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. 2012 Sep;130(3):e507–e517. doi: 10.1542/peds.2011-3027

TABLE 2.

Survey Instruments at Baseline and 12 Months

Sample Items Baseline Survey 12-mo Survey
Maternal BMI (self-report) O O
Health & other demographics O O
Nutritional intake (Behavioral Risk Factor Surveillance System): 5 items Not counting carrots, potatoes, or salad, how many servings of vegetables do you usually eat? (For example, a serving of vegetables at both lunch and dinner would be TWO SERVINGS.) O (Cronbach α = 0.39) O (Cronbach α = 0.44)
Eating behavior patterns questionnaire (EBPQ): 14 items, 9 from EBPQ How often do you eat breakfast? O (Cronbach α = 0.68) O (Cronbach α = 0.73)
Where do you usually eat your main meal of the day?
How often do you skip meals?
Center for Epidemiologic Study-Short Depression Scale: 10 items I was bothered by things that don’t usually bother me? I was depressed. O (Cronbach α = 0.69) x
Positive & Negative Affect Schedule: 20 items During the past week to what extent have you felt scared? x O (Cronbach α = 0.86 NA)
Attentive? 1–5 very slightly to very much (Cronbach α = 0.88 PA)
US Department of Agriculture Food Security/hunger scale: 1 item In the past 12 mo, did you or other adults in the household ever cut the size of your meals or skip meals because there wasn’t enough money for food? O O
Health numeracy: 2 items A label on your prescription bottle reads – “Take 1 tablet by mouth every 6 hours as needed.” If you take the first tablet at 7:00 am, when should you take the next one? O x
Eating habits How many meals do you eat in a day? O 9 items O 7 items
How often do you eat food together with your family?
Meal planning: 14 items I am able to plan meals for my family. O (Cronbach α = 0.70) x
I take a grocery list to the store when I shop.
I never know what I am going to eat for my next meal.
5-point Likert scale
Child height and weight O O
Child feeding questionnaire: 8 items, 4 of Pressure to Eat When your child is at home, how often are you responsible for feeding him/her? x O (Cronbach α = 0.70)
I have to be careful not to feed my child too much.
4-point Likert scale
Infant nutrition How often does your child eat grains (Cheerios, oatmeal, bread, pancakes)? O 17 items–all 6 items-only for exclusive breastfeeding O 36 items
How often does your child eat vegetables (green beans, sweet potatoes)?

O, survey instrument included; x, survey instrument not included.