Validation of the Dutch Eating Behaviour Questionnaire for Children (DEBQ-C). A preliminary results.
THE 1ST UDAYANA INTERNATIONAL NURSING CONFERENCE
66. Formation Of Mental Health Alert Village (DSSJ) Using The Application Community
Mental Health Nursing (CMHN) Overcoming Symptoms Of Recurrence In Patients
With Mental Disorders In Puskesmas II East Denpasar
Ni Made Dian Sulistiowati, , Made Oka Ari K, Kadek Eka S, Komang Menik Sri K .... 79
67. Validation Of The Dutch Eating Behaviour Questionnaire For Children (DEBQ-C). A
Preliminary Results
Francisca Shanti Kusumaningsih, Luh Mira Puspita .................................................... 80
68. The Influencing Factors Of Complete Antenatal Care (K4) In Puskesmas Kuala Behe
Kalimantan Barat
Sylvianingsih, Ika Widi Astuti, Indah Mei Rahajeng ..................................................... 81
69. Analysis Risk Factors For Diabetic Foot Ulcer In RSUP Sanglah Denpasar
Desak Made Widyanthari, Ni Luh Putu Eva Yanti ........................................................ 82
70. The Experience Of Sasak Teenage Mother In Childbirth
Ika Widi Astuti, Baiq Fitria S, Suratiah ......................................................................... 83
71. Relationship Workload Nurses With Completeness Nursing Documentation In Angsoka
Room, General Hospital Sanglah
Ida Ayu Sri Utamawati ,Komang Ayu Mustriwati, Menik Komang Sri ......................... 84
72. Pattern
Servical Cancer Detection As Preventif
Effort Of Woman
Reproductif
Problems In Primary Center Care Of Surabaya
Ni Ketut Alit A, Esti Yunitasari, Mira Triharini, Tiyas Kusumaningrum, Retnayu
Pradanie ......................................................................................................................... 85
73. The Determinant Of The Implementation Of Nursing Ethical Principles
Ni Putu Emy Darma Yanti, Hanny Handiyani, dan Kuntarti ........................................ 86
74. Occupational Health Study Of Woman Porters In Badung Market
Putu Ayu Sani Utami, Ika Widi astuti, Francisca Shanti Kusumaningsih, Ni Luh Putu
Eva Yanti ........................................................................................................................ 87
75. Cader As A “Pilar” To Increase Family‟s Ability To Manage The Health Of The
Elderly With Uric Acid Problem In Cisalak Pasar District Depok Indonesia
Putu Ayu Sani Utami ...................................................................................................... 88
76. Nurses Position Analisys When Performing Burns Care In Burn Unit Sanglah General
Hospital Using Ovako Working Analysis System (Owas) And Rapid Entire Body
Assessment (Reba) And Rapid Upper Limb Assessment (Rula) Tools
I Kadek Saputra ............................................................................................................. 89
ix
THE 1ST UDAYANA INTERNATIONAL NURSING CONFERENCE
VALIDATION OF THE DUTCH EATING BEHAVIOUR QUESTIONNAIRE
FOR CHILDREN (DEBQ-C). A PRELIMINARY RESULTS
1
Francisca Shanti Kusumaningsih1, Luh Mira Puspita1
Nursing Science Program, Medicine Faculty, Udayana University, Bali, Indonesia
Email: shanticisca@gmail.com
Abstract
Nutritional status of children affected by eating behavior of children who tend to be
influenced internal and external factors. The Dutch Eating Behaviour Questionnaire for
Children (DEBQ-C) is a questionnaire that can be used to measure the child's eating
behavior The aim of this study was to test the reliability and validity of among
Indonesian school age children. A cross-sectional validation study. For testing criterion
related validity was assessed by Pearson Product Moment Correlation Coefficients and
reliability was tested by Cronbach‟s alpha coefficient. Setting: Two elementary school
in the East Denpasar 1 primary health center region. The questionnaire was
administered to 80 participants (mean age 11.39 y;,s.d, 0.551, both sexes) from two
elementary schools. The presence of three major factors (emotional eating, restrained
eating and external eating) that translated into 20 questions with loadings similar to
those of the original questionnaire. Three subscales of DEBQ-C had higher internal
consistency and test-retest reliability (validity range: 0.656-0.306; reliability: 0.719).
This study show the results the factorial validity and the reliability of a Indonesian
version of the DEBQ-C.
