The Development of a Psychometrically Valid and Reliable Questionnaire to Assess Nutrition Knowledge Related to Pre-Schoolers
Abstract
:1. Introduction
2. Materials and Methods
2.1. Study Design and Participants
2.2. Questionnaire Design
2.3. Statistical Analysis
3. Results
3.1. Participants
3.2. Content Validity
3.3. Construct Validity
3.4. Test-Retest Reliability
4. Discussion
5. Conclusions
Supplementary Materials
Author Contributions
Funding
Conflicts of Interest
References
- OECD. Starting Strong 2017 Key OECD Indicators on Early Childhood Education and Care; OECD Publishing: Paris, France, 2017; pp. 18–32. [Google Scholar]
- Education Counts: Participation. Available online: https://www.educationcounts.govt.nz/statistics/early-childhood-education/participation (accessed on 7 May 2020).
- Sisson, S.B.; Krampe, M.; Anundson, K.; Castle, S. Obesity prevention and obesogenic behavior interventions in child care: A systematic review. Prev. Med. 2016, 87, 57–69. [Google Scholar] [CrossRef] [PubMed]
- Sisson, S.B.; Smith, C.L.; Cheney, M. Big impact on small children: Child-care providers’ perceptions of their role in early childhood healthy lifestyle behaviours. Child Care Pract. 2017, 23, 162–180. [Google Scholar] [CrossRef]
- Gerritsen, S.; Anderson, S.E.; Morton, S.M.; Wall, C.R. Pre-school nutrition-related behaviours at home and early childhood education services: Findings from the Growing Up in New Zealand longitudinal study. Public Health Nutr. 2018, 21, 1222–1231. [Google Scholar] [CrossRef] [Green Version]
- Gerritsen, S.; Dean, B.; Morton, S.M.; Wall, C.R. Do childcare menus meet nutrition guidelines? Quantity, variety and quality of food provided in New Zealand early childhood education services. Aust. N. Z. J. Public Health 2017, 41, 345–351. [Google Scholar] [CrossRef]
- Gerritsen, S.; Wall, C.; Morton, S. Child-care nutrition environments: Results from a survey of policy and practice in New Zealand early childhood education services. Public Health Nutr. 2016, 19, 1531–1542. [Google Scholar] [CrossRef] [Green Version]
- World Health Organization. Report of the Commission on Ending Childhood Obesity: Implementation Plan: Executive Summary; World Health Organization: Geneva, Switzerland, 2017; pp. 1–24. [Google Scholar]
- Freedman, M.R.; Alvarez, K. Early childhood feeding: Assessing knowledge, attitude, and practices of multi-ethnic child-care providers. J. Am. Diet. Assoc. 2010, 110, 447–451. [Google Scholar] [CrossRef] [Green Version]
- Gillis, D.E.G.; Sabry, J.H. Daycare teachers: Nutrition knowledge, opinions, and use of food. J. Nutr. Educ. Behav. 1980, 12, 200–204. [Google Scholar] [CrossRef]
- Soliah, L.A.; Newell, G.K.; Vaden, A.G.; Dayton, A.D. Establishing the need for nutrition education: II. Elementary teachers’ nutrition knowledge, attitudes, and practices. J. Am. Diet. Assoc. 1983, 83, 447–453. [Google Scholar]
- Jones, A.M.; Zidenberg-Cherr, S. Exploring nutrition education resources and barriers, and nutrition knowledge in teachers in California. J. Nutr. Educ. Behav. 2015, 47, 162–169. [Google Scholar] [CrossRef]
- Alkon, A.; Crowley, A.A.; Neelon, S.E.B.; Hill, S.; Pan, Y.; Nguyen, V.; Rose, R.; Savage, E.; Forestieri, N.; Shipman, L.; et al. Nutrition and physical activity randomized control trial in child care centers improves knowledge, policies, and children’s body mass index. BMC Public Health 2014, 14, 215. [Google Scholar] [CrossRef] [Green Version]
- Derscheid, L.E.; Umoren, J.; Kim, S.-Y.; Henry, B.W.; Zittel, L.L. Early childhood teachers’ and staff members’ perceptions of nutrition and physical activity practices for preschoolers. J. Res. Child. Educ. 2010, 24, 248–265. [Google Scholar] [CrossRef]
- Lanigan, J.D. The relationship between practices and child care providers’ beliefs related to child feeding and obesity prevention. J. Nutr. Educ. Behav. 2012, 44, 521–529. [Google Scholar] [CrossRef] [PubMed]
- Nahikian-Nelms, M. Influential factors of caregiver behavior at mealtime: A study of 24 child-care programs. J. Am. Diet. Assoc. 1997, 97, 505–509. [Google Scholar] [CrossRef]
- Petersen, M.E.; Kies, C. Nutrition knowledge and attitudes of early elementary teachers. J. Nutr. Educ. Behav. 1972, 4, 11–15. [Google Scholar] [CrossRef]
