ORIGINAL PAPER
The Polish version of the Montreal Children’s Hospital Feeding Scale (MCH-FS): translation, cross-cultural adaptation, and validation
 
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1
Faculty of Psychology, University of Social Sciences and Humanities, Warsaw, Poland
 
2
Department of Paediatrics, Medical University of Warsaw, Warsaw, Poland
 
 
Submission date: 2019-09-17
 
 
Final revision date: 2019-10-10
 
 
Acceptance date: 2019-10-14
 
 
Publication date: 2019-11-19
 
 
Pediatr Pol 2019;94(5):299-305
 
KEYWORDS
TOPICS
ABSTRACT
Aim of the study:
To provide a reliable and valid tool in Polish language for assessing the level of feeding difficulties among children from six months up to six years old by translation, cross-cultural adaptation, and validation of the Montreal Children’s Hospital Feeding Scale (MCH-FS).

Material and methods:
The translation and cross-cultural adaptation included: forward translation (by two independent translators), comparison of the two translated versions, blind back translation, comparison of the two back-translated versions, pilot testing, proofreading, and approval of the final version of the target language.

Results:
To establish construct validity, 247 parents or caregivers of children completed the scale. The clinical sample included parents/caregivers (n = 124) of children referred to a feeding clinic, whereas the normative sample (n = 123) consisted of parents/caregivers of healthy children recruited from daycare centres. Statistically significant differences were found between the control group and children with feeding disorders for the total score (p < 0.001) and for each of the 14 items (p < 0.001). The instrument has strong internal consistency (α = 0.93). Test-retest reliability was obtained by re-administration of the MCH-FS to 84 subjects within a mean interval of 13.43 days. Test-retest correlation coefficients for the total score of the MCH-FS were 0.98 in the clinical group and in the normative group (p < 0.001), suggesting a high level of tool stability.

Discussion:
The Polish version of the MCH-FS can be considered as a reliable and valid tool for screening the feeding difficulties in children.
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