Keywords: Eating behavior, children, validity
80
Validation of the Dutch Eating Behaviour
Questionnaire for Children (DEBQ-C). A
preliminary results
Francisca Shanti Kusumaningsih*, Luh Mira Puspita*
*Nursing Science Program, Medicine Faculty, Udayana University, Bali, Indonesia
Corresponding author.
Email address: shanticisca@gmail.com
ABSTRACT
Background: Nutritional status of children affected by eating behavior of children who tend to be influenced
internal and external factors. The Dutch Eating Behaviour Questionnaire for Children (DEBQ-C) is a questionnaire
that can be used to measure the child's eating behavior.
Objective: To test the reliability and validity of among Indonesian school age children.
Design: A cross-sectional validation study. For testing criterion related validity was assessed by Pearson Product
Moment Correlation Coefficients and reliability was tested by Cronbach’s alpha coefficient.
Setting: Two elementary school in the East Denpasar 1 primary health center region.
Subjects: The questionnaire was administered to 80 participants (mean age 11.39 y;,s.d, 0.551, both sexes) from
two elementary schools.
Results: The presence of three major factors (emotional eating, restrained eating and external eating) that translated
into 20 questions with loadings similar to those of the original questionnaire. Three subscales of DEBQ-C had
higher internal consistency and test-retest reliability (validity range: 0.656-0.306; reliability: 0.719).
Conclusions: This study show the results the factorial validity and the reliability of a Indonesian version of the
DEBQ-C.
Keywords: Eating behaviour, children, validity
Introduction
problems
Basic needs required by the child is the
attention because it can lead to increased
fulfillment of adequate nutrition for growth
morbidity, mortality, affecting intelligence,
and maintaining body function1. Issues of
as
child nutrition is still a problem in
development3.
developing countries. Nutritional problems
nutritional status are children food intake
tend to gain weight with the dual problems
and health conditions.
well
in
as
children
barriers
Factors
requires
to
special
growth
and
affecting
the
of malnutrition have not been resolved, at
the same time the problem of excess
nutrients
more
increase2.
Nutritional
The life span of children aged 6 to 12 years
are often referred to school age. School age
children is period starts from the entry of
which is eating less than desired to lose or
children into the school environment has a
maintain body weight7.
significant impact on child development. In
the school years are very important to
The Dutch Eating Behaviour Questionnaire
emphasize to the children about balanced
(DEBQ) developed by Van Strien and
nutrition to promote the child growth4.
Oosterveld (2008) is a tool used to measure
Application of optimal nutrition in school-
eating behavior of children consisting of 20
age children are often not achieved due to
items of questions with three aspects of the
the attraction of children to foods that are
assessment that is emotional eating, eating
not nutritious, diet irregular family and work
external, and restrained eating. DEBQ been
schedules of parents. The role of the family,
translated and proved to the reliable and
the influence of friends, and mass media
valid
advertising
eating
Portuguese, French, English and Turkish.
behaviors and decisions in choosing of food
DEBQ valid used in setting child, adult,
children5. Ad impressions in the mass media,
female, and over weight. DEBQ for children
especially on television greatly influence a
called
child's
Questionnaire for Chidren (DEBQ-C)
influences
decision
in
children's
choosing
foods,
in
The
several
Dutch
language
Eating
including
Behaviour
especially foods high in calories and high in
lipid6.
Methods
The purpose of this study is to test the
Some theories say that in addition to genetic
reliability and validity of among Indonesian
factors and the environment, there are
school age children. Participants in this
several reasons why a person consumes
study were 80 students (male and female) in
excess
psychosomatic
two primary schools in the health center of
(emotional eating), external eating, and
Denpasar Timur 1 aged 10 to 12 years.
restrained eating. The theory explains about
Participants were given explanation of the
the eating habits consist of eating in
study/informed concent and then bring the
response to negative emotion (emotional
informed concent form to give the parents to
eating), eating in respon to sight or smell of
be signed.
food,
which
is
food (external eating), and dietary restraint,
We tested wether the integrity of the
Discussions
factorial structure of the questionnaire
The purpose of this study was to determine
remained following translation into another
the cross cultural validity and the reliability
language and used on a different population.
of DEBQ-C for Indonesians age school
The original version of the DEBQ-C was
children.
translated in Indonesian; then, a native
determining
speaking English reviewer translated back
indicated three main factors. These three
the Indonesian version in English. This form
factors were same as the three factor
was compared with the original one and sent
structure of Van Strien. In other words,
to the authors, who approved the translation.
these Indonesian data indicated strong
Design of this study is a cross-sectional
support for the dominant three factor
validation study. For testing criterion related
structure originally proposed by Van Strien.
validity was assessed by Pearson Product
The test-retest reliability coefficients with
Moment
one month were acceptable ranges.
