Assessing food and nutrition literacy in children and adolescents: a systematic review of existing tools

Abstract Objective: Food literacy (FL) and nutrition literacy (NL) are concepts that can help individuals to navigate the current food environment. Building these skills and knowledge at a young age is important for skill retention, confidence in food practices and supporting lifelong healthy eating habits. The objectives of this systematic review were to: (i) identify existing tools that measure FL and NL among children and/or adolescents and (ii) describe the psychometric properties. Design: A 4-phase protocol was used to systematically retrieve articles. The search was performed in May 2021. Study characteristics and psychometric properties were extracted, and a narrative synthesis was used to summarise findings. Risk of bias was assessed using the COSMIN checklist. Setting: Six databases were searched to identify current tools. Participants: Children (2–12 years) and adolescents (13–18 years) participated in this study. Results: Twelve tools were identified. Three tools measured FL, 1 tool measured NL, 4 tools measured both FL and NL, and 4 tools measured subareas of NL—more specifically, critical NL, food label and menu board literacy. Most tools were self-reported, developed based on a theoretical framework and assessed some components of validity and/or reliability for a specific age and ethnic group. The majority of tools targeted older children and adolescents (9–18 years of age), and one tool targeted preschoolers (3–6 years of age). Conclusions: Most widely used definitions of FL and NL do not acknowledge life-stage specific criterion. Continued efforts are needed to develop a comprehensive definition and framework of FL and NL appropriate for children, which will help inform future assessment tools.

Download Full-text

School health assessment tools: a systematic review of measurement in primary schools

PeerJ ◽

10.7717/peerj.9459 ◽

2020 ◽

Vol 8 ◽

pp. e9459

Author(s):

Maryam Kazemitabar ◽

Ali Moghadamzadeh ◽

Mojtaba Habibi ◽

Rezvan Hakimzadeh ◽

Danilo Garcia

Keyword(s):

Systematic Review ◽

Psychometric Properties ◽

Primary Schools ◽

School Health ◽

Health Assessment ◽

Risk Of Bias ◽

Assessment Tools ◽

Measurement Properties ◽

Cosmin Checklist

Background This systematic review aimed to investigate the psychometric properties of the school health’s assessment tools in primary schools through COSMIN Risk of Bias checklist. We examined the studies that have addressed the measurement properties of school-health instruments to give a clear overview of the quality of all available tools measuring school health in primary schools. This systematic review was registered in PROPERO with the Registration ID: CRD42020158158. Method Databases of EBSCOhost, PubMed, ProQuest, Wily, PROSPERO, and OpenGrey were systematically searched without any time limitation to find all full-text English journal articles studied at least one of the COSMIN checklist measurement properties of a school-health assessment tool in primary schools. The instruments should be constructed based on a school health model. The eligible studies were assessed by COSMIN Risk of Bias checklist to report their quality of methodology for each measurement property and for the whole study by rating high, moderate or low quality. Results At the final screening just seven studies remained for review. Four studies were tool development, three of them were rated as “adequate” and the other study as “very good”; five studies examined the content validity, three of them were appraised as “very good”, and the two remaining as “inadequate”. All seven studies measured structural validity, three of them were evaluated as “very good”, three other were scored as “adequate”, and the last study as “inadequate”. All the seven studies investigated the internal consistency, five of them were assessed as “very good”, one was rated as “doubtful”, and the last one as “inadequate”. Just one study examined the cross-cultural validity and was rated as “adequate”. Finally, all seven studies measured reliability, two of them were rated as “very good” and the rest five studies were appraised as “doubtful”. All rating was based on COSMIN checklist criteria for quality of measurement properties assessment. Conclusion The number of studies addressing school health assessment tools was very low and therefore not sufficient. Hence, there is a serious need to investigate the psychometric properties of the available instruments measuring school health at primary schools. Moreover, the studies included in the present systematic review did not fulfill all the criteria of the COSMIN checklist for assessing measurement properties. We suggest that future studies consider these criteria for measuring psychometric properties and developing school health assessment tools.

