Translation and validation of the Child Three-Factor Eating Questionnaire (CTFEQr17) in French-speaking Canadian children and adolescents
Abstract Objective: To translate and validate the Child Three-Factor Eating Questionnaire (CTFEQr17), assessing cognitive restraint (CR), uncontrolled eating (UE) and emotional eating (EE), among French-speaking Canadian young individuals. Design: Phase 1 comprised a translation and the evaluation of the comprehension of the questionnaire. Phase 2 comprised a confirmatory factor analysis (CFA), the evaluation of internal consistency (Cronbach’s ⍺), test-retest reliability [Intraclass correlation coefficients (ICC)] and construct validity, including correlations among the CTFEQr17 and EAT-26, anthropometrics, dietary intake and diet quality. Setting: Primary and secondary schools, Québec City, Canada. Participants: Phases 1 and 2 included 20 [40% boys, mean age 11.5 (SD 2.4) years] and 145 [48% boys, mean age 11.0 (SD 1.9) years] participants, respectively. Results: Phase 1 resulted in the questionnaire to be used in Phase 2. In Phase 2, the CFA revealed that the 17-item, three-factor model (CTFEQr17) provided an excellent fit. Internal consistency was good (Cronbach’s ⍺: 0.81-0.90). Test-retest reliability was moderate to good [ICC = 0.59, 95% CI (0.48-0.70), ICC = 0.78, 95% CI (0.70-0.84), ICC = 0.50, 95% CI (0.38-0.62) for CR, UE and EE respectively]. CR correlated with EAT-26 score (r = 0.43, P < 0.0001). UE and EE correlated negatively with BMI z-scores (r = −0.26, P = 0.003; r = −0.19, P = 0.03, respectively). CR correlated with the proportion of energy intake from protein and diet quality (r = 0.18, P = 0.04; r = 0.20, P = 0.02, respectively). Conclusion: The CTFEQr17 is suitable to use among French-speaking Canadian young individuals.