Correlation
Coefficients
and
Factor
the
analysis
validity
results
of
for
DEBQ-C
reliability was tested by Cronbach’s alpha
coefficient. Two elementary school in the
According to Bloxom and Knapp, the
East Denpasar 1 primary health center
acceptable test-retest reliability correlation
region. The questionnaire was administered
was within range 0.55-0.85. The obtained
to 80 participants (mean age 11.39 y;,s.d,
test-retest reliability values for DEBQ-C in
0.551, both sexes) from two elementary
this study fell within that range. This study
schools.
has some limitations. The validity study
requires a representative sample but in this
study
Result
The
presence
of
three
major
factors
Indonesian
representative
and
sample
did
not
is
not
represent
(emotional eating, restrained eating and
distribution in Indonesian for sex, ethnicity,
external eating) that translated into 20
religion, social class and religion.
questions with loadings similar to those of
the original questionnaire. Three subscales
Conclusions
of DEBQ-C had higher internal consistency
This study show the results the factorial
and test-retest reliability (validity range:
validity and the reliability of a Indonesian
0.656-0.306; reliability: 0.719).
version of the DEBQ-C.
References
Orem, D. E., Taylor, S. G., & Renpenning, K. M.
(2001). Nursing Concepts of Practice (sixth.). St.
Louis: Mosby
Kementerian Kesehatan RI. (2012). Buku Sakut
Asuhan Gizi di Puskesmas Pedoman Pelayanan Gizi
bagi Petugas Kesehatan . (S. . Yuwono, Monarto, &
S. Irianto, Eds.). Jakarta: Kementerian Kesehatan RI
Hockenberry, M. J., & Wilson, D. (2011). Wong’s
Nursing Care of Infants and Children, 9e . St. Louis:
Mosby
Johns Hopkins Medicine Health. (2014). SchoolAged Child Nutrition _ Johns Hopkins Medicine
Health Library
Boyland, E. J., & Halford, J. C. G. (2013). Television
advertising and branding. Effects on eating behaviour
and food preferences in children. Appetite, 62, 236–
41
Van Strien, T., & Oosterveld, P. (2008). The
children’s DEBQ for assessment of restrained,
emotional, and external eating in 7- to 12-year-old
children. International Journal of Eating Disorders,
41, 72–81.
66. Formation Of Mental Health Alert Village (DSSJ) Using The Application Community
Mental Health Nursing (CMHN) Overcoming Symptoms Of Recurrence In Patients
With Mental Disorders In Puskesmas II East Denpasar
Ni Made Dian Sulistiowati, , Made Oka Ari K, Kadek Eka S, Komang Menik Sri K .... 79
67. Validation Of The Dutch Eating Behaviour Questionnaire For Children (DEBQ-C). A
Preliminary Results
Francisca Shanti Kusumaningsih, Luh Mira Puspita .................................................... 80
68. The Influencing Factors Of Complete Antenatal Care (K4) In Puskesmas Kuala Behe
Kalimantan Barat
Sylvianingsih, Ika Widi Astuti, Indah Mei Rahajeng ..................................................... 81
69. Analysis Risk Factors For Diabetic Foot Ulcer In RSUP Sanglah Denpasar
Desak Made Widyanthari, Ni Luh Putu Eva Yanti ........................................................ 82
70. The Experience Of Sasak Teenage Mother In Childbirth
Ika Widi Astuti, Baiq Fitria S, Suratiah ......................................................................... 83
71. Relationship Workload Nurses With Completeness Nursing Documentation In Angsoka
Room, General Hospital Sanglah
Ida Ayu Sri Utamawati ,Komang Ayu Mustriwati, Menik Komang Sri ......................... 84
72. Pattern
Servical Cancer Detection As Preventif
Effort Of Woman
Reproductif
Problems In Primary Center Care Of Surabaya
Ni Ketut Alit A, Esti Yunitasari, Mira Triharini, Tiyas Kusumaningrum, Retnayu
Pradanie ......................................................................................................................... 85
73. The Determinant Of The Implementation Of Nursing Ethical Principles
Ni Putu Emy Darma Yanti, Hanny Handiyani, dan Kuntarti ........................................ 86
74. Occupational Health Study Of Woman Porters In Badung Market
Putu Ayu Sani Utami, Ika Widi astuti, Francisca Shanti Kusumaningsih, Ni Luh Putu
Eva Yanti ........................................................................................................................ 87
75. Cader As A “Pilar” To Increase Family‟s Ability To Manage The Health Of The
Elderly With Uric Acid Problem In Cisalak Pasar District Depok Indonesia
Putu Ayu Sani Utami ...................................................................................................... 88
76. Nurses Position Analisys When Performing Burns Care In Burn Unit Sanglah General