Download Full-text

Handover of Critical Patients in Urgent Care and Emergency Settings: A Systematic Review of Validated Assessment Tools

Journal of Clinical Medicine ◽

10.3390/jcm10245736 ◽

2021 ◽

Vol 10 (24) ◽

pp. 5736

Author(s):

Ruth Tortosa-Alted ◽

Estrella Martínez-Segura ◽

Marta Berenguer-Poblet ◽

Sílvia Reverté-Villarroya

Keyword(s):

Systematic Review ◽

Psychometric Properties ◽

Emergency Care ◽

Assessment Tool ◽

Assessment Tools ◽

Urgent Care ◽

Healthcare Team ◽

Evaluation Tools ◽

Cosmin Checklist ◽

Critical Patients

The emergency handover of critical patients is used to describe the moment when responsibility for the care of a patient is transferred from one critical patient care healthcare team to another, requiring the accurate delivery of information. However, the literature provides few validated assessment tools for the transfer of critical patients in urgent care and emergency settings. To identify the available evaluation tools that assess the handover of critical patients in urgent and emergency care settings in addition to evaluations of their psychometric properties, a systematic review was carried out using PubMed, Scopus, Cinahl, Web of Science (WoS), and PsycINFO, in accordance with PRISMA guidelines. The quality of the studies was assessed using the COSMIN checklist. Finally, eight articles were identified, of which only three included validated tools for evaluating the handover of critical patients in emergency care. Content validity, construct validity, and internal consistency were the most studied psychometric properties. Three studies evaluated error and reliability, criterion validity, hypothesis testing, and sensitivity. None of them considered cross-cultural adaptation or the translation process. This systematic psychometric review shows the existing ambiguities in the handover of critically ill patients and the scarcity of validated evaluation tools. For all of these reasons, we consider it necessary to further investigate urgent care and emergency handover settings through the design and validation of an assessment tool.

Download Full-text

Assessment tools for the measurement of the self-efficacy of drug users: protocol for a systematic review

BMJ Open ◽

10.1136/bmjopen-2017-019019 ◽

2018 ◽

Vol 8 (3) ◽

pp. e019019

Author(s):

Selene Cordeiro Vasconcelos ◽

Iracema da Silva Frazão ◽

Everton Botelho Sougey ◽

Sandra Lopes de Souza ◽

Tatiana de Paula Santana da Silva ◽

...

Keyword(s):

Systematic Review ◽

Psychometric Properties ◽

Self Efficacy ◽

Drug Users ◽

Assessment Tool ◽

Meta Analysis ◽

The Self ◽

Assessment Tools ◽

Evaluation Approach ◽

Cosmin Checklist

IntroductionThe abuse of alcohol and other drugs is a worldwide problem, the treatment of which poses a challenge to healthcare workers.ObjectiveThis study presents a proposal for a systematic review to analyse the psychometric properties of assessment tools developed to measure the self-efficacy of drug users with regard to resisting the urge to take drugs in high-risk situations.Methods and AnalysisThe guiding question was based on PICOS (Population Intervention Comparator Outcome Setting), and the report of the methods of review protocol was written in accordance with the Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols (PRISMA-P). Searches will be performed in the PsycINFO, Cochrane, Pubmed, Web of Science, SCOPUS and CINAHL databases, followed by the use of the ‘snowball’ strategy. The inclusion criteria for the articles will be (1) assessment tool validation studies; (2) assessment tools developed to measure self-efficacy; (3) quantitative measures; (4) measures designed for use on adults; (5) data from self-reports of the participants; (6) studies involving a description of psychometric properties of the measures; and (7) studies that explain how the level of self-efficacy is scored. The search, selection and analysis will be performed by two independent reviewers. In cases of a divergence of opinion, a third reviewer will be consulted. The COSMIN checklist will be used for the appraisal of the methodological quality of the assessment tools and the certainty of the evidence in the articles (risk of bias) will be analysed using the GRADE (Grading of Recommendations Assessment, Development and Evaluation) approach.Ethics and disseminationThis protocol does not require ethical approval. However, this protocol is part of the thesis entitledDrug-Taking Confidence Questionnairefor use in Brazil, presented for obtaining a doctorate in neuropsychiatry and behavioural sciences from the Federal University of Pernambuco, and has received approval from the human research ethics committee of the Federal University of Pernambuco (reference number: 1.179.162).The results will be disseminated to clinicians and researchers through peer-reviewed publications and conferences.PROSPERO registration numberCRD42017068555.

Download Full-text

459 - Psychometric properties of the Geriatric Anxiety Inventory : A systematic review

International Psychogeriatrics ◽

10.1017/s1041610220003117 ◽

2020 ◽

Vol 32 (S1) ◽

pp. 180-180

Author(s):

Philippe Landreville ◽

Alexandra Champagne ◽

Patrick Gosselin

Keyword(s):

