Development and Initial Reliability Testing of NAK-50+: A Nutrition Attitude and Knowledge Questionnaire for Adults 50+ Years of Age

2016 ◽  
Vol 77 (1) ◽  
pp. 3-8 ◽  
Author(s):  
Kate Ducak ◽  
Heather Keller
Keyword(s):  
Older Adults ◽  
Community Sample ◽  
Nutrition Knowledge ◽  
Self Management ◽  
Management Tools ◽  
Knowledge And Attitudes ◽  
Education Material ◽  
Management Interventions ◽  
Knowledge Questionnaire ◽  
Test Retest Reliability

Purpose: Few questionnaires to test nutrition knowledge and attitudes of older adults living independently in the community have been developed and tested to assess self-management tools such as Nutri-eSCREEN and other education programs. This study is a first step in the development of a questionnaire designed to evaluate the nutrition knowledge and attitudes of independent older adults (NAK-50+). Methods: The steps involved in this study were: (i) drafting initial questions based on the content of the Nutri-eSCREEN education material, (ii) using cognitive interviewing to determine if these questions were understandable and relevant (n = 9 adults ≥50 years of age), and (iii) completing test–retest reliability in a convenient community sample (n = 60 adults ≥50 years of age). Intra-class coefficients (ICC) and kappa were used to determine reliability. Results: A 33-item questionnaire resulted from this development and analysis. ICC for the total score was 0.68 indicating good agreement and thus initial reliability. Conclusions: NAK-50+ is a face valid and reliable questionnaire that assesses nutrition knowledge and attitudes in independent adults aged ≥50 years. Further work to determine construct validity and to refine the questionnaire is warranted. Availability of the questionnaire for this age group will support rigorous evaluation of education and self-management interventions for this segment of the population.

scholarly journals Validation of a general nutrition knowledge questionnaire in a Turkish student sample

2012 ◽  
Vol 15 (11) ◽  
pp. 2074-2085 ◽  
Author(s):  
A Aylin Alsaffar
Keyword(s):  
Construct Validity ◽  
Undergraduate Students ◽  
Eating Habits ◽  
Nutrition Knowledge ◽  
Internal Reliability ◽  
Student Sample ◽  
Retest Reliability ◽  
Knowledge Questionnaire ◽  
Turkish People ◽  
Test Retest Reliability

AbstractObjectiveTo validate the general nutrition knowledge questionnaire developed by Parmenter and Wardle (1999) in a Turkish student sample.DesignThe original questionnaire of Parmenter and Wardle (1999) was modified and translated into Turkish. The modified questionnaire was administered to second year undergraduate students. Some students completed the questionnaire twice for the measurement of test–retest reliability. Statistical analysis was performed on the responses to measure the internal reliability, test–retest reliability and construct validity.SettingStudents completed the questionnaire under supervision. The questionnaire was completed at the end of lectures. Retest was carried out two weeks after first administration of the test.SubjectsA total of 195 undergraduate students studying either nutrition and dietetics (n 90) or engineering (n 105) participated in the study. Of these, 125 students completed the questionnaire on two occasions.ResultsOverall internal reliability (Cronbach's α = 0·89) and test–retest reliability (0·86) were high. Significant differences between the scores of the two groups of students indicated that the questionnaire had satisfactory construct validity.ConclusionsThe modified version of the general nutrition knowledge questionnaire can be used as a tool to examine the nutrition knowledge of adults in Turkey. In the next stage of the study, some adjustments need to be made to the items that led to low reliability values so that these items will be more applicable to the eating habits and patterns of Turkish people.

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

2016 ◽  
Vol 20 (7) ◽  
pp. 1184-1192 ◽  
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.

scholarly journals CHRONIC PAIN SELF-MANAGEMENT PRACTICES AND PREFERENCES AMONG URBAN AFRICAN AMERICAN OLDER ADULTS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S70-S70
Author(s):  
Mary R Janevic ◽  
Mary Janevic ◽  
Sheria Robinson-Lane ◽  
Susan Murphy ◽  
John Piette
Keyword(s):  
Older Adults ◽  
Chronic Pain ◽  
African American ◽  
Pain Management ◽  
Focus Group ◽  
Management Practices ◽  
Pilot Trial ◽  
Self Management ◽  
Management Interventions ◽  
African American Older Adults

Abstract African American older adults experience disproportionate burden from disabling chronic pain. Pain self-management interventions for this group are most effective when they integrate culturally-relevant preferences into intervention design. In the STEPS pilot trial, we collected focus group (n=23) and survey (n=57) data from African Americans age 60+ years about pain-management practices. Participants were recruited from the community and reported pain for 3+ months, with intensity &gt;4 (0 to 10 scale). The most frequently-used pain-management strategies were exercise (75%) and prayer/Bible reading (74%). Also commonly used were healthy eating (61%), OTC medications (65%), and herbal supplements (51%). Focus group themes provided more nuanced information, including reasons for avoiding prescription pain medications, positive experiences with topical treatments, the value of movement, and the role of social support. Findings reveal strong engagement in pain self-care in this population. Interventions can build on existing practices by incorporating spirituality and appealing options for physical activity.