Hospital Using Ovako Working Analysis System (Owas) And Rapid Entire Body
Assessment (Reba) And Rapid Upper Limb Assessment (Rula) Tools
I Kadek Saputra ............................................................................................................. 89
ix
THE 1ST UDAYANA INTERNATIONAL NURSING CONFERENCE
VALIDATION OF THE DUTCH EATING BEHAVIOUR QUESTIONNAIRE
FOR CHILDREN (DEBQ-C). A PRELIMINARY RESULTS
1
Francisca Shanti Kusumaningsih1, Luh Mira Puspita1
Nursing Science Program, Medicine Faculty, Udayana University, Bali, Indonesia
Email: shanticisca@gmail.com
Abstract
Nutritional status of children affected by eating behavior of children who tend to be
influenced internal and external factors. The Dutch Eating Behaviour Questionnaire for
Children (DEBQ-C) is a questionnaire that can be used to measure the child's eating
behavior The aim of this study was to test the reliability and validity of among
Indonesian school age children. A cross-sectional validation study. For testing criterion
related validity was assessed by Pearson Product Moment Correlation Coefficients and
reliability was tested by Cronbach‟s alpha coefficient. Setting: Two elementary school
in the East Denpasar 1 primary health center region. The questionnaire was
administered to 80 participants (mean age 11.39 y;,s.d, 0.551, both sexes) from two
elementary schools. The presence of three major factors (emotional eating, restrained
eating and external eating) that translated into 20 questions with loadings similar to
those of the original questionnaire. Three subscales of DEBQ-C had higher internal
consistency and test-retest reliability (validity range: 0.656-0.306; reliability: 0.719).
This study show the results the factorial validity and the reliability of a Indonesian
version of the DEBQ-C.
Keywords: Eating behavior, children, validity
80
Validation of the Dutch Eating Behaviour
Questionnaire for Children (DEBQ-C). A
preliminary results
Francisca Shanti Kusumaningsih*, Luh Mira Puspita*
*Nursing Science Program, Medicine Faculty, Udayana University, Bali, Indonesia
Corresponding author.
Email address: shanticisca@gmail.com
ABSTRACT
Background: Nutritional status of children affected by eating behavior of children who tend to be influenced
internal and external factors. The Dutch Eating Behaviour Questionnaire for Children (DEBQ-C) is a questionnaire
that can be used to measure the child's eating behavior.
Objective: To test the reliability and validity of among Indonesian school age children.
Design: A cross-sectional validation study. For testing criterion related validity was assessed by Pearson Product
Moment Correlation Coefficients and reliability was tested by Cronbach’s alpha coefficient.
Setting: Two elementary school in the East Denpasar 1 primary health center region.
Subjects: The questionnaire was administered to 80 participants (mean age 11.39 y;,s.d, 0.551, both sexes) from
two elementary schools.
Results: The presence of three major factors (emotional eating, restrained eating and external eating) that translated
into 20 questions with loadings similar to those of the original questionnaire. Three subscales of DEBQ-C had
higher internal consistency and test-retest reliability (validity range: 0.656-0.306; reliability: 0.719).
Conclusions: This study show the results the factorial validity and the reliability of a Indonesian version of the
DEBQ-C.
Keywords: Eating behaviour, children, validity
Introduction
problems
Basic needs required by the child is the
attention because it can lead to increased
fulfillment of adequate nutrition for growth
morbidity, mortality, affecting intelligence,
and maintaining body function1. Issues of
as
child nutrition is still a problem in
development3.
developing countries. Nutritional problems
nutritional status are children food intake
tend to gain weight with the dual problems
and health conditions.
well
in
as
children
barriers
Factors
requires
to
special
growth
and
affecting
the
of malnutrition have not been resolved, at
the same time the problem of excess
nutrients
more
increase2.
Nutritional
The life span of children aged 6 to 12 years
are often referred to school age. School age
children is period starts from the entry of
which is eating less than desired to lose or
children into the school environment has a
maintain body weight7.
significant impact on child development. In
the school years are very important to
The Dutch Eating Behaviour Questionnaire
emphasize to the children about balanced
(DEBQ) developed by Van Strien and
nutrition to promote the child growth4.
