scholarly journals Validity of a Food Literacy Assessment Tool in Food Pantry Clients (P04-060-19)

2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Kathryn Hitchcock ◽  
Debra Krummel ◽  
Seung-Yeon Lee

Abstract Objectives The objective of this study was to develop an instrument to assess food literacy and to test its face validity with food pantry clients. Methods The Food Literacy Assessment Tool (FLAT), which targets food insecure populations, was developed using the framework of Vidgen's food literacy after intensive literature review. FLAT assesses knowledge, self-efficacy, and practices of the four components of food literacy: planning, managing & selecting, preparing, and eating. A total of 64 items were included, with four subscales based on common attributes. Nine items measure food consumption behavior, 16 measure knowledge related to food literacy, 18 measure behavior of the four components of food literacy, and 21 measure self-efficacy of those practices of food literacy. The face validity of FLAT was tested by conducting cognitive interviews with 10 food pantry clients from an urban food pantry. Semi-structured, open-ended questions were used for the cognitive interviews and probing questions were based on common sources of errors: lack of clarity of instructions and wording of items, inappropriate assumptions or bias on the target populations, and inadequate response options. Results The majority of participants were female (n = 7), with some high school education (n = 6), and a household income less than $10,000/year (n = 7). Major sources of errors included unclear diction, inappropriate response options, and assumptions about the target population. For self-efficacy questions, participants mentioned the wording “I am confident that I can” was more appropriate than “I can” because they answered the item with “I can” based on what they actually did rather than based on their confidence level. For questions on reading Nutrition Facts labels and unit price, some participants suggested to add a “Don't know” response option because they did not know how to read them. Assumption errors were identified in questions on knowledge, preparation/cooking, consumption, and self-efficacy related to dairy products and meat because not all participants consumed meat and/or dairy products. Conclusions The findings of the cognitive interviews provided feedback which improved face validity of FLAT by increasing the clarity of items and reducing inappropriate assumptions and bias. Funding Sources The Center for Clinical and Translational Science and Training, Community Health Grant.

Author(s):  
Hyeona So ◽  
Dahyun Park ◽  
Mi-Kyung Choi ◽  
Young-Sun Kim ◽  
Min-Jeong Shin ◽  
...  

Food literacy refers to the knowledge, skills, and attitudes required for individuals to choose foods that promote health. As the rate of diet-related diseases increases, food literacy is becoming more important. However, there are no tools available to evaluate food literacy among the Korean elderly. We derived 547 questions from a literature review and, after three rounds of Delphi surveys, selected 33 preliminary questions. We calculated the content validity ratio of the questions and applied a face validity procedure. We then selected 32 questions, assessed their validity, and distributed them as a questionnaire to 205 elderly people. We then conducted exploratory factor analysis (EFA) to determine the validity of the questionnaire and used an internal consistency index (Cronbach’s α coefficient) to determine reliability. Based on the factor analysis, 13 questions were selected, distributed among three factors, and evaluated using the Kaiser–Meyer–Olkin (KMO) and Bartlett sphericity tests. The factor analysis showed that KMO was 0.872, which is a highly acceptable score, and the Bartlett sphericity test was χ2 = 1,374.69 at p = 0.00. The food literacy questionnaire developed in this study will likely be helpful for improving the healthcare of elderly people.


2021 ◽  
Vol 5 (Supplement_2) ◽  
pp. 876-876
Author(s):  
Austin Katona ◽  
Caroline Riewe ◽  
Angela Bruzina ◽  
Francoise Knox-Kazimierczuk ◽  
Abigail Peairs

Abstract Objectives Food literacy, the interrelated knowledge, skills, and behaviors needed to successfully navigate a complex food-choice environment, has yet to be formally explored in athletes. However, it is important for this population to understand and apply specialized food-related recommendations to optimize health and performance outcomes. The goal of this study was to develop and test the validity of the Sports Food Literacy Assessment Tool (SFLAT) to evaluate food literacy concepts relevant to National Collegiate Athletic Association (NCAA) athletes. Methods The SFLAT was developed based on current food literacy definitions, items from validated food literacy and sports nutrition knowledge assessment tools, and current sports nutrition recommendations. Content validity was assessed using a 2-round modified Delphi expert panel of Registered Dietitians (RDs, n = 16) who gave comments and rated items based on importance. Content Validity Ratios (CVRs) were calculated for each item based on these ratings and used along with participant comments to improve items after each round of rating. In-depth interviews (n = 5) and written comments (n = 6) from collegiate athletes were used to assess face validity, and feedback was used to improve item wording and clarity. Results The first draft of the SFLAT contained demographic, food frequency, behavior frequency, self-efficacy, and nutrition knowledge questions. The expert panel of RDs had 2 to 27 years of experience working with NCAA Division I athletes. Their expert feedback led to addition, adjustment, and removal of items, and an increase in average CVR of the SFLAT from 0.58 to 0.68. Comprehension was high among face validity participants, all of which were NCAA Division 1 collegiate athletes. Comments were used to make minimal wording changes and combine two questions. The final draft of the SFLAT contained 108 items. Conclusions The SFLAT has adequate content and face validity and, with further reliability tests, may be used to identify gaps in food choice-related knowledge, skills, and behaviors specific to collegiate athletes, which can inform the development of more effective nutrition interventions in this population. Funding Sources No funding.


