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Development of a National Dietary Behaviors Questionnaire for EFNEP Adult Participants.
Murray, Erin K; Baker, Susan S; Betts, Nancy M; Hess, Ann; Auld, Garry.
Afiliação
  • Murray EK; Department of Nutrition, Metropolitan State University of Denver, Denver, CO.
  • Baker SS; Department of Food Science and Human Nutrition, Colorado State University, Fort Collins, CO. Electronic address: susan.baker@colostate.edu.
  • Betts NM; Department of Nutritional Sciences, Oklahoma State University, Stillwater, OK.
  • Hess A; Department of Statistics, Colorado State University, Fort Collins, CO.
  • Auld G; Department of Food Science and Human Nutrition, Colorado State University, Fort Collins, CO.
J Nutr Educ Behav ; 52(12): 1088-1099, 2020 12.
Article em En | MEDLINE | ID: mdl-32763052
OBJECTIVE: Develop and establish the reliability and validity of dietary behavior evaluation questions for the Expanded Food and Nutrition Education Program (EFNEP). DESIGN: A mixed-methods study using cognitive interviews, expert panels, test/retest reliability, and pretests/posttests. SETTING: 14 states across the US. PARTICIPANTS: A convenience sample of low-income EFNEP or EFNEP-eligible participants for cognitive interviews (n = 111), reliability testing (n = 181), and sensitivity to change testing (n = 382). MAIN OUTCOMES MEASURES: Indicators of face and content validity, temporal reliability, and sensitivity to change. ANALYSIS: Questions interpreted as intended in cognitive interviews, intraclass correlation coefficient and Spearman rank-order correlation for reliability testing; paired t tests or Wilcoxon signed-rank tests for sensitivity to change; and exploratory factor analyses to identify possible scales. RESULTS: Cognitive interviews resulted in 3 rounds of question revisions; reliability value ranges were 0.48-0.77 for intraclass correlation coefficient and 0.43-0.77 for Spearman rank-order correlation. For sensitivity to change, 9 items had evidence of change (P < 0.05) between pretests and posttests, whereas 5 items had evidence for change after removing those with little room to change. Two scales were identified: diet quality and non-cheese dairy. CONCLUSIONS AND IMPLICATIONS: The EFNEP's new dietary behavior evaluation questions demonstrated face and content validity, moderate to strong reliability, and sensitivity to detect self-reported behavior changes among low-income, diverse populations (culturally, racially/ethnically, and level of education) across 14 states. Nutrition education programs targeting similar behaviors with English speaking clients could consider this dietary behavior questionnaire.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Educação em Saúde / Inquéritos e Questionários / Dieta / Comportamento Alimentar Tipo de estudo: Evaluation_studies / Prognostic_studies Limite: Adolescent / Adult / Female / Humans / Male Idioma: En Revista: J Nutr Educ Behav Assunto da revista: CIENCIAS DA NUTRICAO / CIENCIAS DO COMPORTAMENTO / EDUCACAO Ano de publicação: 2020 Tipo de documento: Article País de publicação: Estados Unidos
Texto completo
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Educação em Saúde / Inquéritos e Questionários / Dieta / Comportamento Alimentar Tipo de estudo: Evaluation_studies / Prognostic_studies Limite: Adolescent / Adult / Female / Humans / Male Idioma: En Revista: J Nutr Educ Behav Assunto da revista: CIENCIAS DA NUTRICAO / CIENCIAS DO COMPORTAMENTO / EDUCACAO Ano de publicação: 2020 Tipo de documento: Article País de publicação: Estados Unidos