Oosterveld (2008) is a tool used to measure
Application of optimal nutrition in school-
eating behavior of children consisting of 20
age children are often not achieved due to
items of questions with three aspects of the
the attraction of children to foods that are
assessment that is emotional eating, eating
not nutritious, diet irregular family and work
external, and restrained eating. DEBQ been
schedules of parents. The role of the family,
translated and proved to the reliable and
the influence of friends, and mass media
valid
advertising
eating
Portuguese, French, English and Turkish.
behaviors and decisions in choosing of food
DEBQ valid used in setting child, adult,
children5. Ad impressions in the mass media,
female, and over weight. DEBQ for children
especially on television greatly influence a
called
child's
Questionnaire for Chidren (DEBQ-C)
influences
decision
in
children's
choosing
foods,
in
The
several
Dutch
language
Eating
including
Behaviour
especially foods high in calories and high in
lipid6.
Methods
The purpose of this study is to test the
Some theories say that in addition to genetic
reliability and validity of among Indonesian
factors and the environment, there are
school age children. Participants in this
several reasons why a person consumes
study were 80 students (male and female) in
excess
psychosomatic
two primary schools in the health center of
(emotional eating), external eating, and
Denpasar Timur 1 aged 10 to 12 years.
restrained eating. The theory explains about
Participants were given explanation of the
the eating habits consist of eating in
study/informed concent and then bring the
response to negative emotion (emotional
informed concent form to give the parents to
eating), eating in respon to sight or smell of
be signed.
food,
which
is
food (external eating), and dietary restraint,
We tested wether the integrity of the
Discussions
factorial structure of the questionnaire
The purpose of this study was to determine
remained following translation into another
the cross cultural validity and the reliability
language and used on a different population.
of DEBQ-C for Indonesians age school
The original version of the DEBQ-C was
children.
translated in Indonesian; then, a native
determining
speaking English reviewer translated back
indicated three main factors. These three
the Indonesian version in English. This form
factors were same as the three factor
was compared with the original one and sent
structure of Van Strien. In other words,
to the authors, who approved the translation.
these Indonesian data indicated strong
Design of this study is a cross-sectional
support for the dominant three factor
validation study. For testing criterion related
structure originally proposed by Van Strien.
validity was assessed by Pearson Product
The test-retest reliability coefficients with
Moment
one month were acceptable ranges.
Correlation
Coefficients
and
Factor
the
analysis
validity
results
of
for
DEBQ-C
reliability was tested by Cronbach’s alpha
coefficient. Two elementary school in the
According to Bloxom and Knapp, the
East Denpasar 1 primary health center
acceptable test-retest reliability correlation
region. The questionnaire was administered
was within range 0.55-0.85. The obtained
to 80 participants (mean age 11.39 y;,s.d,
test-retest reliability values for DEBQ-C in
0.551, both sexes) from two elementary
this study fell within that range. This study
schools.
has some limitations. The validity study
requires a representative sample but in this
study
Result
The
presence
of
three
major
factors
Indonesian
representative
and
sample
did
not
is
not
represent
(emotional eating, restrained eating and
distribution in Indonesian for sex, ethnicity,
external eating) that translated into 20
religion, social class and religion.
questions with loadings similar to those of
the original questionnaire. Three subscales
Conclusions
of DEBQ-C had higher internal consistency
This study show the results the factorial
and test-retest reliability (validity range:
validity and the reliability of a Indonesian
0.656-0.306; reliability: 0.719).
version of the DEBQ-C.
References
Orem, D. E., Taylor, S. G., & Renpenning, K. M.
(2001). Nursing Concepts of Practice (sixth.). St.
Louis: Mosby
Kementerian Kesehatan RI. (2012). Buku Sakut
Asuhan Gizi di Puskesmas Pedoman Pelayanan Gizi
bagi Petugas Kesehatan . (S. . Yuwono, Monarto, &
S. Irianto, Eds.). Jakarta: Kementerian Kesehatan RI
Hockenberry, M. J., & Wilson, D. (2011). Wong’s
Nursing Care of Infants and Children, 9e . St. Louis:
Mosby
Johns Hopkins Medicine Health. (2014). SchoolAged Child Nutrition _ Johns Hopkins Medicine
Health Library
Boyland, E. J., & Halford, J. C. G. (2013). Television
advertising and branding. Effects on eating behaviour
and food preferences in children. Appetite, 62, 236–
41
Van Strien, T., & Oosterveld, P. (2008). The
children’s DEBQ for assessment of restrained,
emotional, and external eating in 7- to 12-year-old
children. International Journal of Eating Disorders,
41, 72–81.