Department of Medicine, Dalhousie University, 5790 University Ave, Room 225, Halifax, NS, B3H 1V7, Canada.
QEII Health Sciences Centre, Nova Scotia Health, Halifax, Canada.
Int J Behav Nutr Phys Act. 2024 Nov 28;21(1):135. doi: 10.1186/s12966-024-01671-x.
Public health nutrition recommendations and clinical dietary interventions emphasize eating healthy food at home, implicitly requiring household foodwork. Household foodwork is defined as the physical and mental tasks a household does for eating meals and snacks. Because no tools exist to measure it, how much time people spend doing household foodwork and the foodwork barriers they experience remain unknown. The objective of the present research was to develop the first stand-alone household foodwork assessment tool.
Through informal interviews with partners with lived experience, clinicians, and researchers, a literature review, a stakeholder meeting of advisors, and a two-round electronic Delphi process including face/content validation by expert panelists (n = 21), we developed the 10-question household foodwork interactional assessment questionnaire (FIA-Q10). An optional accompanying module was developed to collect self-identified demographic data to provide context for understanding how social-structural positionality factors may interact to influence foodwork.
The FIA-Q10 assesses the domains of household composition, frequency of eating at home, special diets within a household, foodwork stress intensity, foodwork barriers, desired supports related to foodwork, and time use for foodwork. The FIA-Q10 measures time use for four subdomains of foodwork among individuals and their households: (1) planning, (2) getting, (3) preparing/cooking, and (4) cleaning up food. In the second Delphi round, the FIA-Q10 scored 95% for language appropriateness, 67% for visual appropriateness, 95% for relevance, 95% for representativeness, and 95% for distribution. Suggested improvements were implemented. All Delphi panelists (100%) reported they would consider using the FIA-Q10.
The FIA-Q10's development is the first step towards a standardized assessment of foodwork, enabling examination of challenges in foodwork that may impact nutrition and nutrition equity. Future research will focus on FIA-Q10 validation in multiple populations.
公共卫生营养建议和临床饮食干预强调在家中食用健康食品，这隐含地要求家庭进行食物相关工作。家庭食物相关工作是指家庭为了用餐和吃零食而进行的体力和脑力劳动。由于没有工具来衡量它，人们花费多少时间进行家庭食物相关工作以及他们所经历的食物相关工作障碍仍然未知。本研究的目的是开发第一个独立的家庭食物相关工作评估工具。
通过与有生活经验的伴侣、临床医生和研究人员进行非正式访谈、文献回顾、顾问利益相关者会议以及两轮包括专家小组成员进行的面对面/内容验证的电子 Delphi 流程（n=21），我们开发了 10 个问题的家庭食物相关工作互动评估问卷（FIA-Q10）。还开发了一个可选的配套模块，用于收集自我识别的人口统计学数据，以提供理解社会结构性定位因素如何相互作用以影响食物相关工作的背景信息。
FIA-Q10 评估了家庭构成、在家中用餐的频率、家庭中的特殊饮食、食物相关工作压力强度、食物相关工作障碍、与食物相关工作相关的期望支持以及食物相关工作时间利用等领域。FIA-Q10 测量个人及其家庭中食物相关工作的四个子领域的时间利用：（1）计划，（2）获取，（3）准备/烹饪，以及（4）清理食物。在第二轮 Delphi 中，FIA-Q10 在语言适宜性方面得分为 95%，在视觉适宜性方面得分为 67%，在相关性方面得分为 95%，在代表性方面得分为 95%，在分布方面得分为 95%。实施了改进建议。所有 Delphi 小组成员（100%）表示他们将考虑使用 FIA-Q10。
FIA-Q10 的开发是对食物相关工作进行标准化评估的第一步，使我们能够检查可能影响营养和营养公平的食物相关工作挑战。未来的研究将集中在 FIA-Q10 在多个人群中的验证。
