한국형 부모의 포괄적 식사양육 실행척도(K-CFPQ)의 타당화 연구
Validation of Comprehensive Feeding Practices Questionnaire in Korea
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초록
본 연구는 부모의 식사양육 태도와 행동이 아동의 비만 및 섭식 문제를 설명하는 환경적 변인 중 하나라고 보고, Musher-Eizenman와 Holub(2007)이 개발한 포괄적 식사양육 실행척도(Comprehension Practices Questionnaire: CFPQ)를 한국형으로 번안하여 타당도와 신뢰도를 검증하였다. 이를 위해 원척도(CFPQ)의 개발자에게 한국형 척도 타당화를 위한 사용 승인을 받아, 번역-재번역 절차를 거쳐 한국형 포괄적 식사양육 실행척도(K-CFPQ)를 완성하였다. 총 434명의 설문자료를 분석에 활용하였으며, 본 연구를 통해 8개의 하위요인으로 구성된 총 31문항의 한국형 포괄적 식사양육 실행척도(K-CFPQ)를 개발하였다. 문항 내적 일관성 신뢰도(Cronbach’s α)는 .80으로 적절한신뢰 수준을 보이고 있으며, 검사-재검사 상관 결과, 65-.91로 매우 높은 신뢰도를 확보하였다. 수렴타당도(K-CFQ, K-CEBQ)와 집단비교 타당도를 확인한 결과, 부모의 식사양육을 측정하기에 신뢰롭고 타당한 도구인 것으로 나타났다. 본 연구는 부모의 식사양육 태도 및 행동을 포괄적으로 측정할 수 있는 평가도구가 국내에서도 활용이 가능한지 검증했다는 점에서 의의가 있으며, 개발된 K-CFPQ 척도를 통해 국내 아동의 비만및 섭식장애와 부모의 식사양육 태도 및 행동의 관계를 보다 폭넓게 이해할 수 있을것으로 기대한다.
Abstract
In this study, we examined the validity and reliability of parents’ attitudes and behaviors toward feeding as one of the environmental variables explaining obesity and eating problems in children. We translated the Comprehensive Feeding Practices Questionnaire (CFPQ) developed by Musher-Eizenman and Holub (2007) into a Korean version. To this end, the developer of the CFPQ approved the validation of the Korean scale, and the Korean Comprehensive Feeding Practices Questionnaire (K-CFPQ) was created through translation-retranslation of the original scale’s questions. A total of 434 questionnaire responses were used for analysis in this study and 31 questions comprising eight sub-factors were developed for the K-CFPQ. The reliability of the items (Cronbach’s α) showed an appropriate level of confidence, and the test-retest correlation results demonstrated high reliability. By confirming convergent validity (Child Feeding Questionnaire: K-CFQ, Children's Eating Behavior Questionnaire: K-CEBQ) and group comparison validity, the K-CFPQ was determined to be a reliable and valid tool for assessing parents’ attitudes and behaviors toward feeding. The findings from this study are meaningful in that they verify whether an evaluation tool that can comprehensively measure parents’ behaviors and attitudes related to children’s meals can be used in Korea. Futhermore, the developed K-CFPQ scale is expected to impart an understanding of the relationship between obesity, eating disorders, and parents' attitudes.
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