Cross-cultural adaptation of the Caregiver’s Feeding Styles Questionnaire (CFSQ) into Indonesian

Introduction Caregiver feeding styles are relevant to children’s eating behaviors, yet their assessment requires instruments with adequate psychometric performance across cultural contexts. Although the Caregiver’s Feeding Styles Questionnaire (CFSQ) has been used in Indonesian studies, its cross-cultural adaptation and psychometric properties have not been comprehensively evaluated in the Indonesian population. This study aimed to culturally adapt the CFSQ into Indonesian and evaluate its psychometric properties using Rasch analysis. Methods A cross-sectional psychometric study was conducted among 210 mothers of children ged 3–5 years in West Java, Indonesia. Cross-cultural adaptation followed the International Test Commission guidelines and included forward–backward translation, expert-based content validation, and cognitive interviews with target respondents. The Indonesian CFSQ was evaluated using the Rasch Rating Scale Model, including examination of item fit, rating-scale functioning, person–item targeting, and measurement reliability. Results Items generally showed acceptable fit to the Rasch model, with high item reliability for both item sets. Demandingness demonstrated stronger person-level measurement performance than Responsiveness, with higher person reliability (0.81 vs. 0.67) and person separation (2.10 vs. 1.42). Responsiveness showed more limited targeting at higher trait levels, including a substantial item gap and one relatively difficult item related to food decoration. Rating-scale functioning was generally adequate, although threshold disordering was observed between adjacent response categories in the Demandingness item set. Discussion Overall, the Indonesian CFSQ demonstrated acceptable psychometric performance, with stronger measurement performance for Demandingness than for Responsiveness. The findings support its potential use in research on caregiver feeding styles among populations similar to the present West Java sample, while Responsiveness should be interpreted with greater caution and may benefit from further refinement and validation in more diverse Indonesian populations.

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Journal
Frontiers in Nutrition
Published
2026-11-06
DOI
https://doi.org/10.3389/fnut.2026.1943263
Primary Topic
Child Nutrition and Feeding Issues
Type
article
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article

Cross-cultural adaptation of the Caregiver’s Feeding Styles Questionnaire (CFSQ) into Indonesian

Ratna Jatnika, Hendriati Agustiani, Syauqiyyah Syahlaa, Jayna M. Dave et al.
2 links
Frontiers in Nutrition
Child Nutrition and Feeding Issues
article

Cross-cultural adaptation of the Caregiver’s Feeding Styles Questionnaire (CFSQ) into Indonesian

Ratna Jatnika, Hendriati Agustiani, Syauqiyyah Syahlaa, Jayna M. Dave, Siti Nur Fatimah, Yanti Rubiyanti, Retno Hanggarani Ninin, Rahmad Muliadi, Exa Ilham Illahi
article en

Abstract

Introduction Caregiver feeding styles are relevant to children’s eating behaviors, yet their assessment requires instruments with adequate psychometric performance across cultural contexts. Although the Caregiver’s Feeding Styles Questionnaire (CFSQ) has been used in Indonesian studies, its cross-cultural adaptation and psychometric properties have not been comprehensively evaluated in the Indonesian population. This study aimed to culturally adapt the CFSQ into Indonesian and evaluate its psychometric properties using Rasch analysis. Methods A cross-sectional psychometric study was conducted among 210 mothers of children ged 3–5 years in West Java, Indonesia. Cross-cultural adaptation followed the International Test Commission guidelines and included forward–backward translation, expert-based content validation, and cognitive interviews with target respondents. The Indonesian CFSQ was evaluated using the Rasch Rating Scale Model, including examination of item fit, rating-scale functioning, person–item targeting, and measurement reliability. Results Items generally showed acceptable fit to the Rasch model, with high item reliability for both item sets. Demandingness demonstrated stronger person-level measurement performance than Responsiveness, with higher person reliability (0.81 vs. 0.67) and person separation (2.10 vs. 1.42). Responsiveness showed more limited targeting at higher trait levels, including a substantial item gap and one relatively difficult item related to food decoration. Rating-scale functioning was generally adequate, although threshold disordering was observed between adjacent response categories in the Demandingness item set. Discussion Overall, the Indonesian CFSQ demonstrated acceptable psychometric performance, with stronger measurement performance for Demandingness than for Responsiveness. The findings support its potential use in research on caregiver feeding styles among populations similar to the present West Java sample, while Responsiveness should be interpreted with greater caution and may benefit from further refinement and validation in more diverse Indonesian populations.

Frontiers in NutritionVol. 13
Baylor College of Medicine (US), Children's Nutrition Research Center at Baylor College of Medicine (US), Padjadjaran University (ID)
Good health and well-being
Openalex Percentile: Top 14%
Child Nutrition and Feeding Issues
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