Author(s):  
B. J. Weathersby-Holman

Coronavirus has emphasized the importance of nursing contributions and their integral participation in interdisciplinary leadership teams providing patient care in healthcare organizations. Workforce shortages of qualified nurses in healthcare with technology skills are necessary to maintain a high level of patient care and healthcare operations. A validated instrument, Healthcare Information System Self-Efficacy Perception, was created providing a self-assessment tool for measuring an older working nurse's perception of self-efficacy of healthcare information system training within a healthcare environment. The study was the first of its kind to recognize the salient training differences that existed for older workers in a healthcare setting. The instrument was developed using a focus group, pilot study, and validated with registered nurses (RN) in a single healthcare organization. The sample (N=162) was assessed using an online survey tool. After face validity was established for HISSEP, a principal component factor analysis was conducted to determine content validity.


2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 1303-1303
Author(s):  
Gretchen George ◽  
Melanie Gerdes

Abstract Objectives Food insecurity is prevalent on college campuses. Many campuses have food assistance programs (e.g., food pantries, cooking classes, government support) to provide resources and education but research has identified that knowledge related healthy food selection, meal planning, food budgeting, and safe food preparation skills are suboptimal. The objective of this pilot study was to determine the most effective nutrition education model to increase self-efficacy, skill, knowledge, and food choice awareness in the food insecure college student. Methods Eligible university students (N = 54) were recruited and randomized to a three-arm four-week intervention. All participants received weekly food pantry items and pilot nutrition education curriculum through different application models; food demonstration and handout (FD, n = 20), cooking class and handout (CC, n = 14), or handout only (H, n = 20). The weekly one-hour CC was hands-on with tasting at the end. The weekly 20-minute FD was observation only with tasting at the end. Participants completed a validated pre-post survey. Results Using MANOVA, statistically significant (P < 0.05) pre-post changes were identified in all scores (food selection planning, food preparation, food safety storage). The overall food skills score (OFSS), a combined measure, indicated a statistically significant interaction effect between study arms on the combined dependent variable, F(2, 51) = 5.37, P = 0.008, Wilks’ Λ = 0.826, partial n2 = 0.174. A follow-up univariate two-way analysis using Tukey pairwise comparisons identified non-significant pre-post mean differences for OFSS scores between CC (+44.29), FD (+16.05), and H (+20.30). Conclusions Nutrition education through a CC, FD, and H model improves knowledge, skill, and self-efficacy in food insecure students. CC have the largest pre-post improvements but tended to have more attrition. Universities with food pantries should include nutrition education ideally with a hands-on or observation component including tasting of new recipes and foods mirroring food pantry offerings. Campuses can use concise 4-week curriculum to maximize learning and self-efficacy while considering resources (staff, space, materials). Funding Sources California State University Small-Scale Faculty Research Grants 2019-2020 15 K.


2018 ◽  
Vol 26 (1) ◽  
pp. 79
Author(s):  
Paul Graham Kebble

<p>The C-Test as a tool for assessing language competence has been in existence for nearly 40 years, having been designed by Professors Klein-Braley and Raatz for implementation in German and English. Much research has been conducted over the ensuing years, particularly in regards to reliability and construct validity, for which it is reported to perform reliably and in multiple languages. The author engaged in C-Test research in 1995 focusing on concurrent, predictive and face validity. Through this research, the author developed an appreciation for the C-Test assessment process particularly with the multiple cognitive and linguistic test-taking strategies required. When digital technologies became accessible, versatile and societally integrated, the author believed the C-Test would function well in this environment. This conviction prompted a series of investigations into the development and assessment of a digital C-Test design to be utilised in multiple linguistic settings. This paper describes the protracted design process, concluding with the publication of mobile apps.</p>


2020 ◽  
Vol 52 (7) ◽  
pp. S61
Author(s):  
Audrey Hemmer ◽  
Carmen Fightmaster ◽  
Youn Seon Lim ◽  
Melinda Butsch Kovacic ◽  
Seung-Yeon Lee

