Development and Pilot Testing of a Nutrition Attitudes and Knowledge Questionnaire to Measure Changes of Child Nutrition Knowledge related to the Canada’s Food Guide

Foodbot Factory is a serious game developed to teach children about the 2019 Canada’s Food Guide (CFG) healthy eating principles. Because no measurement tools existed to assess changes in children’s knowledge of the CFG, the Nutrition Attitudes and Knowledge (NAK) questionnaire was developed for this purpose. The NAK is based on the 2019 CFG nutrition content and aligned with the Foodbot Factory modules (Drinks, Whole Grain foods, Vegetables and Fruit, Protein foods). Seven experts assessed face and content validity of the draft NAK questionnaire. Three sections were deemed valid, while the remaining two required minor revisions. The NAK was pilot tested for changes in nutrition attitudes and knowledge among children 9-10 years-old (n=23), who answered the NAK questionnaire before and after using Foodbot Factory. Significant increases were found in overall nutrition knowledge, and knowledge of Whole Grain foods, Vegetables and Fruit and Protein foods. Knowledge of Drinks and nutrition attitudes remained unchanged. The NAK showed a moderate reliability when tested among a group of children (n=23). While the NAK questionnaire is a promising tool for assessing changes nutrition knowledge related to the 2019 CFG guidelines in children, further research is required to test construct validity of this instrument. Novelty bullets: • The Nutrition Attitudes and Knowledge (NAK) questionnaire was developed by educators and dietitians. • The NAK underwent face and content validity assessments and was pilot tested among children. • The NAK questionnaire is a potential tool to detect changes in children’s knowledge of the 2019 Canada’s Food Guide.

Download Full-text

Kuwait child nutrition knowledge questionnaire: validity, reliability and use to assess Kuwaiti schoolchildren’s knowledge before and after a nutrition knowledge intervention

Eastern Mediterranean Health Journal ◽

10.26719/emhj.20.010 ◽

2020 ◽

Author(s):

Nadine Ibrahim ◽

Dima AlKaed ◽

Fatima Ismail ◽

Roula Barake

Keyword(s):

Child Nutrition ◽

Nutrition Knowledge ◽

Knowledge Questionnaire ◽

Questionnaire Validity ◽

Before And After

Download Full-text

The effects of whole grain intake on anthropometric measures in overweight and obese children: a crossover randomised clinical trial

British Journal Of Nutrition ◽

10.1017/s000711452100026x ◽

2021 ◽

pp. 1-7

Author(s):

Parisa Hajihashemi ◽

Leila Azadbakht ◽

Mahin Hashemipour ◽

Roya Kelishadi ◽

Parvane Saneei ◽

...

Keyword(s):

Clinical Trial ◽

Waist Circumference ◽

Intervention Group ◽

Randomised Clinical Trial ◽

Slight Reduction ◽

Whole Grain ◽

Obese Children ◽

Anthropometric Measures ◽

Before And After ◽

Grain Foods

Abstract Whole-grain foods have been reported to affect body weight and satiety. However, we are aware of no study in this regard among children. The present study aimed to determine the effects of whole grain consumption on anthropometric measures in overweight or obese children. In this randomised crossover clinical trial, forty-four overweight or obese girls participated. After a 2-week run-in period, subjects were randomly assigned to either intervention (n 44) or non-intervention (n 44) groups. Subjects in the intervention group were given a list of whole-grain foods and were asked to obtain half of their grain servings from these foods each day for 6 weeks. Individuals in the non-intervention group were asked not to consume any of these foods. A 4-week washout period was applied. Then, participants were crossed over to the alternate arm. The measurements were done before and after each phase. Mean age, weight and BMI of participants were 11·2 (sd 1·49) years, 51·2 (sd 10·2) kg and 23·5 (sd 2·5) kg/m2, respectively. Despite the slight reduction in weight and BMI, there were no significant differences in changes in these anthropometric measures. We found a significant effect of whole grain intake on waist circumference (−2·7 v. 0·3 cm, P = 0·04). No significant changes in hip circumference were observed. Changes in the prevalence of overweight, obesity and abdominal obesity were not significantly different. This study indicated a beneficial effect of whole-grain foods on waist circumference in overweight children; however, these foods did not influence weight and BMI.

Download Full-text

Development and validation of a nutrition knowledge questionnaire for a Canadian population

Public Health Nutrition ◽

10.1017/s1368980016003372 ◽

2016 ◽

Vol 20 (7) ◽

pp. 1184-1192 ◽

Cited By ~ 16

Author(s):

Maude Bradette-Laplante ◽

Élise Carbonneau ◽

Véronique Provencher ◽

Catherine Bégin ◽

Julie Robitaille ◽

...

