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制定新的推广营养教育计划食品与身体活动行为问卷的方法

Methodology for Developing a New EFNEP Food and Physical Activity Behaviors Questionnaire.

作者信息

Murray Erin K, Auld Garry, Baker Susan S, Barale Karen, Franck Karen, Khan Tarana, Palmer-Keenan Debra, Walsh Jennifer

机构信息

Department of Food Science and Human Nutrition, Colorado State University, Fort Collins, CO.

Department of Food Science and Human Nutrition, Colorado State University, Fort Collins, CO.

出版信息

J Nutr Educ Behav. 2017 Oct;49(9):777-783.e1. doi: 10.1016/j.jneb.2017.05.341. Epub 2017 Jul 8.

DOI:10.1016/j.jneb.2017.05.341
PMID:28697971
Abstract

OBJECTIVE

Research methods are described for developing a food and physical activity behaviors questionnaire for the Expanded Food and Nutrition Education Program (EFNEP), a US Department of Agriculture nutrition education program serving low-income families.

DESIGN

Mixed-methods observational study. The questionnaire will include 5 domains: (1) diet quality, (2) physical activity, (3) food safety, (4) food security, and (5) food resource management. A 5-stage process will be used to assess the questionnaire's test-retest reliability and content, face, and construct validity.

SETTING

Research teams across the US will coordinate questionnaire development and testing nationally.

PARTICIPANTS

Convenience samples of low-income EFNEP, or EFNEP-eligible, adult participants across the US.

INTERVENTIONS

A 5-stage process: (1) prioritize domain concepts to evaluate (2) question generation and content analysis panel, (3) question pretesting using cognitive interviews, (4) test-retest reliability assessment, and (5) construct validity testing.

MAIN OUTCOME MEASURE

A nationally tested valid and reliable food and physical activity behaviors questionnaire for low-income adults to evaluate EFNEP's effectiveness.

ANALYSIS

Cognitive interviews will be summarized to identify themes and dominant trends. Paired t tests (P ≤ .05) and Spearman and intra-class correlation coefficients (r > .5) will be conducted to assess reliability. Construct validity will be assessed using Wilcoxon t test (P ≤ .05), Spearman correlations, and Bland-Altman plots.

摘要

目的

描述为扩大食品与营养教育计划(EFNEP)开发一份食品和身体活动行为问卷的研究方法,该计划是美国农业部为低收入家庭提供营养教育的项目。

设计

混合方法观察性研究。问卷将包括5个领域:(1)饮食质量,(2)身体活动,(3)食品安全,(4)粮食安全,以及(5)食品资源管理。将采用一个5阶段的过程来评估问卷的重测信度以及内容、表面和结构效度。

地点

美国各地的研究团队将在全国范围内协调问卷的开发和测试。

参与者

美国低收入的EFNEP参与者或符合EFNEP条件的成年参与者的便利样本。

干预措施

一个5阶段的过程:(1)对要评估的领域概念进行优先排序,(2)问题生成和内容分析小组,(3)使用认知访谈进行问题预测试,(4)重测信度评估,以及(5)结构效度测试。

主要结局指标

一份经过全国测试的、有效且可靠的针对低收入成年人的食品和身体活动行为问卷,以评估EFNEP的有效性。

分析

将对认知访谈进行总结以识别主题和主要趋势。将进行配对t检验(P≤0.05)以及斯皮尔曼和组内相关系数(r>0.5)以评估信度。将使用威尔科克森t检验(P≤0.05)、斯皮尔曼相关性以及布兰德-奥特曼图来评估结构效度。

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