Systematic Review ◽

Psychometric Properties ◽

Internal Consistency ◽

Methodological Quality ◽

The Body ◽

Self Report ◽

Test Reliability ◽

Cosmin Checklist ◽

Validity Indices

Background.The Geriatric Anxiety Inventory (GAI) is a widely used self-report measure of anxiety symptoms in older adults. Much research has been conducted on the psychometric properties of the GAI in various populations and using different language versions. Previous reviews of this literature have examined only a small proportion of studies in light of the body of research currently available and have not evaluated the methodological quality of this research. We conducted a systematic review of the psychometric properties of the GAI.Method.Relevant studies (N = 30) were retrieved through a search of electronic databases (Pubmed, PsycINFO, CINAHL, EMBASE and Google Scholar) and a hand search. The methodological quality of the included studies was assessed by two independent reviewers using the ‘‘COnsensusbased Standards for the selection of health status Measurement INstruments’’ (COSMIN) checklist.Results.Based on the COSMIN checklist, internal consistency and test reliability were mostly rated as poorly assessed (62.1% and 70% of studies, respectively) and quality of studies examining structural validity was mostly fair (60% of studies). The GAI showed adequate internal consistency and test-retest reliability. Convergent validity indices were highest with measures of generalized anxiety and lowest with instruments that include somatic symptoms. A substantial overlap with measures of depression was reported. While there was no consensus on the factorial structure of the GAI, several studies found it to be unidimensional.Conclusions.The GAI presents satisfactory psychometric properties. However, future efforts should aim to achieve a higher degree of methodological quality.

Download Full-text

Measuring energy, macro and micronutrient intake in UK children and adolescents: a comparison of validated dietary assessment tools

BMC Nutrition ◽

10.1186/s40795-019-0312-9 ◽

2019 ◽

Vol 5 (1) ◽

Cited By ~ 1

Author(s):

Linda A. Bush ◽

Jayne Hutchinson ◽

Jozef Hooson ◽

Marisol Warthon-Medina ◽

Neil Hancock ◽

...

Keyword(s):

Systematic Review ◽

Children And Adolescents ◽

Validation Studies ◽

Dietary Assessment ◽

Assessment Tools ◽

Food Diary ◽

Doubly Labelled Water ◽

Validation Data ◽

Review Of Reviews ◽

The Uk

Abstract Background Measuring dietary intake in children and adolescents can be challenging due to misreporting, difficulties in establishing portion size and reliance on recording dietary data via proxy reporters. The aim of this review was to present results from a recent systematic review of reviews reporting and comparing validated dietary assessment tools used in younger populations in the UK. Methods Validation data for dietary assessment tools used in younger populations (≤18 years) were extracted and summarised using results from a systematic review of reviews of validated dietary assessment tools. Mean differences and Bland-Altman limits of agreement (LOA) between the test and reference tool were extracted or calculated and compared for energy, macronutrients and micronutrients. Results Seventeen studies which reported validation of 14 dietary assessment tools (DATs) were identified with relevant nutrition information. The most commonly validated nutrients were energy, carbohydrate, protein, fat, calcium, iron, folate and vitamin C. There were no validated DATs reporting assessment of zinc, iodine or selenium intake. The most frequently used reference method was the weighed food diary, followed by doubly labelled water and 24 h recall. Summary plots were created to facilitate comparison between tools. On average, the test tools reported higher mean intakes than the reference methods with some studies consistently reporting wide LOA. Out of the 14 DATs, absolute values for LOA and mean difference were obtained for 11 DATs for EI. From the 24 validation results assessing EI, 16 (67%) reported higher mean intakes than the reference. Of the seven (29%) validation studies using doubly labelled water (DLW) as the reference, results for the test DATs were not substantially better or worse than those using other reference measures. Further information on the studies from this review is available on the www.nutritools.org website. Conclusions Validated dietary assessment tools for use with children and adolescents in the UK have been identified and compared. Whilst tools are generally validated for macronutrient intakes, micronutrients are poorly evaluated. Validation studies that include estimates of zinc, selenium, dietary fibre, sugars and sodium are needed.

Download Full-text

Psychometric properties and feasibility of use of dementia specific quality of life instruments for use in care settings: a systematic review

International Psychogeriatrics ◽

10.1017/s1041610218002259 ◽

2019 ◽

pp. 1-15 ◽

Cited By ~ 4

Author(s):

Laura J. Hughes ◽

Nicolas Farina ◽

Thomas E. Page ◽

Naji Tabet ◽

Sube Banerjee

Keyword(s):