- Sharma, S.; Skala, K.; Byrd-Williams, C.E.; Truxillio, J.B.; Rahman, G.A.; Bonsu, P.; Hoelscher, D. Nutrition-related knowledge, attitudes, and dietary behaviors among head start teachers in Texas: A cross-sectional study. J. Acad. Nutr. Diet. 2013, 113, 558–562. [Google Scholar] [CrossRef] [Green Version]
- Rida, Z.; Burger, C.; Dev, D.A.; Smith, J.; Hasnin, S. Assessment of nutrition knowledge of childcare providers regarding the implementation of the 2017 CACFP meal pattern update. Am. J. Health Educ. 2018, 49, 384–394. [Google Scholar] [CrossRef] [Green Version]
- Halloran, K.M.; Gorman, K.; Fallon, M.; Tovar, A. Nutrition knowledge, attitudes, and fruit and vegetable intake as predictors of head start teachers’ classroom mealtime behaviors. J. Nutr. Educ. Behav. 2018, 50, 340–348. [Google Scholar] [CrossRef] [Green Version]
- O’Dea, J.A. Evaluation of nutrition and physical activity knowledge, attitudes, self efficacy and behaviors in teachers and children after implementation of the “Healthy Active Kids” online program in Australian elementary schools. Health 2016, 8, 293–303. [Google Scholar] [CrossRef] [Green Version]
- Al-Shookri, A.; Al-Shukaily, L.; Hassan, F.; Al-Sheraji, S.; Al-Tobi, S. Effect of mothers nutritional knowledge and attitudes on Omani children’s dietary intake. Oman Med. J. 2011, 26, 253. [Google Scholar] [CrossRef]
- Vereecken, C.; Maes, L. Young children’s dietary habits and associations with the mothers’ nutritional knowledge and attitudes. Appetite 2010, 54, 44–51. [Google Scholar] [CrossRef]
- Cotwright, C.J.; Bales, D.; Lee, J.S.; Parrott, K.; Celestin, N.; Olubajo, B. Like peas and carrots: Combining wellness policy implementation with classroom education for obesity prevention in the childcare setting. Public Health Rep. 2017, 132, 74S–80S. [Google Scholar] [CrossRef]
- Liu, H.; Xu, X.; Liu, D.; Rao, Y.; Reis, C.; Sharma, M.; Yuan, J.; Chen, Y.; Zhao, Y. Nutrition-related knowledge, attitudes, and practices (KAP) among kindergarten teachers in Chongqing, China: A cross-sectional survey. Int. J. Environ. Res. Public Health 2018, 15, 615. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Moore, H.; Nelson, P.; Marshall, J.; Cooper, M.; Zambas, H.; Brewster, K.; Atkin, K. Laying foundations for health: Food provision for under 5s in day care. Appetite 2005, 44, 207–213. [Google Scholar] [CrossRef] [PubMed]
- Rust, J.; Golombok, S. Modern Psychometrics: The Science of Psychological Assessment, 2nd ed.; Routledge: London, UK, 2014; pp. 3–216. [Google Scholar]
- Zinn, C.; Schofield, G.; Wall, C. Development of a psychometrically valid and reliable sports nutrition knowledge questionnaire. J. Sci. Med. Sport 2005, 8, 346–351. [Google Scholar] [CrossRef]
- Parmenter, K.; Wardle, J. Development of a general nutrition knowledge questionnaire for adults. Eur. J. Clin. Nutr. 1999, 53, 298–308. [Google Scholar] [CrossRef] [Green Version]
- Coaley, K. An Introduction to Psychological Assessment and Psychometrics, 2nd ed.; Sage: London, UK, 2014; pp. 167–176. [Google Scholar]
- Alagumalai, S.; Curtis, D.D.; Hungi, N. Applied Rasch Measurement: A Book of Exemplars; Springer: Dordrecht, The Netherlands, 2005; pp. 1–15. [Google Scholar]
- DeVellis, R.F. Classical test theory. Med. Care 2006, 44, S50–S59. [Google Scholar] [CrossRef]
- Ministry of Health. Food and Nutrition Guidelines for Healthy Children and Young People (Aged 2–18 Years): A Background Paper; Ministry of Health: Wellington, New Zealand, 2015; pp. 1–152.
- Ministry of Health. Eating for Healthy Children—From 2–12 Years; Ministry of Health: Wellington, New Zealand, 2012; pp. 1–20.
- Serving Size Guide. Available online: https://www.healthyfood.com/resource/serving-size-guide-1-page/ (accessed on 22 June 2020).
- Gerritsen, S.; Morton, S.; Wall, C.R. Physical activity and screen use policy and practices in childcare: Results from a survey of early childhood education services in New Zealand. Aust. N. Z. J. Public Health 2016, 40, 319–325. [Google Scholar] [CrossRef]
- Campos, S.; Doxey, J.; Hammond, D. Nutrition labels on pre-packaged foods: A systematic review. Public Health Nutr. 2011, 14, 1496–1506. [Google Scholar] [CrossRef] [Green Version]
- Choose My Plate. Available online: https://www.choosemyplate.gov/MyPlate (accessed on 8 May 2020).
- Guidance: The Eatwell Guide. Available online: https://www.gov.uk/government/publications/the-eatwell-guide (accessed on 8 May 2020).