scholarly journals PROMOTING SUCCESSFUL CHRONIC DISEASE SELF-MANAGEMENT THROUGH COMMUNITY-BASED INTERVENTIONS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S68-S69
Author(s):  
Tiffany R Washington ◽  
Laura N Gitlin ◽  
Matthew L Smith
Keyword(s):  
Older Adults ◽  
Chronic Disease ◽  
Chronic Conditions ◽  
Health Management ◽  
Negative Impact ◽  
Self Management ◽  
Community Based Interventions ◽  
Community Based ◽  
Factors Affecting ◽  
Management Interventions

Abstract Persistent chronic conditions are among the top leading causes of death in the U.S. The majority of older adults live with two or more chronic conditions. When poorly managed, chronic conditions can result in negative psychosocial and health outcomes such as low quality of life, diminished mood, workforce withdrawal, high healthcare utilization, and disability. Fortunately, chronic disease self-management interventions show promise in reducing the negative impact of chronic conditions on health status. This symposium will highlight formative work and recent findings of community-based interventions that promote successful self-management. To start, presenter one will describe findings from four studies that constitute the formative work necessary to inform implementation of self-management interventions in community and healthcare settings. Next, presenter two will report findings from an effectiveness trial of a technology-based intervention to support hypertension self-management. Then, presenter three will describe findings on the feasibility of a Health Passport tool to promote self-health management among individuals with physical limitations. Finally, presenter four will describe factors affecting attendance among African Americans with arthritis who participated in a national dissemination of Chronic Disease Self-Management Education programs. Collectively, these presentations will provide practical evidence and science-based recommendations for ways to increase successful chronic disease self-management and ultimately improve population health among older adults.

scholarly journals Development of a Smartphone Application for the Treatment of Chronic pain in Older adults based on the Daily life experience of Pain Ecological monitoring and management app for chronic pain in older adults - EMMA: Protocol for the EMMA design and feasibility study (Preprint)

2021 ◽  
Author(s):  
Katharina Ledermann
Keyword(s):  
Older Adults ◽  
Chronic Pain ◽  
Older People ◽  
Chronic Conditions ◽  
Daily Life ◽  
Ecological Monitoring ◽  
Cognitive Behavioral ◽  
Self Management ◽  
Trial Period ◽  
Management Interventions

BACKGROUND Chronic pain is a complex problem for many older adults that affects both physical functioning and psychological well-being. Mobile health (mHealth) technologies have shown promise in supporting older persons in managing chronic conditions. Cognitive behavior therapy (CBT) is recommended for older people with chronic pain. However, online treatment programs for chronic pain are not aimed at the needs of older people and offer standard therapies without providing tailored treatment for this population. OBJECTIVE To address this problem, we will develop a psychological internet-based intervention based on ecological monitoring of daily life experiences with chronic pain, called EMMA to support self-management of chronic pain in older adults. METHODS The key clinical and engagement features of the intervention were established through the integration of evidence-based material from cognitive behavioral therapy for the treatment of chronic pain in older adults. The development process uses a CoDesign approach and actively involves the end-users in the design process by incorporating feedback from focus groups with older adults in order to inform a user centered intervention design. For the CoDesign process, we will include 10 older adults without chronic pain that will discuss the requirements in workshops in order to ensure suitability for older adults. In order to test the feasibility and acceptability of the intervention, we will include a sample of 30 older adults with chronic pain that will test all features of the intervention for a period of eight consecutive weeks. After the trial period, validated instruments to assess usability and acceptability, as well as influence on pain levels and associated physical and psychological symptoms will be filled out by the participants. Participants will be invited to take part in a semi-structured telephone interview after the trial period to explore their experiences using the app. Required changes to assure usability and acceptability will afterwards directly implemented in the application. RESULTS EMMA brings together a strong body of evidence using cognitive behavioral and self-management theory with contemporary mHealth principles, allowing for a cost-effective intervention irrespective of place and time to target chronic pain in older adults. CONCLUSIONS Given the ubiquity of mHealth interventions for chronic conditions, the results of this study may serve to inform the development of tailored pain self-management interventions.

scholarly journals Validation of a revised General Nutrition Knowledge Questionnaire for Australia

2020 ◽  
pp. 1-11
Author(s):  
Courtney Thompson ◽  
Helen Anna Vidgen ◽  
Danielle Gallegos ◽  
Mary Hannan-Jones
Keyword(s):  
Engineering Students ◽  
Nutrition Knowledge ◽  
Face Validity ◽  
Internal Reliability ◽  
Retest Reliability ◽  
Knowledge Based ◽  
Knowledge Questionnaire ◽  
Australian Sample ◽  
The Uk ◽  
Test Retest Reliability

