Development and Evaluation of the Infant Feeding Education Questionnaire for the Expanded Food and Nutrition Education Program.
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OBJECTIVE: Develop and evaluate the Infant Feeding Education Questionnaire (IFEQ) to measure the impact of the Expanded Food and Nutrition Education Program (EFNEP) infant-feeding education on knowledge, attitudes, and behavioral intent. METHODS: Evaluation included content validity testing through expert reviews and cognitive interviews with low-income mothers (n=37); construct validity using the known-groups technique (n=679); convergent validity testing using the Infant Feeding Practices Study II questionnaire (n=66); and test-retest reliability (n=66). RESULTS: The IFEQ had strong construct validity for knowledge and attitudes; IFEQ scores were significantly higher for the high-knowledge/attitude group (29.6 3.08) than the low-knowledge/attitude group (14.5 5.81; P < .001). The IFEQ failed to show convergent validity. The percent agreement between baseline and retest questions was moderate to high, indicating reliability over time. CONCLUSIONS AND IMPLICATIONS: This study represents the first steps in the development of the IFEQ. There's a need to perform further testing to establish convergent validity and pilot-test the questions following EFNEP infant-feeding education.