Engaging Experts and Patients to Refine the Nutrition Literacy Assessment Instrument
An objective measure of nutrition literacy is unavailable for use in the primary care population. The Nutrition Literacy Assessment instrument (NLit) is a tool designed to measure nutrition literacy across six domains and has been previously piloted in breast cancer and parent populations. The purpo...
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| Veröffentlicht in: | BMC nutrition 2017, Vol.3 (1), p.1, Article 71 |
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| creator | Gibbs, Heather D Harvey, Susan Owens, Sarah Boyle, Diane Sullivan, Debra K |
| description | An objective measure of nutrition literacy is unavailable for use in the primary care population. The Nutrition Literacy Assessment instrument (NLit) is a tool designed to measure nutrition literacy across six domains and has been previously piloted in breast cancer and parent populations. The purpose of this research was to engage nutrition experts and patients to guide revisions of the NLit for use in adult primary care.
Experts (n=5) reviewed each item in the NLit using a survey to assign rankings of their agreement according to relevance, clarity, and reading difficulty. Relevance rankings were used to calculate Scale Content Validity Index. After suggested revisions were made, patients (n=12) were recruited from urban primary care clinics of a University Medical Center located in the Midwestern United States and were interviewed by trained researchers using the cognitive interview approach to generate thoughts, feelings, and ideas regarding NLit items. Data analysis involved qualitative and quantitative methods.
Content validity from expert review was confirmed with a total Scale Content Validity Index of 0.90. Themes emerging from the cognitive interviews resulted in changes in the NLit to improve instrument clarity.
These data suggest the NLit achieves its target constructs, is understood by the target audience, and is ready to undergo validity and reliability testing within the primary care population. |
| doi_str_mv | 10.1186/s40795-017-0190-y |
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Experts (n=5) reviewed each item in the NLit using a survey to assign rankings of their agreement according to relevance, clarity, and reading difficulty. Relevance rankings were used to calculate Scale Content Validity Index. After suggested revisions were made, patients (n=12) were recruited from urban primary care clinics of a University Medical Center located in the Midwestern United States and were interviewed by trained researchers using the cognitive interview approach to generate thoughts, feelings, and ideas regarding NLit items. Data analysis involved qualitative and quantitative methods.
Content validity from expert review was confirmed with a total Scale Content Validity Index of 0.90. Themes emerging from the cognitive interviews resulted in changes in the NLit to improve instrument clarity.
These data suggest the NLit achieves its target constructs, is understood by the target audience, and is ready to undergo validity and reliability testing within the primary care population.</description><identifier>ISSN: 2055-0928</identifier><identifier>EISSN: 2055-0928</identifier><identifier>DOI: 10.1186/s40795-017-0190-y</identifier><identifier>PMID: 28890794</identifier><language>eng</language><publisher>England: BioMed Central</publisher><subject>Breast cancer ; Chronic illnesses ; Consumers ; Diabetes ; Diet ; Dietitians ; Disease ; Experts ; Food ; Health education ; Health literacy ; Hypertension ; Interviews ; Nutrition education ; Nutrition research ; Obesity ; Overweight ; Primary care ; Qualitative research ; Reading comprehension ; Skills ; Teachers ; Validity</subject><ispartof>BMC nutrition, 2017, Vol.3 (1), p.1, Article 71</ispartof><rights>Copyright BioMed Central 2017</rights><rights>2017. This work is licensed under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>The Author(s). 2017</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c370y-928a7c63b383bdf692f0a6e1528dd1937bfe18e19959cb8f73b1d97170ad59aa3</citedby><cites>FETCH-LOGICAL-c370y-928a7c63b383bdf692f0a6e1528dd1937bfe18e19959cb8f73b1d97170ad59aa3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5589339/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5589339/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,4024,27923,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28890794$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gibbs, Heather D</creatorcontrib><creatorcontrib>Harvey, Susan</creatorcontrib><creatorcontrib>Owens, Sarah</creatorcontrib><creatorcontrib>Boyle, Diane</creatorcontrib><creatorcontrib>Sullivan, Debra K</creatorcontrib><title>Engaging Experts and Patients to Refine the Nutrition Literacy Assessment Instrument</title><title>BMC nutrition</title><addtitle>BMC Nutr</addtitle><description>An objective measure of nutrition literacy is unavailable for use in the primary care population. The Nutrition Literacy Assessment instrument (NLit) is a tool designed to measure nutrition literacy across six domains and has been previously piloted in breast cancer and parent populations. The purpose of this research was to engage nutrition experts and patients to guide revisions of the NLit for use in adult primary care.
Experts (n=5) reviewed each item in the NLit using a survey to assign rankings of their agreement according to relevance, clarity, and reading difficulty. Relevance rankings were used to calculate Scale Content Validity Index. After suggested revisions were made, patients (n=12) were recruited from urban primary care clinics of a University Medical Center located in the Midwestern United States and were interviewed by trained researchers using the cognitive interview approach to generate thoughts, feelings, and ideas regarding NLit items. Data analysis involved qualitative and quantitative methods.
Content validity from expert review was confirmed with a total Scale Content Validity Index of 0.90. Themes emerging from the cognitive interviews resulted in changes in the NLit to improve instrument clarity.
