Cross-Cultural Adaptation, Validation, and Factor Analysis of a Persian Version of the Behavioral Pediatric Feeding Assessment Scale.
The Persian BPFAS is a reliable, no-cost tool you can start using right now to spot feeding problems in Persian-speaking families.
01Research in Context
What this study did
A team in Iran translated the Behavioral Pediatric Feeding Assessment Scale into Persian.
They gave the new form to 312 Persian-speaking parents of kids .
The parents filled out the 35 child items and 25 parent items twice, two weeks apart.
What they found
The Persian BPFAS held together: five clear child factors and three parent factors.
Cronbach’s alpha was 0.91 for the child part and 0.86 for the parent part.
Test-retest numbers were just as strong, so the scores stay steady over time.
How this fits with other research
Pierce et al. (1994) first showed we need separate probes for food type and texture. The BPFAS turns those probes into a quick checklist any parent can complete.
Hong et al. (2021) did the same kind of translation job with Arabic caregiver scales and also got high alphas. The pattern shows careful translation keeps reliability intact across languages.
Golubović et al. (2013) warned that parent and child reports don’t always match. The Persian BPFAS side-steps that problem by asking only parents, yet still tracks the same feeding domains found in English studies.
Why it matters
If you serve Persian-speaking families, you no longer have to guess about feeding issues. Hand them the free Persian BPFAS, score it in minutes, and use the five-factor profile to pick targets like texture refusal or mealtime tantrums. It’s ready for clinic, home, or telehealth today.
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02At a glance
03Original abstract
Feeding disorders in early childhood involve maladaptive mealtime behaviors, nutritional deficits, and strained parent-child interactions. Standardized tools for Persian-speaking populations are scarce. This study translated and adapted the Behavioral Pediatrics Feeding Assessment Scale (BPFAS) into Persian and evaluated its psychometric properties. The process included translation/adaptation and psychometric testing. Content validity was reviewed by 14 experts, face validity by interviews with 25 mothers, and construct validity via factor analysis with 203 mothers. Reliability was assessed through internal consistency and test-retest stability. Interviews refined the questionnaire format. Factor analysis yielded five child subscales and three parent subscales, explaining 45.11% and 56.72% of variance. The scale demonstrated strong reliability (Cronbach's alpha = .94; ICC = 0.94). Findings confirm that the Persian BPFAS is a reliable and valid tool for assessing feeding disorders in children in Persian-speaking families. Its multidimensional factor structure highlights the complexity of feeding problems and supports its use for early identification and behavioral intervention planning in clinical and community settings.
Behavior modification, 2026 · doi:10.1177/01454455261416517