Cross-Cultural Adaptation and Validation of the Greek Cypriot Montreal Children’s Hospital Feeding Scale
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Bibliographic record
Abstract
INTRODUCTION: Assessing pediatric feeding disorders (PFD) is essential for a child's development to prevent severe consequences. The assessment procedures for PFD may include parents' questionnaires such as the Montreal Children's Hospital Feeding Scale (MCH-FS). The aim of this study was the cross-cultural adaptation of the MCH-FS to the Greek language. METHODS: One hundred parents of Greek Cypriot children with PFD (clinical group) and 100 parents of healthy Greek Cypriot children (control group) aged 6 months to 16 years old participated in the study and completed the MCH-FS. World Health Organization (WHO) guidelines were implemented for translation and cultural adaptation. RESULTS: The internal consistency was excellent, α = 0.85 (ICC: 0.817-0.891). Content validity was significant (S-CVI = 1) with an agreement equal to 14. A strong and significant correlation of MCH-FS was computed according to principal component analysis (14 items ranging between -0.6 and 0.7). The Kaiser-Meyer-Olkin factor analysis was equal to 0.91 with substantial correlations (Bartlett's test = 0.001, 654,804). The MCH-FS cut-off point between the two groups was 38.00 (AUC: 0.901 [95% CI: 0.859-0.942], p < 0.001; sensitivity = 0.800 and 1-specificity = 0.630). A statistically significant difference between the two groups was observed for the MCH-FS total score, with the clinical group scoring higher (U = 992.00, p < 0.001). Likewise, the same differences were observed among children with different PFD, H (3) = 96.715, p < 0.001. CONCLUSION: The MCH-FS had good psychometric properties in its current form in Greek. It is suggested that the MCH-FS can be used as a valid tool for children with PFD in the Greek Cypriot population.
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Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it