BACKGROUND AND PURPOSE: The Minimal Eating Observation Form - II (MEOF-II) is a screening and research tool for eating difficulties. We assess psychometric and metrological aspects of the Danish version of the tool.

METHODS: This study includes MEOF-II data from 302 acute geriatric patients. Analyses were based on Classical Test Theory and Rasch Model Analysis.

RESULTS: 51.3% of the patients had eating difficulties. The MEOFII items belonged to one higher order factor, and three lower level factors: deglutition; ingestion; and energy/appetite. The hierarchical structure of the items was revealed. The MEOF-II had a good fit with Rasch model expectations.

CONCLUSION: The study provides support for the reliability and validity of the Danish version of the MEOF-II. MEOF-II total and subscale scores are reliable and valid for use in nursing practice and research.