An assessment tool for the international healthy eating report card for preschool-aged children: A cross-cultural validation across Australia, Hong Kong, Singapore, and the United States

Alison Wing Lam WAN, Kevin Kien Hoa CHUNG, Jianbin LI, Shebe Siwei XU, Derwin King Chung CHAN

Research output: Contribution to journalArticlespeer-review

Abstract

Objective: This study aimed to develop and validate a globally applicable assessment tool of the 43-item International Healthy Eating Report Card Scale (IHERCS) which was designed to assess preschool-aged children’s eating behaviours and family home food environments (FHFEs) across different cultural settings. In particular, we examined the factor structure, internal consistency and measurement invariance of the IHERCS across four cultural samples, including Australia, Hong Kong, Singapore, and the US. Convergent and discriminant validity were then conducted. 

Methods: In this cross-cultural study, a total of 2059 parent–child dyads from these four regions were recruited, and the parents were asked to complete the IHERCS. An exploratory structural equational modelling approach was employed to examine two higher-order factor models of children’s eating behaviours and FHFEs in the IHERCS and its cross-cultural measurement invariance. 

Results: The findings demonstrated robust factor structures of the scales of children’s eating behaviours and FHFEs in the IHERCS (i.e., CFI and TLI > 0.90; RMSEA and SRMR < 0.08) and an acceptable level of internal consistency (i.e., Cronbach’s α = 0.55–0.84). Full configural invariance and metric invariance were established across the four cultural contexts, but full scalar invariance was not achieved. Partial scalar invariance was found only in the scale of FHFEs. The convergent validity and discriminant validity were supported. 

Conclusion: Overall, the current findings provided preliminary support for the construct validity and measurement invariance of the IHERCS. It provides a reliable, valid and comprehensive assessment of eating behaviours and FHFEs among children in different cultural settings. Copyright © 2024 Wan, Chung, Li, Xu and Chan.

Original languageEnglish
Article number1340007
JournalFrontiers in Nutrition
Volume11
Early online dateMar 2024
DOIs
Publication statusPublished - 2024

Citation

Wan, A. W. L., Chung, K. K. H., Li, J.-B., Xu, S. S., & Chan, D. K. C. (2024). An assessment tool for the international healthy eating report card for preschool-aged children: A cross-cultural validation across Australia, Hong Kong, Singapore, and the United States. Frontiers in Nutrition, 11, Article 1340007. https://doi.org/10.3389/fnut.2024.1340007

Keywords

  • Scale development and testing
  • Measurement invariance
  • Healthy eating
  • Report card
  • Eating behaviours
  • Family home food environment
  • Preschool-aged children

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