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Cross-Cultural Adaptation, Validation, and Factor Analysis of a Persian Version of the Behavioral Pediatric Feeding

Soheila Parvizi1, Fariba Jokar1, Marziyeh Ostadi1,2

  • 1Isfahan University of Medical Sciences, Iran.

Behavior Modification
|February 12, 2026
PubMed

Insights

This study adapted the Behavioral Pediatrics Feeding Assessment Scale (BPFAS) for Persian speakers. The validated Persian BPFAS is a reliable tool for assessing childhood feeding disorders and planning interventions.

Area of Science:

  • Pediatrics
  • Child Psychology
  • Behavioral Science

Background:

  • Childhood feeding disorders present significant challenges, impacting nutrition and family dynamics.
  • A lack of validated assessment tools for Persian-speaking populations hinders effective diagnosis and intervention.
  • The Behavioral Pediatrics Feeding Assessment Scale (BPFAS) is a crucial tool for evaluating feeding issues.

Purpose of the Study:

  • To translate and culturally adapt the BPFAS into Persian.
  • To evaluate the psychometric properties (validity and reliability) of the Persian version of the BPFAS.
  • To provide a standardized assessment tool for childhood feeding disorders in Persian-speaking communities.

Main Methods:

  • Translation and cultural adaptation of the BPFAS.
  • Content and face validity assessment by experts and mothers.
  • Construct validity and reliability testing using factor analysis and internal consistency measures on a sample of 203 mothers.

Main Results:

  • The Persian BPFAS demonstrated strong content, face, and construct validity.
  • Factor analysis identified distinct child and parent subscales.
  • High reliability was confirmed through Cronbach's alpha (.94) and ICC (.94).

Conclusions:

  • The Persian BPFAS is a psychometrically sound and reliable instrument for assessing feeding disorders in children from Persian-speaking families.
  • The scale's multidimensional structure aids in understanding the complexity of feeding problems.
  • This validated tool supports early identification and intervention planning in diverse clinical and community settings.

Keywords:
behavioral assessmentfeeding disordersparent–child interactionpediatricpsychometricsvalidation

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