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Methods An appraisal framework, based on relevant items from existing tools (i.e. COSMIN, FDA, EMPRO, SAC) was developed. Initial testing was conducted as part of a systematic review, in which data were extracted from 100 papers describing parental feeding practices measures (HomeSTEAD). Next, the framework was expanded to include a scoring system for items related to conceptual framework, reliability, validity and responsiveness testing. The expanded framework was then used in a systematic review of 353 papers describing outcome measures used in childhood obesity treatment evaluations (CoOR).

A framework for the development and appraisal of diet and eating behaviour outcome measures