. Materials and methods In total 339 children (age 10-15 years) from primary schools in Southern Finland were evaluated at two time points. They answered the ChEAT and SCOFF test questions, and had their weight, height and waist circumference measured. Retesting was performed 4-6 weeks later. Test-retest reliability was evaluated using intra-class correlation (ICC), and internal consistency was examined using Cronbach's alpha coefficient (C-alpha). ChEAT was cross-calibrated against SCOFF and background variables. Factor analysis was performed to examine the factor structure of ChEAT. Results The 26-item ChEAT showed high internal consistency (C-alpha 0.79), however, a 24-item ChEAT showed even better internal consistency (C-alpha 0.84) and test-retest reliability (ICC 0.794). ChEAT scores demonstrated agreement with SCOFF scores (p < 0.01). The mean ChEAT score was higher in overweight children than normal weight (p < 0.001). Exploratory factor analysis yielded four factors (concerns about weight, limiting food intake, pressure to eat, and concerns about food), explaining 57.8% of the variance. Conclusions ChEAT is a valid and reliable tool for measuring eating attitudes in Finnish children. The 24-item ChEAT showed higher reliability than the 26-item ChEAT. Level of evidence Level 5, cross-sectional, descriptive study.

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Section: Discussionsupporting

confidence: 93%

Section: Introductionmentioning

confidence: 99%

Children’s Eating Attitudes Test (ChEAT): a validation study in Finnish children

et al. 2019

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“…Internal consistency was 0.71. We are aware of the existence of a more recent Spanish version, carried out with a large sample and with better indices of sensitivity and specificity [109], but this version was not available at the time of the baseline assessment.…”

Section: Methodsmentioning

confidence: 99%

A school-based program implemented by community providers previously trained for the prevention of eating and weight-related problems in secondary-school adolescents: the MABIC study protocol

et al. 2013

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BackgroundThe prevention of eating disorders and disordered eating are increasingly recognized as public health priorities. Challenges in this field included moving from efficacy to effectiveness and developing an integrated approach to the prevention of a broad spectrum of eating and weight-related problems. A previous efficacy trial indicated that a universal disordered eating prevention program, based on the social cognitive model, media literacy educational approach and cognitive dissonance theory, reduced risk factors for disordered eating, but it is unclear whether this program has effects under more real-world conditions. The main aim of this effectiveness trial protocol is to test whether this program has effects when incorporating an integrated approach to prevention and when previously-trained community providers implement the intervention.Methods/designThe research design involved a multi-center non-randomized controlled trial with baseline, post and 1-year follow-up measures. Six schools from the city of Sabadell (close to Barcelona) participated in the intervention group, and eleven schools from four towns neighboring Sabadell participated in the control group. A total of 174 girls and 180 boys in the intervention group, and 484 girls and 490 boys in the control group were registered in class lists prior to baseline. A total of 18 community providers, secondary-school class tutors, nurses from the Catalan Government’s Health and School Program, and health promotion technicians from Sabadell City Council were trained and delivered the program. Shared risk factors of eating and weight-related problems were assessed as main measures.DiscussionIt will be vital for progress in disordered eating prevention to conduct effectiveness trials, which test whether interventions are effective when delivered by community providers under ecologically valid conditions, as opposed to tightly controlled research trials. The MABIC project will provide new contributions in this transition from efficacy to effectiveness and new data about progress in the integrated approach to prevention. Pending the results, the effectiveness trial meets the effectiveness standards set down by the Society for Prevention Research. This study will provide new evidence to improve and enhance disordered eating prevention programs.Trial registrationCurrent Controlled Trials ISRCTN47682626

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“…The Children's Eating Attitudes (ChEAT; Maloney, McGuire, & Daniels, ) is composed of 26 items with six response options that assess eating attitudes, behaviours, diet, and preoccupation with food in children. Item example: “I'm too afraid to weigh too much” or “I think of food continuously.” The Spanish validation obtained an internal reliability coefficient of 0.76 (Rojo‐Moreno et al, ). In the current sample, Cronbach's alpha was .80.…”

Section: Entren‐f Interventionmentioning

confidence: 99%

Feasibility, acceptability, and effectiveness of a multidisciplinary intervention in childhood obesity from primary care: Nutrition, physical activity, emotional regulation, and family

Sepúlveda

Solano

Blanco

et al. 2019

Euro Eating Disorders Rev

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Childhood obesity is a growing problem with a complex aetiology, for which multidisciplinary interventions are required. Our programme describes a novel structured psychosocial family-based intervention targeting the emotional regulation in childhood obesity, using a train trip metaphor aimed at improving healthy lifestyles for the family. The aims were (a) to describe the feasibility and acceptability of this psychosocial family-based intervention among children with overweight or obesity in primary care and (b) to examine the effectiveness of the "ENTREN-F" programme (with family intervention) compared with the "ENTREN" programme (without family intervention) among Spanish children regarding anthropometric variables, physical activity, emotional wellbeing, and family functioning. Children were randomly allocated to either ENTREN-F programme (n = 30) or psychological intervention for children (ENTREN, n = 40), and assessments were carried out over time (T 0 baseline vs. T 1 post/6-month vs. T 2 6-month follow-up). Both parent groups expressed high levels of satisfaction with the interventions. ENTREN-F resulted in higher adherence to treatment and was more effective in improving z-body mass index, reducing children's anxiety, and increasing family adaptability than the ENTREN programme. There were no significant changes in parents' emotional well-being and expressed emotion. Both groups improved in the children's emotional well-being and light physical activity. In summary, this multidisciplinary psychosocial family-based intervention was succesful.

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Children's eating attitudes test: Validation in a sample of Spanish schoolchildren

Abstract: The ChEAT psychometric characteristics are adequate. The questionnaire is valid. A cut-off point of 15 is recommended for adolescents.

Cited by 25 publications

References 71 publications

Children’s Eating Attitudes Test (ChEAT): a validation study in Finnish children

Children’s Eating Attitudes Test (ChEAT): a validation study in Finnish children

A school-based program implemented by community providers previously trained for the prevention of eating and weight-related problems in secondary-school adolescents: the MABIC study protocol

Feasibility, acceptability, and effectiveness of a multidisciplinary intervention in childhood obesity from primary care: Nutrition, physical activity, emotional regulation, and family

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