The Translation and Cultural Adaptation of the Pediatric Eating Assessment Tool in Puerto Rican Spanish: A Comparison between Dyads in Puerto Rico and Mainland United States during the COVID-19 Pandemic.

Currently there are no validated pediatric feeding assessment tools available in Puerto Rican (PR) Spanish. This study aimed to (1) translate and culturally adapt the Pediatric Eating Assessment Tool (PediEAT) for use with PR Spanish speakers, (2) test the internal consistency of the adapted version, and (3) administer the translated and adapted PediEAT to a PR cohort and compare those results with age-matched toddlers in the mainland United States (US). We hypothesized that we would be able to effectively translate PediEAT into PR Spanish with high internal consistency and that infants in the PR cohort would have more parent-reported problematic feeding behaviors compared to the mainland US sample. The translated and culturally adapted PR Spanish PediEAT version was administered to 15 caregiver-toddler dyads in PR and the test demonstrated high internal consistency (α = 0.869). The mainland US cohort reported significantly higher PediEAT ratings of feeding difficulty than the PR cohort in the Selective/Restrictive Eating subscale (p = 0.031). This outcome may be attributed to cultural factors that are different in the PR community compared to the mainland. Future research is needed to explore these differences in more detail with a larger sample size.

• Publication year

  2025

• Venue

  Hispanic Health Care International

• Publication date

  2025-09-11

• Fields of study

  Medicine

• Identifiers
  DOI 10.1177/15404153251365932PMID 40934148PMCID PMC12798888
• External record

  Open on Semantic Scholar

• Source metadata

  Semantic Scholar, PubMed

• No claims are published for this paper.

• No concepts are published for this paper.

• An examination of the association between infant non-nutritive suck and developmental outcomes at 12 months

  2024cited by this paper
• Laryngeal Penetration and Risk of Aspiration Pneumonia in Children with Dysphagia—A Systematic Review

  2023cited by this paper
• Maternal mood, body image, and eating habits predict changes in feeding practices during the COVID-19 pandemic

  2023cited by this paper
• Associations between parenting stress, parent feeding practices, and perceptions of child eating behaviors during the COVID-19 pandemic

  2022cited by this paper
• Financial impacts and community resources utilization of children with feeding difficulties

  2022cited by this paper
• Medicare Advantage Financing and Quality in Puerto Rico vs the 50 US States and Washington, DC

  2022cited by this paper
• Examining Health Conditions, Impairments, and Quality of Life for Pediatric Feeding Disorders

  2022cited by this paper
• Dysfunctional Eating Behaviors and Dietary Intake in Puerto Rico

  2021cited by this paper
• Psychological Risks to Mother-Infant Bonding during the COVID-19 Pandemic

  2021cited by this paper
• Health Disparities Research Framework Adaptation to Reflect Puerto Rico’s Socio-Cultural Context

  2020cited by this paper
• COVID-19 pandemic and mental health consequences: Systematic review of the current evidence

  2020cited by this paper
• The potential impact of the COVID-19 pandemic on child growth and development: a systematic review

  2020cited by this paper
• Initial Challenges of Caregiving During COVID-19: Caregiver Burden, Mental Health, and the Parent–Child Relationship

  2020cited by this paper
• Pediatric Feeding Disorder: A Nationwide Prevalence Study.

  2020cited by this paper
• Cohort profile: Center for Research on Early Childhood Exposure and Development in Puerto Rico

  2020cited by this paper
• International prospective observational cohort study of Zika in infants and pregnancy (ZIP study): study protocol

  2019cited by this paper
• Dietary Intake and Its Determinants Among Adults Living in the Metropolitan Area of Puerto Rico

  2019cited by this paper
• Amount, Preparation and Type of Formula Consumed and Its Association with Weight Gain in Infants Participating in the WIC Program in Hawaii and Puerto Rico

  2019cited by this paper
• A Review on Sample Size Determination for Cronbach’s Alpha Test: A Simple Guide for Researchers

  2018cited by this paper
• Strategies for overcoming language barriers in healthcare.

  2018cited by this paper
• Age-based norm-reference values for the Pediatric Eating Assessment Tool

  2018cited by this paper
• Hurricane Maria and Puerto Rico: A Physician Looks Back at the Storm.

  2018cited by this paper
• Parent‐report instruments for assessing feeding difficulties in children with neurological impairments: a systematic review

  2018cited by this paper
• Pediatric Feeding Disorder

  2018cited by this paper
• Challenges of Infant and Child Feeding in Emergencies: The Puerto Rico Experience

  2018cited by this paper
• Sucking behaviour in infants born preterm and developmental outcomes at primary school age

  2017cited by this paper
• The Pediatric Eating Assessment Tool: Factor Structure and Psychometric Properties

  2017cited by this paper
• Characteristics of Dysphagia in Infants with Microcephaly Caused by Congenital Zika Virus Infection, Brazil, 2015

  2017cited by this paper
• Possible Association Between Zika Virus Infection and Microcephaly - Brazil, 2015.

  2016cited by this paper
• Disparities in Health Care in Puerto Rico Compared With the United States.

  2016cited by this paper
• Systematic Review: Non-Instrumental Swallowing and Feeding Assessments in Pediatrics

  2016cited by this paper
• Breastfeeding practices, timing of introduction of complementary beverages and foods and weight status in infants and toddlers participants of a WIC clinic in Puerto Rico

  2016cited by this paper
• Development and content validation of the Pediatric Eating Assessment Tool (Pedi-EAT).

  2014cited by this paper
• Maternal attitudes and behaviors regarding feeding practices in elementary school-aged Latino children: a pilot qualitative study on the impact of the cultural role of mothers in the US-Mexican border region of San Diego, California.

  2014cited by this paper
• Factors contributing to infant overfeeding with Hispanic mothers.

  2014cited by this paper
• Association between feeding difficulties and language delay in preterm infants using Bayley Scales of Infant Development-Third Edition.

  2013cited by this paper
• Making sense of Cronbach's alpha

  2011cited by this paper
• Validation and reproducibility of a semi-quantitative food frequency questionnaire for use in Puerto Rican children.

  2011cited by this paper
• Translation, adaptation and validation of instruments or scales for use in cross-cultural health care research: a clear and user-friendly guideline.

  2011cited by this paper
• Feeding Infants and Toddlers Study: the types of foods fed to Hispanic infants and toddlers.

  2006cited by this paper
• American English loanwords in Puerto Rican Spanish

  2004cited by this paper
• Culturally relevant nutrition education improves dietary quality among WIC-eligible Vietnamese immigrants.

  2002cited by this paper
• Infant Feeding Practices in Complex Emergencies: A Case Study Approach

  2001cited by this paper
• Cultural Identity and Bilingualism the Puerto Rican Reality

  1998cited by this paper

• No citing papers are available for this paper.