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MyChoice: An Application of the Three-Factor Eating Questionnaire (TFEQ-R18v2) Among Adolescent and Young Adult Survivors of Central Nervous System (CNS) Tumors

15 Years
39 Years
Open (Enrolling)
Central Nervous System Neoplasms

Thank you

Trial Information

MyChoice: An Application of the Three-Factor Eating Questionnaire (TFEQ-R18v2) Among Adolescent and Young Adult Survivors of Central Nervous System (CNS) Tumors

A one-time assessment will be conducted for all participants through the Assessment Center
website. No treatment or intervention will be provided. Two websites will be set up (Site
A and Site B). The only difference between the two sites is the order that the questions
will appear. The actual questions will remain the same. Only the adolescent and young
adult (AYA) survivors of CNS tumors eligible after screening will be invited to respond to
the survey. Following the final screening, the eligible participants will be randomized to
Site A or Site B.

Each participant will complete the web-based questionnaire that has a total of 53 questions.
For site A, the order of the questions will be TFEQ-R18v2, multifactor screener, and
EQ-EMA. For site B, the order of the questions will be EQ-EMA, multifactor screener, and
TFEQ-R18v2. The 53 questions came from the original TFEQ-R18v2, the multifactor screener
used in the National Cancer Institute's Observing Protein and Energy Nutrition Study, and
the adapted TFEQ-R18v2 for use via EMA methodology.

Multifactor screener is a short assessment tool used to evaluate dietary intake of fruits,
vegetables, percentage of energy from fat, and fiber.

Eating Questionnaire-EMA (EQ-EMA) was adapted based on the original TFEQ-R18v2 for use via
EMA methodology. The changes made were related to a change in verbiage to reflect our goal
of assessing a participant's current behavior before and after an eating episode.

Inclusion Criteria:

1. Adolescent or Young Adult (AYA), 15 to 39 years old who has survived a primary CNS

2. Has been off therapy without relapse for at least 6 months

3. Able to speak, write, and read in English

4. Has access to the internet

5. Has telephone access

6. Currently lives in the United States

Exclusion Criteria:

1. Is in foster care

2. Is experiencing severe cognitive impairments that do not allow them to engage in
basic conversations [We are excluding individuals who may experience severe cognitive
impairments because participants will need to provide assent (if <18 years old) or
consent (if >=18 years old) and will need to have the ability to independently
complete the TFEQ-R18v2, Multifactor screener, and EQ-EMA. Through the phone
screening conducted by the MDACC graduate research assistant (GRA), a person is
determined to not be severely cognitive impaired if the participant is able to
respond to basic questions such as their age, whether or not they have internet
access, and telephone.]

3. Is incarcerated at the time of enrollment

Type of Study:


Study Design:

Observational Model: Case-Only, Time Perspective: Prospective

Outcome Measure:

Factor Structure Comparisons of Eating Questionnaires

Outcome Description:

Structural equation modeling (SEM) methodology (i.e. confirmatory factor analysis) used to examine extent to which individual items comprising both the original Three Factor Eating Questionnaire-R18v2 (TFEQ-R18v2) and the adapted Eating Questionnaire-Ecological Momentary Assessment (EQ-EMA) loaded on their respective factors cognitive restraint and uncontrollable eating (CR and UE) and will examine the correlations between them. Analyses conducted using Mplus (version 6.12).

Outcome Time Frame:

1 day

Safety Issue:


Principal Investigator

Karen Basen-Engquist, PHD, BA, MPH

Investigator Role:

Principal Investigator

Investigator Affiliation:

M.D. Anderson Cancer Center


United States: Institutional Review Board

Study ID:




Start Date:

May 2013

Completion Date:

Related Keywords:

  • Central Nervous System Neoplasms
  • Central Nervous System
  • CNS
  • CNS tumor
  • Adolescent or Young Adult
  • AYA
  • Survivors
  • Eating Questionnaire-Ecological Momentary Assessment
  • EQ-EMA
  • Cognitive restraint
  • CR
  • Uncontrollable eating
  • UE
  • Three Factor Eating Questionnaire-R18v2
  • TFEQ-R18v2
  • Web-based questionnaire
  • Multifactor Screener
  • Neoplasms
  • Nervous System Neoplasms
  • Central Nervous System Neoplasms



University of Texas MD Anderson Cancer Center Houston, Texas  77030
Texas Children's Hospital Houston, Texas