title: The Minimal Eating Observation Form-II (MEOF-II): cross-cultural validation of the Chinese version for people with stroke.
abstract: OBJECTIVE
  Eating difficulties are common among patients affected by stroke. A valid, reliable instrument for assessing eating difficulties in people with stroke is needed. The aim of this study was to translate the Minimal Eating Observation Form - version II (MEOF-II) for patients with stroke into Chinese and to comprehensively evaluate its reliability and validity.
  
  
  METHODS
  The scale of the original MEOF-II form was translated into Chinese using the cross-culture translation method, and 125 participants with stroke were assessed. Data were analysed by content validity index, Cronbach's alpha, correlations and exploratory factor analysis (EFA).
  
  
  RESULTS
  Reliability and validity were demonstrated for the scale. A three-factor structure was illustrated by EFA, and construct validity was demonstrated by good convergent and discriminant validity.
  
  
  CONCLUSIONS
  The Chinese version (Ch-MEOF-II) shows good reliability and validity in this study and can be applicable to assess eating difficulties in people with stroke; The Ch-MEOF-II allows the early recognition of eating difficulties and thus provides guidance of proper clinical interventions. For future study, a confirmatory factor analysis may need to confirm the three-factor structure identified in this study. Furthermore, a cross-cultural comparison can be conducted with the availability of the three different validated language versions of the MEOF-II form.
authors.affiliation: Department of Nursing, Huashan Hospital Affiliated to Fudan University, Shanghai, China.|Suzhou Health College, Suzhou, China.
authors.forename: Ting
authors.initials: T
authors.lastname: Wang
authors.affiliation: Department of Nursing, Huashan Hospital Affiliated to Fudan University, Shanghai, China.
authors.forename: Hong
authors.initials: H
authors.lastname: Jiang
authors.affiliation: The PRO-CARE group, School of Health and Society, Kristianstad University, Kristianstad, Sweden.
authors.forename: Albert
authors.initials: A
authors.lastname: Westergren
authors.affiliation: School of Nursing, Fudan University, Shanghai, China.
authors.forename: Junqiao
authors.initials: J
authors.lastname: Wang
authors.affiliation: Department of Neurology, Huashan Hospital Affiliated to Fudan University, Shanghai, China.
authors.forename: Liang
authors.initials: L
authors.lastname: Wang
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002681:China; D003431:Cross-Cultural Comparison; D005163:Factor Analysis, Statistical; D001068:Feeding and Eating Disorders / Q000175:diagnosis* / Q000209:etiology*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011594:Psychometrics; D015203:Reproducibility of Results; D020521:Stroke / Q000150:complications*; D011795:Surveys and Questionnaires; D014177:Translations
keywords: MEOF-II; eating; psychometrics; stroke