Zhou Y L, Liu W, Li Y, Qin Y, Li R J, Yu L L, Chen Y H, Xu Y J
Department of Nutrition and Food Hygiene, School of Public Health, Peking University, Beijing 100191, China.
Zhonghua Yu Fang Yi Xue Za Zhi. 2020 Oct 6;54(10):1081-1086. doi: 10.3760/cma.j.cn112150-20200327-00453.
To establish the nutrition literacy core items for Chinese pregnant women. The framework system and preliminary items of nutrition literacy were established through literature review and experts consultation. E-Delphi method was used to determine the nutrition literacy items.11 experts in the field of maternal and child nutrition, obstetrics and gynecology, health education and nutrition and diseases were invited to score the importance of each nutrition literacy item via Email. The judgment basis and familiarity of experts towards the items, active coefficient, authority coefficient and harmony coefficient were evaluated and analyzed to generate the final list of nutrition literacy items. The active coefficients of consultation in two rounds were 81.8% (9/11) and 87.5% (8/9).The authority coefficients were (0.86±0.11) and (0.85±0.06).The average scores of importance were (4.32±0.84) and (4.58±0.57) and the harmony coefficients were 0.387 (χ²=90.472, <0.001) and 0.290 (χ²=46.752, =0.002) respectively. After the second round of consultation, all selected items met the inclusion criteria. We identified the final list of nutrition literacy items consisting of 3 scales (basic knowledge and concept, lifestyles and dietary behaviors, and basic skills), 10 sub-scales (basic nutrition concept, food and nutrition knowledge, nutrition and disease knowledge, lifestyles, dietary behaviors, preparation for breastfeeding, gestational weight management, gestational disease management, acquisition, understanding and application of nutrition information, judgement of nutrition information, and nutrition decision making) with 24 items in total. The framework system and core items of nutrition literacy are established for Chinese pregnant women based on E-Delphi method. The experts involved in the consultation process present a performance with good representativeness, enthusiasm and authority. All experts' opinions are coordinated and unified, which could satisfy the demand of developing nutrition literacy core items for target population.
建立中国孕妇营养素养核心条目。通过文献回顾和专家咨询,构建营养素养的框架体系和初步条目。采用电子德尔菲法确定营养素养条目。邀请11名妇幼营养、妇产科、健康教育以及营养与疾病领域的专家通过电子邮件对各营养素养条目的重要性进行评分。对专家的判断依据、对条目的熟悉程度、积极系数、权威系数和协调系数进行评估分析,以生成营养素养条目的最终清单。两轮咨询的积极系数分别为81.8%(9/11)和87.5%(8/9)。权威系数分别为(0.86±0.11)和(0.85±0.06)。重要性的平均得分分别为(4.32±0.84)和(4.58±0.57),协调系数分别为0.387(χ²=90.472,P<0.001)和0.290(χ²=46.752,P=0.002)。第二轮咨询后,所有入选条目均符合纳入标准。我们确定了营养素养条目的最终清单,包括3个维度(基本知识与概念、生活方式与饮食行为、基本技能),10个子维度(基本营养概念、食物与营养知识、营养与疾病知识、生活方式、饮食行为、母乳喂养准备、孕期体重管理、孕期疾病管理、营养信息的获取、理解与应用、营养信息判断、营养决策),共24个条目。基于电子德尔菲法建立了中国孕妇营养素养的框架体系和核心条目。参与咨询过程的专家具有良好的代表性、积极性和权威性。所有专家的意见得到协调统一,能够满足为目标人群制定营养素养核心条目的需求。