Quality Of Life ◽

Systematic Review ◽

Psychometric Properties ◽

Care Home ◽

Care Homes ◽

Cosmin Checklist ◽

Many Instruments ◽

The Uk ◽

Quality Instruments

ABSTRACTBackground:Over 400,000 people live in care home settings in the UK. One way of understanding and improving the quality of care provided is by measuring and understanding the quality of life (QoL) of those living in care homes. This review aimed to identify and examine the psychometric properties including feasibility of use of dementia-specific QoL measures developed or validated for use in care settings.Design:Systematic review.Methods:Instruments were identified using four electronic databases (PubMed, PsycINFO, Web of Science, and CINAHL) and lateral search techniques. Searches were conducted in January 2017. Studies which reported on the development and/or validation of dementia specific QoL instruments for use in care settings written in English were eligible for inclusion. The methodological quality of the studies was assessed using the COSMIN checklist. Feasibility was assessed using a checklist developed specifically for the review.Results:Six hundred and sixteen articles were identified in the initial search. After de-duplication, screening and further lateral searches were performed, 25 studies reporting on 9 dementia-specific QoL instruments for use in care home settings were included in the review. Limited evidence was available on the psychometric properties of many instruments identified. Higher-quality instruments were not easily accessible or had low feasibility of use.Conclusions:Few high-quality instruments of QoL validated for use in care home settings are readily or freely available. This review highlights the need to develop a well-validated measure of QoL for use within care homes that is also feasible and accessible.

Download Full-text

Prevalence of overweight and obesity in Brazilian children and adolescents: a systematic review

Brazilian Journal of Kinanthropometry and Human Performance ◽

10.1590/1980-0037.2021v23e80352 ◽

2021 ◽

Vol 23 ◽

Author(s):

Andreia Pelegrini ◽

Mateus Augusto Bim ◽

Fernanda Ulsula de Souza ◽

Karoline Sisnandes da Silva Kilim ◽

André de Araújo Pinto

Keyword(s):

Systematic Review ◽

Children And Adolescents ◽

Skin Color ◽

Healthy Lifestyle ◽

Eating Habits ◽

Overweight And Obesity ◽

Alcoholic Beverages ◽

World Health ◽

Factors Associated ◽

Brazilian Children

abstract It is important to know about overweight and obesity situation of Brazilian children and adolescents. The present study aims to update scientific production, through a systematic review, on the prevalence and factors associated with overweight and obesity in Brazilian children and adolescents. Nine databases were verified, and 1,316 references were examined from 2018 to 2019. The electronic search was conducted by three independent researchers. All review steps followed a strategy based on PRISMA. 40 studies were included in this systematic review. Most studies use the World Health Organization classification criteria. The prevalence of overweight in Brazilian children and adolescents varies from 8.8% to 22.2% (boys: 6.2% to 21%; girls: 6.9% to 27.6%). The prevalence of obesity varied from 3.8% to 24% (boys: 2.4% to 28.9%; girls: 1.6% to 19.4%). It was observed that the socioeconomic factors (sex, skin color, economic level, region, mother's educational level, living in a rented house and without access to the internet), hereditary/genetic (family history of dyslipidemia and overweight and rs9939609 genotype) and behavioral (physical activity, screen time, eating habits, perceived body weight, health vulnerability, presence of a result close to home, alcoholic beverages, cigarette consumption) were associated with the outcome. It is concluded that the prevalence of overweight and obesity among Brazilian children and adolescents are worrisome and most of the factors associated with the outcomes are subject to change from the adoption of a healthy lifestyle.

Download Full-text

Health state utility values among children and adolescents with disabilities: protocol for a systematic review

BMJ Open ◽

10.1136/bmjopen-2017-019978 ◽

2018 ◽

Vol 8 (2) ◽

pp. e019978

Author(s):

Lucy Kanya ◽

Nana Anokye ◽

Jennifer M Ryan

Keyword(s):

Systematic Review ◽

Psychometric Properties ◽

Children And Adolescents ◽

English Language ◽

Health State Utility ◽

Health State ◽

Summary Statistics ◽

Quality Of Reporting ◽

Utility Values ◽

Health State Utility Values

IntroductionIncreasingly, assessment of healthcare technologies and interventions requires the assessment of both costs and utilities. Health state utility values (HSUVs) are measured using a range of generic and condition-specific measures. While reviews have identified that generic measures of HSUVs may lack validity in adults with conditions that result in physical disability, there is little information available on the methods used to obtain HSUVs in children and adolescents with disabilities. The objectives of this systematic review are to describe the methods used to obtain HSUVs, including mode of administration and psychometric properties, and provide summary statistics for HSUVs among children and adolescents with disabilities.Methods and analysisThe following databases will be searched from inception for English-language studies of any design: PubMed, PsychInfo, Medline, Scopus, CINAHL Plus, Econlit and EMBASE databases. Two reviewers will independently screen titles, abstracts and full text articles for studies reporting HSUVs and/or data on the psychometric properties of preference-based measures for children and adolescents with disabilities aged up to 19 years. Two reviewers will independently extract data items including descriptors of the study methods and sample, instruments used to capture HSUVs, summary statistics for HSUVs and items relating to the quality of reporting. A descriptive summary of results from included studies and summary statistics for HSUVs will be presented. If sufficient data is identified, we will pool summary statistics for HSUVs according to the method used to obtain the HSUV using a random effects model. In addition, we will explore the determinants of the HSUVs using a meta-regression.Ethics and disseminationEthical approval will not be required as no original data will be collected as part of this review. The completed review will be submitted for publication in a peer-reviewed journal and presentation at conferences.PROSPERO registration numberCRD42018086574.

