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Turkish Version of the Montreal Children's Hospital Feeding Scale: Validity and Reliability Study in Children With
Özgü İnal Özün1, Sevilay Karahan2, Mustafa Cemali3
1Gülhane Faculty of Physiotherapy and Rehabilitation, Department of Neurologic Physiotherapy and Rehabilitation, University of Health Sciences, Ankara, Turkey.
Insights
The Turkish Montreal Children's Hospital Feeding Scale (T-MCH-FS) is a reliable tool for assessing feeding issues in children with cerebral palsy (CP). This validated scale helps evaluate feeding problems in both CP and typically developing children.
Area of Science:
- Pediatric Nutrition
- Clinical Assessment
- Child Development
Background:
- Feeding problems are prevalent in children with cerebral palsy (CP), causing significant stress.
- Existing tools may not adequately address the specific feeding challenges faced by this population.
- The Montreal Children's Hospital Feeding Scale (MCH-FS) offers a comprehensive overview of feeding issues.
Purpose of the Study:
- To translate the MCH-FS into Turkish.
- To evaluate the psychometric properties of the Turkish version (T-MCH-FS).
- To assess the T-MCH-FS's validity and reliability in children with CP and typically developing children.
Main Methods:
- Translation and cultural adaptation of the MCH-FS into Turkish.
- Inclusion of 160 children (70 with CP, 90 typically developing), aged 18-72 months.
- Utilized Karaduman Chewing Performance Scale (KCPS), PEDI-EAT-10, and BPFAS for construct validity assessment.
Main Results:
- The T-MCH-FS demonstrated sufficient internal consistency (Cronbach's alpha = 0.820).
- Significant correlations were found between T-MCH-FS and KCPS (r=0.377), PEDI-EAT-10 (r=0.655), and BPFAS subscales (p<0.001).
- These correlations support the construct validity of the T-MCH-FS.
Conclusions:
- The T-MCH-FS is a reliable and valid instrument for evaluating feeding problems.
- It is suitable for use in both children with CP and typically developing children.
- The T-MCH-FS provides a practical and quick assessment of feeding difficulties.
Background:
This study was conducted to translate The Montreal Children's Hospital Feeding Scale (MCH-FS) into Turkish and to evaluate the psychometric properties of the Turkish version (T-MCH-FS) in children with cerebral palsy (CP).
Method:
The study involved 160 children (70 children with CP and 90 typically developing children) aged 18 to 72 months. Karaduman Chewing Performance Scale (KCPS), Paediatric version of the Eating Assessment Tool-10 (PEDI-EAT-10) and Behavioral Pediatrics Feeding Assessment Scale (BPFAS) were used to examine the construct validity of the T-MCH-FS.
Results:
Internal consistency was sufficient with a Cronbach's alpha value of 0.820. There were correlations between the T-MCH-FS and the KCPS (r = 0.377, p < 0.001), the PEDI-EAT-10 (r = 0.655, p < 0.001) and the BPFAS scores for total frequency, child frequency, parent frequency, restriction and poor strategies (p < 0.001).
Conclusions:
The T-MCH-FS was found to be a reliable and valid instrument to evaluate feeding problems in children with CP and typically developing children.
What This Paper Adds:
What is already known on the subject Feeding problems are very common in children with CP and cause stress for the individual and their caregivers. What this paper adds to existing knowledge The MCH-FS is a practical and quick tool which provides a comprehensive overview regarding feeding problems. What are the potential or actual clinical implications of this work? The T-MCH-FS has been shown to be a reliable and valid tool for assessing feeding problems in children with CP.
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