Psychometric analysis of the three-factor eating questionnaire-R18V2 in adolescent and young adult-aged central nervous system tumor survivors

Maria Swartz, Karen M. Basen-Engquist, Christine Markham, Elizabeth Lyons, Matthew Cox, Joya Chandra, Joann L. Ater, Martha A. Askins, Michael E. Scheurer, Philip J. Lupo, Rachel Hill, Jeffrey Murray, Wenyaw Chan, Paul R. Swank

Research output: Contribution to journalArticle

Abstract

Purpose: Adolescent and young adult (AYA)-aged central nervous system (CNS) tumor survivors are an understudied population that is at risk of developing adverse health outcomes, such as obesity. Long-term follow-up guidelines recommend monitoring those at risk of obesity, thus motivating the need for an eating behavior questionnaire. An abbreviated online version of the Three-Factor Eating Questionnaire (TFEQ-R18v2) has been developed, but its applicability to this population is not yet known. This study investigated the instrument's factor structure and reliability in this population. Methods: AYA-aged CNS tumor survivors (n = 114) aged 15-39 years completed the TFEQ-R18V2 questionnaire online. Confirmatory factor analysis was used to examine the fit of the three-factor structure (uncontrollable eating, cognitive restraint, and emotional eating [EE]) and reliability (internal consistency of the TFEQ-R18v2). Associations between the three factors and body mass index (BMI) were assessed by linear regression. Results: The theorized three-factor structure was supported in our population (RMSEA = 0.056 and CFI = 0.98) and demonstrated good reliability (α of 0.81-0.93). EE (β = 0.07, 95% CI 0.02-0.13) was positively associated with BMI, whereas the other two subscale scores were not. Conclusion: The TFEQ-R18v2 instrument holds promise for research and clinical use among AYA-aged CNS tumor survivors. The instrument may be a useful tool for researchers to develop tailored weight management strategies. It also may be a valuable tool for clinicians to monitor survivors who are at risk of obesity and to facilitate referral. Our results also suggest that EE in this population should be further investigated as a potential target for intervention.

Original languageEnglish (US)
Pages (from-to)278-285
Number of pages8
JournalJournal of Adolescent and Young Adult Oncology
Volume5
Issue number3
DOIs
StatePublished - Sep 1 2016

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Central Nervous System Neoplasms
Psychometrics
Statistical Factor Analysis
Young Adult
Eating
Obesity
Population
Body Mass Index
Feeding Behavior
Linear Models
Referral and Consultation
Research Personnel
Surveys and Questionnaires
Guidelines
Weights and Measures
Health
Research

Keywords

  • cancer care continuum
  • central nervous system (CNS) tumor
  • diet
  • prevention
  • survivorship

ASJC Scopus subject areas

  • Oncology
  • Pediatrics, Perinatology, and Child Health

Cite this

Psychometric analysis of the three-factor eating questionnaire-R18V2 in adolescent and young adult-aged central nervous system tumor survivors. / Swartz, Maria; Basen-Engquist, Karen M.; Markham, Christine; Lyons, Elizabeth; Cox, Matthew; Chandra, Joya; Ater, Joann L.; Askins, Martha A.; Scheurer, Michael E.; Lupo, Philip J.; Hill, Rachel; Murray, Jeffrey; Chan, Wenyaw; Swank, Paul R.

In: Journal of Adolescent and Young Adult Oncology, Vol. 5, No. 3, 01.09.2016, p. 278-285.

Research output: Contribution to journalArticle

Swartz, M, Basen-Engquist, KM, Markham, C, Lyons, E, Cox, M, Chandra, J, Ater, JL, Askins, MA, Scheurer, ME, Lupo, PJ, Hill, R, Murray, J, Chan, W & Swank, PR 2016, 'Psychometric analysis of the three-factor eating questionnaire-R18V2 in adolescent and young adult-aged central nervous system tumor survivors', Journal of Adolescent and Young Adult Oncology, vol. 5, no. 3, pp. 278-285. https://doi.org/10.1089/jayao.2015.0058
Swartz, Maria ; Basen-Engquist, Karen M. ; Markham, Christine ; Lyons, Elizabeth ; Cox, Matthew ; Chandra, Joya ; Ater, Joann L. ; Askins, Martha A. ; Scheurer, Michael E. ; Lupo, Philip J. ; Hill, Rachel ; Murray, Jeffrey ; Chan, Wenyaw ; Swank, Paul R. / Psychometric analysis of the three-factor eating questionnaire-R18V2 in adolescent and young adult-aged central nervous system tumor survivors. In: Journal of Adolescent and Young Adult Oncology. 2016 ; Vol. 5, No. 3. pp. 278-285.
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abstract = "Purpose: Adolescent and young adult (AYA)-aged central nervous system (CNS) tumor survivors are an understudied population that is at risk of developing adverse health outcomes, such as obesity. Long-term follow-up guidelines recommend monitoring those at risk of obesity, thus motivating the need for an eating behavior questionnaire. An abbreviated online version of the Three-Factor Eating Questionnaire (TFEQ-R18v2) has been developed, but its applicability to this population is not yet known. This study investigated the instrument's factor structure and reliability in this population. Methods: AYA-aged CNS tumor survivors (n = 114) aged 15-39 years completed the TFEQ-R18V2 questionnaire online. Confirmatory factor analysis was used to examine the fit of the three-factor structure (uncontrollable eating, cognitive restraint, and emotional eating [EE]) and reliability (internal consistency of the TFEQ-R18v2). Associations between the three factors and body mass index (BMI) were assessed by linear regression. Results: The theorized three-factor structure was supported in our population (RMSEA = 0.056 and CFI = 0.98) and demonstrated good reliability (α of 0.81-0.93). EE (β = 0.07, 95{\%} CI 0.02-0.13) was positively associated with BMI, whereas the other two subscale scores were not. Conclusion: The TFEQ-R18v2 instrument holds promise for research and clinical use among AYA-aged CNS tumor survivors. The instrument may be a useful tool for researchers to develop tailored weight management strategies. It also may be a valuable tool for clinicians to monitor survivors who are at risk of obesity and to facilitate referral. Our results also suggest that EE in this population should be further investigated as a potential target for intervention.",
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AU - Lyons, Elizabeth

AU - Cox, Matthew

AU - Chandra, Joya

AU - Ater, Joann L.

AU - Askins, Martha A.

AU - Scheurer, Michael E.

AU - Lupo, Philip J.

AU - Hill, Rachel

AU - Murray, Jeffrey

AU - Chan, Wenyaw

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