Download Full-text

Systematic review of the tools of oral and dental health literacy: Assessment of conceptual dimensions and psychometric properties

10.21203/rs.3.rs-15964/v1 ◽

2020 ◽

Author(s):

Mohtasham Ghaffari ◽

Sakineh Rakhshanderou ◽

Ali Ramezankhani ◽

Yadollah Mehrabi ◽

Ali Safari-Moradabadi

Keyword(s):

Systematic Review ◽

Health Literacy ◽

Psychometric Properties ◽

Dental Health ◽

Qualitative Assessment ◽

One Dimension ◽

Literacy Assessment ◽

General Evaluation ◽

Cosmin Checklist ◽

Literacy Methods

Abstract Background This article aims to provide a description of conceptual dimensions and psychometric properties of the tools of oral and dental health literacy. Methods Two authors in this study conducted electronic searches in the Medline (via PubMed), and Embase databases to find relevant articles from 1990 to present day. Evaluation of the tools was carried out in two parts; general evaluation of the tools using skills introduced by Sørensen et al., and qualitative assessment of psychometric properties using COSMIN checklist. Results After reviewing 1839 articles on oral and dental health literacy and evaluating 33 full text articles for eligibility, 21 articles entered the study. The sample size varied from 20 to 1405 subjects and the items of each tool ranged from 11 to 99 items. Of the 21 tools examined, 16 tools were evaluated for word recognition. For the studies examined, the evaluation of COSMIN scores was often fair or good. Of the 21 tools examined, 9 tools at least in one dimension were in the category of "poor", 19 tools were in the category of "fair", 20 tools were in the category of "good", and 4 tools were in the category of "excellent" in at least one dimension. Conclusion The findings of this study showed that some aspects of oral and dental health literacy are being ignored in the existing tools. Therefore, the authors of present study emphasize on the necessity to design and develop a comprehensive tool and take into account two characteristics of simplicity and briefness for international use.

Download Full-text

Quality of primary care from the patient’s point of view. A systematic review. There is currently no acceptable tool for practice or research purposes.

10.21203/rs.2.14226/v1 ◽

2019 ◽

Author(s):

Jeremy Derriennic ◽

Patrice Nabbe ◽

Marie Barais ◽

Sophie Lalande ◽

Delphine Le Goff ◽

...

Keyword(s):

Systematic Review ◽

Primary Care ◽

Evidence Synthesis ◽

Assessment Tools ◽

Level Of Evidence ◽

Measurement Quality ◽

Cosmin Checklist ◽

Best Evidence Synthesis ◽

Psychometric Quality

Abstract Background To run an inventory of instruments which assess quality of care from the patients’ experiences in primary care, in the context of multi-disciplinary health-care centres and which appraise their measurement quality, taking into account the methodological quality of their validation studies. Method Systematic review using Medline, Pascal, PsycINFO, Google Scholar, Cochrane, Scopus and CAIRN. For each instrument identified, the level of evidence was assessed using the COnsensus-based Standards for the selection of health status Measurement Instruments (COSMIN) checklist; the appraisal of the psychometric quality of the measurement property using three possible quality scores and the best-evidence synthesis based on the number of studies, their methodological and psychometric quality, and the direction and consistency of the results. Details of the subscales used to capture patients’ experiences of primary care were extracted and synthesized by grouping them into 9 dimensions defined by the Institute Of Medicine (IOM). Results 29 articles describing 29 instruments were found. Constructs captured by the assessment tools included illustrated a diversity of conceptualizations of patients’ experiences of primary care. There was no clear consensus across the assessment tools included about what patient experience in primary care ought to measure. There is an overall lack of evidence of their measurement quality, either because validation is missing or because methods are poor. Conclusion Due to the lack of evidence, the choice for the most appropriate instrument is difficult. Improvement and validation of existing instruments, and the use of COSMIN-guidelines could help make evaluations more effective.

Download Full-text