Abstract Objective: This study aimed to validate a nutrition knowledge questionnaire appropriate for use in Australia. Design: Nutrition knowledge is essential in establishing and maintaining strategies that reduce the burden of disease and promote wellbeing. The General Nutrition Knowledge Questionnaire (GNKQ) was developed in the United Kingdom in 1999 and validated for Australia in 2008. Changes in national nutrition recommendations and food availability prompted the redevelopment and revalidation of the UK questionnaire in 2016. However, the Australian questionnaire had not been subsequently updated. Setting: Australia. Participants: Content validity was determined using a sample of academic dietitians in Australia (n 8). Face validity was undertaken with retail employees (n 11) whose highest level of education was secondary school. Ninety-three undergraduate nutrition and engineering students at Queensland University of Technology completed the questionnaire for construct validity, and nineteen students were contacted a week later for test–retest reliability. Results: In the 117-scored questionnaire, nutrition students scored consistently higher in each of the four sections and overall (87 %, M 102, IQR 95, 107) compared with engineering students (77 %, M 82, IQR 76, 87·25, P < 0·01). Internal reliability of the questionnaire was high (α = 0·92) as was test–retest reliability (r s = 0·96, ICC2,1 = 0·99). AUS-R NKQ determined significant differences between individuals with known higher levels of nutrition knowledge and obtained high validity, reliability and consistency within an Australian sample. Conclusions: AUS-R NKQ refined through this research is valid and would be an appropriate questionnaire for assessing the effectiveness of nutrition knowledge-based interventions for public health programmes, clinicians and researchers.

A SYSTEMATIC REVIEW OF SELF-MANAGEMENT INTERVENTIONS FOR OLDER ADULTS WITH CANCER

2019 ◽  
Vol 10 (6) ◽  
pp. S83-S84
Author(s):  
K. Haase ◽  
M. Putts ◽  
S. Sattar ◽  
M. Gray ◽  
C. Kenis ◽  
...  
Keyword(s):  
Systematic Review ◽  
Older Adults ◽  
Self Management ◽  
Management Interventions

scholarly journals Reliability of the General Nutrition Knowledge Questionnaire among Head Teachers from Schools in Uganda

2021 ◽  
pp. 125-136
Author(s):  
Richard Bukenya ◽  
Beatrice Ekesa ◽  
Jeanette M. Andrade ◽  
Diana S. Grigsby-Toussaint ◽  
Robert Mugabi ◽  
...  
Keyword(s):  
Correlation Coefficient ◽  
Internal Consistency ◽  
Intraclass Correlation ◽  
Change Agents ◽  
Nutrition Knowledge ◽  
Expert Advice ◽  
Head Teachers ◽  
Retest Reliability ◽  
Knowledge Questionnaire ◽  
Test Retest Reliability

Valid and reliable questionnaires are necessary to improve the existence and quality of nutrition information, which determines interventions in low-resource settings, especially among decision makers and change agents. The present study evaluated the internal consistency and test-retest reliability of the data collected among 255 head teachers from schools in Mukono and Wakiso districts in Uganda using a general nutrition knowledge questionnaire (GNKQ) earlier developed. Cronbach alpha (α) was used to determine internal consistency. Pearson's correlation coefficient (r) and intraclass correlation coefficient were used to measure test-retest dependability on scores (ICC2,1). Overall internal consistency on 94 items was α = 0.89 at time one and 0.92 at time two. All items yielded data with a satisfactory internal consistency (α > 0.7). Two domains, Expert advice (ICC = 0.64) and Selecting food (ICC = 0.41), were determined to have insufficient test-retest reliability (r < 0.7 and ICC = 0.7), and their items were removed from the next analyses. The remaining nutrition knowledge topics with adequate test-retest reliability were food groupings (ICC = 0.9), nutrition and sickness (ICC = 0.91), and food fortification (ICC = 0.95). According to the findings, the prototype nutrition knowledge questionnaire had acceptable internal consistency and test-retest reliability. These findings indicate that the previously established questionnaire can be used to assess general nutrition knowledge among head teachers. To boost generalizability, future studies could use the questionnaire on a different group of adults.

scholarly journals Protocol for a systematic review of self-management interventions for older adults living with cancer

2020 ◽  
Vol 9 (1) ◽  
Author(s):  
Kristen R. Haase ◽  
Martine Puts ◽  
Schroder Sattar ◽  
Mikaela Gray ◽  
Cindy Kenis ◽  
...  
Keyword(s):  
Systematic Review ◽  
Older Adults ◽  
Self Management ◽  
Management Interventions ◽  
Living With Cancer
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