These data suggest the NLit achieves its target constructs, is understood by the target audience, and is ready to undergo validity and reliability testing within the primary care population.</description><subject>Breast cancer</subject><subject>Chronic illnesses</subject><subject>Consumers</subject><subject>Diabetes</subject><subject>Diet</subject><subject>Dietitians</subject><subject>Disease</subject><subject>Experts</subject><subject>Food</subject><subject>Health education</subject><subject>Health literacy</subject><subject>Hypertension</subject><subject>Interviews</subject><subject>Nutrition education</subject><subject>Nutrition research</subject><subject>Obesity</subject><subject>Overweight</subject><subject>Primary care</subject><subject>Qualitative research</subject><subject>Reading comprehension</subject><subject>Skills</subject><subject>Teachers</subject><subject>Validity</subject><issn>2055-0928</issn><issn>2055-0928</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNp9kUFPwyAYhonR6DL3A7wYEi9eqlBKgYvJskxdsqgxeia0pZNloxOosf9emk0zPXggfMDzvnxfXgDOMLrCmOfXPkNM0ARhFpdASXcABimi8Uak_HCvPgEj75cIIZwxktH8GJyknIuozgbgZWoXamHsAk4_N9oFD5Wt4JMKRtt4CA181rWxGoY3DR_a4EwwjYVzE7RTZQfH3mvv1xGGM-uDa_vyFBzVauX1aLcPwevt9GVyn8wf72aT8TwpCUNdEntTrMxJQTgpqjoXaY1UrjFNeVVhQVhRa8w1FoKKsuA1IwWuBMMMqYoKpcgQ3Gx9N22x1lUZv3ZqJTfOrJXrZKOM_P1izZtcNB-SUi4IEdHgcmfgmvdW-yDXxpd6tVJWN62XfRMsz3CKI3rxB102rbNxPJlSxhjhGaX_UdErY4hmqKfwlipd473T9U_LGMk-XLkNV8ZwZR-u7KLmfH_WH8V3lOQLy6igHg</recordid><startdate>2017</startdate><enddate>2017</enddate><creator>Gibbs, Heather D</creator><creator>Harvey, Susan</creator><creator>Owens, Sarah</creator><creator>Boyle, Diane</creator><creator>Sullivan, Debra K</creator><general>BioMed Central</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>NAPCQ</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>2017</creationdate><title>Engaging Experts and Patients to Refine the Nutrition Literacy Assessment Instrument</title><author>Gibbs, Heather D ; Harvey, Susan ; Owens, Sarah ; Boyle, Diane ; Sullivan, Debra K</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c370y-928a7c63b383bdf692f0a6e1528dd1937bfe18e19959cb8f73b1d97170ad59aa3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Breast cancer</topic><topic>Chronic illnesses</topic><topic>Consumers</topic><topic>Diabetes</topic><topic>Diet</topic><topic>Dietitians</topic><topic>Disease</topic><topic>Experts</topic><topic>Food</topic><topic>Health education</topic><topic>Health literacy</topic><topic>Hypertension</topic><topic>Interviews</topic><topic>Nutrition education</topic><topic>Nutrition research</topic><topic>Obesity</topic><topic>Overweight</topic><topic>Primary care</topic><topic>Qualitative research</topic><topic>Reading comprehension</topic><topic>Skills</topic><topic>Teachers</topic><topic>Validity</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gibbs, Heather D</creatorcontrib><creatorcontrib>Harvey, Susan</creatorcontrib><creatorcontrib>Owens, Sarah</creatorcontrib><creatorcontrib>Boyle, Diane</creatorcontrib><creatorcontrib>Sullivan, Debra K</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Nursing & Allied Health Premium</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>BMC nutrition</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gibbs, Heather D</au><au>Harvey, Susan</au><au>Owens, Sarah</au><au>Boyle, Diane</au><au>Sullivan, Debra K</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Engaging Experts and Patients to Refine the Nutrition Literacy Assessment Instrument</atitle><jtitle>BMC nutrition</jtitle><addtitle>BMC Nutr</addtitle><date>2017</date><risdate>2017</risdate><volume>3</volume><issue>1</issue><spage>1</spage><pages>1-</pages><artnum>71</artnum><issn>2055-0928</issn><eissn>2055-0928</eissn><abstract>An objective measure of nutrition literacy is unavailable for use in the primary care population. The Nutrition Literacy Assessment instrument (NLit) is a tool designed to measure nutrition literacy across six domains and has been previously piloted in breast cancer and parent populations. The purpose of this research was to engage nutrition experts and patients to guide revisions of the NLit for use in adult primary care.
Experts (n=5) reviewed each item in the NLit using a survey to assign rankings of their agreement according to relevance, clarity, and reading difficulty. Relevance rankings were used to calculate Scale Content Validity Index. After suggested revisions were made, patients (n=12) were recruited from urban primary care clinics of a University Medical Center located in the Midwestern United States and were interviewed by trained researchers using the cognitive interview approach to generate thoughts, feelings, and ideas regarding NLit items. Data analysis involved qualitative and quantitative methods.
Content validity from expert review was confirmed with a total Scale Content Validity Index of 0.90. Themes emerging from the cognitive interviews resulted in changes in the NLit to improve instrument clarity.
These data suggest the NLit achieves its target constructs, is understood by the target audience, and is ready to undergo validity and reliability testing within the primary care population.</abstract><cop>England</cop><pub>BioMed Central</pub><pmid>28890794</pmid><doi>10.1186/s40795-017-0190-y</doi><oa>free_for_read</oa></addata></record> |
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| subjects | Breast cancer Chronic illnesses Consumers Diabetes Diet Dietitians Disease Experts Food Health education Health literacy Hypertension Interviews Nutrition education Nutrition research Obesity Overweight Primary care Qualitative research Reading comprehension Skills Teachers Validity |
| title | Engaging Experts and Patients to Refine the Nutrition Literacy Assessment Instrument |
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