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Updated: Jul 11, 2026

Concept Development and Use of an Automated Food Intake and Eating Behavior Assessment Method
Published on: February 19, 2021
Measuring eating competence: psychometric properties and validity of the ecSatter Inventory
Barbara Lohse1, Ellyn Satter, Tanya Horacek
1The Pennsylvania State University, University Park, Pennsylvania, USA. lohseb@psu.edu
Objective:
Assess validity of the ecSatter Inventory (ecSI) to measure eating competence (EC).
Design:
Concurrent administration of ecSI with validated measures of eating behaviors using on-line and paper-pencil formats.
Setting:
The on-line survey was completed by 370 participants; 462 completed the paper version.
Participants:
Participants included 863 adults with 832 usable surveys from respondents (mean age 36.2 +/- 13.4 years) without eating disorders, mostly female, white, educated, overweight, physically active, and food secure. Of those indicating intent to complete the on-line survey, 80.3% did so; 54% of mailed surveys were returned.
Variables Measured:
Eating and food behaviors compared among EC tertiles and between dichotomous EC categories; internal consistency of ecSI.
Analysis:
Analysis of variance, independent t tests, chi-square, factor analysis, logistic regression. Significance level was P < .05.
Results:
Mean ecSI score was 31.1 +/- 7.5. ecSI included 4 subscales with internal reliability and content validity. Construct validity was supported by specific behavioral profiles for ecSI tertiles and ecSI dichotomized categories. Persons unsatisfied with weight were 54% less likely to be EC; unit increase in the food like index was associated with nearly 3 times greater likelihood of being EC.
Conclusions And Implications:
The ecSatter Inventory is a valid measure of EC and can be used for descriptive and outcome measurements.
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