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Chinesization and reliability and validity testing of the Pregnancy Eating Attitudes Questionnaire
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Wen LYU1, 2, Xian WU2, Jiayi WENG1, Siyuan SUN1, Zhuo WANG1
Chinese Nursing Research | 2026, 40(17) : 3080 - 3085
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Chinese Nursing Research | 2026, 40(17): 3080-3085
• Scale Study •
Chinesization and reliability and validity testing of the Pregnancy Eating Attitudes Questionnaire
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Wen LYU1, 2, Xian WU2, Jiayi WENG1, Siyuan SUN1, Zhuo WANG1
Affiliations
  • 1School of Medicine and Health Engineering, Changzhou University, Jiangsu 213164 China
  • 2Changzhou Maternal and Child Health Hospital
Published: 2026-09-10 doi: 10.12102/j.issn.1009-6493.2026.17.018
Outline
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Objective

To translate the Pregnancy Eating Attitudes Questionnaire(PEA-Q) into Chinese and test its reliability and validity.

Methods

Following Brislin's translation model,the English version of PEA-Q was forward-translated,back-translated,cross-culturally adapted,and pilot-tested to develop the Chinese version of PEA-Q.From June to October 2025,1 032 pregnant women were recruited from one tertiary hospital and three community health centers in Changzhou.Classical test theory and item analysis were used to evaluate reliability,validity,measurement invariance,and item performance.

Results

The Chinese version of PEA-Q consisted of 11 items across three dimensions:permissive eating attitude,self-regulated eating attitude,and mildly restrained eating attitude.The scale-level content validity index was 1.000,and the item-level content validity index was 1.000.Exploratory factor analysis extracted three common factors,with a cumulative variance contribution rate of 78.075%.Confirmatory factor analysis indicated a good fit for the three-factor model.The overall Cronbach's α coefficient was 0.895.The questionnaire demonstrated measurement invariance across different gestational weeks and age groups.Item discrimination ranged from 1.59 to 2.80,and item difficulty ranged from -2.02 to 2.17.

Conclusion

The Chinese version of PEA-Q shows good reliability,validity,and cross-group measurement invariance.Its items exhibit strong measurement performance. It is a reliable tool for assessing eating attitudes during pregnancy.

pregnant women  /  eating attitude  /  assessment tool  /  measurement invariance  /  dietary management
吕雯, 吴贤, 翁佳怡, 孙思远, 王濯. 孕期饮食态度问卷的汉化及信效度检验. 护理研究, 2026 , 40 (17) : 3080 -3085 . DOI: 10.12102/j.issn.1009-6493.2026.17.018
Wen LYU, Xian WU, Jiayi WENG, Siyuan SUN, Zhuo WANG. Chinesization and reliability and validity testing of the Pregnancy Eating Attitudes Questionnaire[J]. Chinese Nursing Research, 2026 , 40 (17) : 3080 -3085 . DOI: 10.12102/j.issn.1009-6493.2026.17.018
Appendix
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Year 2026 volume 40 Issue 17
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Article Info
doi: 10.12102/j.issn.1009-6493.2026.17.018
  • Receive Date：2026-01-12
  • Online Date：2026-10-30
  • Published：2026-09-10
Article Data
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History
  • Received：2026-01-12
  • Revised：2026-07-13
Affiliations
    1School of Medicine and Health Engineering, Changzhou University, Jiangsu 213164 China
    2Changzhou Maternal and Child Health Hospital
References
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https://castjournals.cast.org.cn/joweb/hlyj/EN/10.12102/j.issn.1009-6493.2026.17.018
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光柄菇属 Pluteus 5 2.39
红菇属 Russula 17 8.13
栓菌属 Trametes 5 2.39
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