2013 ◽  
Vol 2013 ◽  
pp. 1-7 ◽  
Author(s):  
Abbas Mousavi ◽  
Afsaneh Keramat ◽  
Katayon Vakilian ◽  
Safar Ali Esmaeili Vardanjani

Iran is a young country, and sexual behavior is shaped in this period. This research aimed to provide an assessment tool to evaluate Iranian youth reproductive health. This multistage research was conducted to design a valid questionnaire in the domains of knowledge, attitude, and behavior of the youth in order to evaluate behavior change programs. For this reason, after conducting a careful literature review and a qualitative research, the questionnaire was prepared. Forward and backward translations were performed. Professionals and students were used to make sure of qualitative and quantitative content and face validity. After conducting the pilot study on 100 students and eliminating defects in performance, reliability was evaluated by test-retest and Cronbach’s alpha was calculated. In this study, out of 268 questions, 198 were retained after face and content validity. Self-efficacy of communication with father and mother, self-efficacy of condom use, and self-efficacy of abstinence had the highest Cronbach’s alpha. Moreover, communication with parents regarding reproductive health issues and attitude to abstinence had a high Cronbach’s alpha, as well. It seems to be a good instrument for assessment of Iranian reproductive health, and we are going to assess youth reproductive health in the future.


Author(s):  
Audrey Hemmer ◽  
Kathryn Hitchcock ◽  
Youn Seon Lim ◽  
Melinda Butsch Kovacic ◽  
Seung-Yeon Lee

Homeopathy ◽  
2020 ◽  
Vol 109 (04) ◽  
pp. 191-197
Author(s):  
Chetna Deep Lamba ◽  
Vishwa Kumar Gupta ◽  
Robbert van Haselen ◽  
Lex Rutten ◽  
Nidhi Mahajan ◽  
...  

Abstract Objectives The objective of this study was to establish the reliability and content validity of the “Modified Naranjo Criteria for Homeopathy—Causal Attribution Inventory” as a tool for attributing a causal relationship between the homeopathic intervention and outcome in clinical case reports. Methods Purposive sampling was adopted for the selection of information-rich case reports using pre-defined criteria. Eligible case reports had to fulfil a minimum of nine items of the CARE Clinical Case Reporting Guideline checklist and a minimum of three of the homeopathic HOM-CASE CARE extension items. The Modified Naranjo Criteria for Homeopathy Inventory consists of 10 domains. Inter-rater agreement in the scoring of these domains was determined by calculating the percentage agreement and kappa (κ) values. A κ greater than 0.4, indicating fair agreement between raters, in conjunction with the absence of concerns regarding the face validity, was taken to indicate the validity of a given domain. Each domain was assessed by four raters for the selected case reports. Results Sixty case reports met the inclusion criteria. Inter-rater agreement/concordance per domain was “perfect” for domains 1 (100%, κ = 1.00) and 2 (100%, κ = 1.00); “almost perfect” for domain 8 (97.5%, κ = 0.86); “substantial” for domains 3 (96.7%, κ = 0.80) and 5 (91.1%, κ = 0.70); “moderate” for domains 4 (83.3%, κ = 0.60), 7 (67.8%, κ = 0.46) and 9 (99.2%, κ = 0.50); and “fair” for domain 10 (56.1%, κ = 0.38). For domains 6A (46.7%, κ = 0.03) and 6B (50.3%, κ = 0.18), there was “slight agreement” only. Thus, the validity of the Modified Naranjo Criteria for Homeopathy tool was established for each of its domains, except for the two that pertain to direction of cure (domains 6A and 6B). Conclusion The Modified Naranjo Criteria for Homeopathy—Causal Attribution Inventory was identified as a valid tool for assessing the likelihood of a causal relationship between a homeopathic intervention and clinical outcome. Improved wordings for several criteria have been proposed for the assessment tool, under the new acronym “MONARCH”. Further assessment of two MONARCH domains is required.


Author(s):  
Kirsten Corden ◽  
Rebecca Brewer ◽  
Eilidh Cage

AbstractHealthcare professionals play a vital role in identifying and supporting autistic people. This study systematically reviewed empirical research examining healthcare professionals’ knowledge, self-efficacy and attitudes towards working with autistic people. Thirty-five studies were included. The included studies sampled a range of countries and professional backgrounds. A modified quality assessment tool found the quality of the included studies was moderately good. Narrative synthesis indicated that healthcare professionals report only moderate levels of autism knowledge and self-efficacy, and often lack training. Variation within and between countries and professional background was not explained by demographic factors. The reviewed evidence suggests health professionals’ limited knowledge and self-efficacy in working with autistic people is a challenge to the provision of healthcare for autistic individuals.


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