Keyword(s):

Factor Analysis ◽

Construct Validity ◽

Content Validity ◽

Covariance Structure ◽

Nutrition Knowledge ◽

Face Validity ◽

Covariance Structure Analysis ◽

Knowledge Questionnaire ◽

Canadian Population ◽

Test Retest Reliability

AbstractObjectiveThe present study aimed to develop and validate a nutrition knowledge questionnaire in a sample of French Canadians from the province of Quebec, taking into account dietary guidelines.DesignA thirty-eight-item questionnaire was developed by the research team and evaluated for content validity by an expert panel, and then administered to respondents. Face validity and construct validity were measured in a pre-test. Exploratory factor analysis and covariance structure analysis were performed to verify the structure of the questionnaire and identify problematic items. Internal consistency and test–retest reliability were evaluated through a validation study.SettingOnline survey.SubjectsSix nutrition and psychology experts, fifteen registered dietitians (RD) and 180 lay people participated.ResultsContent validity evaluation resulted in the removal of two items and reformulation of one item. Following face validity, one item was reformulated. Construct validity was found to be adequate, with higher scores for RDv. non-RD (21·5 (sd2·1)v. 15·7 (sd3·0) out of 24,P<0·001). Exploratory factor analysis revealed that the questionnaire contained only one factor. Covariance structure analysis led to removal of sixteen items. Internal consistency for the overall questionnaire was adequate (Cronbach’sα=0·73). Assessment of test–retest reliability resulted in significant associations for the total knowledge score (r=0·59,P<0·001).ConclusionsThis nutrition knowledge questionnaire was found to be a suitable instrument which can be used to measure levels of nutrition knowledge in a Canadian population. It could also serve as a model for the development of similar instruments in other populations.

Download Full-text

The development and initial validation of an observational tool for measuring patient participation in clinical consultations

European Journal for Person Centered Healthcare ◽

10.5750/ejpch.v5i1.1224 ◽

2017 ◽

Vol 5 (1) ◽

pp. 95 ◽

Cited By ~ 1

Author(s):

Helle Poulsen ◽

Else Dalsgaard Iversen ◽

Jette Ammentorp

Keyword(s):

Communication Skills ◽

Patient Participation ◽

Content Validity ◽

Skills Training ◽

Communication Skills Training ◽

Rater Reliability ◽

Promising Tool ◽

Audio Recordings ◽

Before And After ◽

The Face

Objective: The aim of this study was to further develop and test The Activity Barometer (TAB) as a tool for measuring patient participation in clinical consultations. Methods: The tool was further developed and tested by double coding 18 audio recordings from consultations between nurses and patients and by qualitative discussions between 3 raters. The raters discussed the face and content validity of the tool and the inter-rater reliability was calculated. To assess the construct validity, it was hypothesised that the tool could be used to expose a difference in the patients’ participation before and after the nurses had participated in communication skills training. This was assessed based on 31 audio recordings. Results: All of the 3 raters found the items relevant for measuring patient participation. However, to get reliable ratings, an extended guide for coding was necessary. According to the content validity, we found that by taking a treatment-oriented perspective, core components of patient participation were not included in the tool. To capture the whole concept, the coding should be done from a holistic perspective, including the patients’ everyday life. The inter-rater reliability for the total score (0.85), the questions (0.92) and the preferences/concerns (0.6) were all above acceptable thresholds. The construct validation showed that the tool could expose differences in the patients’ participation before and after the nurses had participated in the communication skills training. Conclusion: TAB is a promising tool for measuring patient participation. However, further validation of the tool in a larger sample is recommended prior to its use in research settings.

Download Full-text

The Effectiveness of the Foodbot Factory Mobile Serious Game on Increasing Nutrition Knowledge in Children

Nutrients ◽

10.3390/nu12113413 ◽

2020 ◽

Vol 12 (11) ◽

pp. 3413

Author(s):

Hannah M. Froome ◽

Carly Townson ◽

Sheila Rhodes ◽

Beatriz Franco-Arellano ◽

Ann LeSage ◽

...

Keyword(s):

Mobile Application ◽

Child Nutrition ◽

Nutrition Knowledge ◽

Dietary Guidelines ◽

Serious Game ◽

Control Group ◽

Limited Data ◽

Significant Difference ◽

Vegetables And Fruits ◽

Grain Foods

The interactive and engaging nature of serious games (i.e., video games designed for educational purposes) enables deeper learning and facilitates behavior change; however, most do not specifically support the dissemination of national dietary guidelines, and there are limited data on their impact on child nutrition knowledge. The Foodbot Factory serious game mobile application was developed to support school children in learning about Canada’s Food Guide; however, its impacts on nutrition knowledge have not been evaluated. The objective of this study was to determine if Foodbot Factory effectively improves children’s knowledge of Canada’s Food Guide, compared to a control group (control app). This study was a single-blinded, parallel, randomized controlled pilot study conducted among children ages 8–10 years attending Ontario Tech University day camps. Compared to the control group (n = 34), children who used Foodbot Factory (n = 39) had significant increases in overall nutrition knowledge (10.3 ± 2.9 to 13.5 ± 3.8 versus 10.2 ± 3.1 to 10.4 ± 3.2, p < 0.001), and in Vegetables and Fruits (p < 0.001), Protein Foods (p < 0.001), and Whole Grain Foods (p = 0.040) sub-scores. No significant difference in knowledge was observed in the Drinks sub-score. Foodbot Factory has the potential to be an effective educational tool to support children in learning about nutrition.

Download Full-text