- Ng, W. New Digital Technology in Education: Conceptualizing Professional Learning for Educators; Springer International Publishing: Cham, Switzerland, 2015; pp. 3–21. [Google Scholar]
- More, J.A.; Emmett, P.M. Evidenced-based, practical food portion sizes for preschool children and how they fit into a well balanced, nutritionally adequate diet. J. Hum. Nutr. Diet. 2015, 28, 135–154. [Google Scholar] [CrossRef]
- O’Cathain, A.; Thomas, K.J. “Any other comments?” Open questions on questionnaires—A bane or a bonus to research? BMC Med. Res. Methodol. 2004, 4, 25. [Google Scholar] [CrossRef] [Green Version]
- Rosenthal, R. Meta-Analytic Procedures for Social Research; Sage Publications: Newbury Park, CA, USA, 1991; pp. 1–168. [Google Scholar]
- Cohen, J. Statistical Power Analysis for the Behavioral Sciences, 2nd ed.; Academic Press: New York, NY, USA, 1988; pp. 8–14. [Google Scholar]
- Cicchetti, D. Choice of Agreement Statistics: A Discussion of the Underlying Biostatistics, with Heuristic Examples from the Vineland-3; NCS Pearson, Inc.: New Haven, CT, USA, 2017; pp. 1–9. [Google Scholar]
- Dias, K.; White, J.; Metcalfe, C.; Kipping, R.; Papadaki, A.; Jago, R. Acceptability, internal consistency and test-retest reliability of scales to assess parental and nursery staff’s self-efficacy, motivation and knowledge in relation to pre-school children’s nutrition, oral health and physical activity. Public Health Nutr. 2019, 22, 967–975. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Ministry of Education, TeachNZ. Early Childood Education: Teacher Education Qualifications 2017; Ministry of Education, TeachNZ: Wellington, New Zealand, 2016; pp. 1–42.
- Trakman, G.L.; Forsyth, A.; Hoye, R.; Belski, R. Development and validation of a brief general and sports nutrition knowledge questionnaire and assessment of athletes’ nutrition knowledge. J. Int. Soc. Sports Nutr. 2018, 15, 17. [Google Scholar] [CrossRef] [Green Version]
- Trakman, G.L.; Forsyth, A.; Hoye, R.; Belski, R. The nutrition for sport knowledge questionnaire (NSKQ): Development and validation using classical test theory and Rasch analysis. J. Int. Soc. Sports Nutr. 2017, 14, 26. [Google Scholar] [CrossRef]
- Pallant, J.F.; Tennant, A. An introduction to the Rasch measurement model: An example using the Hospital Anxiety and Depression Scale (HADS). Br. J. Clin. Psychol. 2007, 46, 1–18. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Mötteli, S.; Barbey, J.; Keller, C.; Bucher, T.; Siegrist, M. Development and validation of a brief instrument to measure knowledge about the energy content of meals. J. Nutr. Educ. Behav. 2017, 49, 257–263. [Google Scholar] [CrossRef] [Green Version]
- Toussaint, N.; Streppel, M.T.; Mul, S.; Schreurs, A.; Balledux, M.; Van Drongelen, K.; Janssen, M.; Fukkink, R.G.; Weijs, P.J. A preschool-based intervention for Early Childhood Education and Care (ECEC) teachers in promoting healthy eating and physical activity in toddlers: Study protocol of the cluster randomized controlled trial PreSchool@HealthyWeight. BMC Public Health 2019, 19, 278. [Google Scholar] [CrossRef] [PubMed]
- Rapson, J.; Conlon, C.; Ali, A. Nutrition knowledge and perspectives of physical activity for pre-schoolers amongst early childhood education teachers. Nutrients 2020, 12, 1984. [Google Scholar] [CrossRef]
Nutrition Students (n = 40) 1 | Non-nutrition Students (n = 51) 1 | U | z | p-Value | Effect Size (r) 2 | |
---|---|---|---|---|---|---|
Total (37 maximum score) | 26.0 [24.0, 28.0] | 17.0 [15.0, 20.0] | 105.5 | −7.3 | <0.0001 | 0.77 |
Servings | 3.0 [2.0, 4.0] | 2.0 [1.0, 3.0] | 602.0 | −3.5 | 0.001 | 0.36 |
Food choices | 18.0 [16.3, 19.0] | 13.0 [11.0, 15.0] | 163.0 | −6.9 | <0.0001 | 0.72 |
Portions | 3.4 [3.0, 4.0] | 2.0 [1.00, 3.00] | 643.0 | −5.3 | <0.0001 | 0.56 |
Resources | 1.0 [1.0, 2.0] | 0.0 [0.0, 1.0] | 301.5 | −6.2 | <0.0001 | 0.65 |
Median or Above (n) | Below Median (n) | |
---|---|---|
Nutrition students (n = 40) | 40 | 0 |
Non-nutrition students (n = 51) | 9 [2.0, 4.0] | 42 [1.0, 3.0] |
Knowledge Section 1 | Pearson’s Product-Moment Correlation (r) 2 | p-Value |
---|---|---|
Total | 0.50 | 0.002 |
Servings | 0.78 | <0.001 |
Food choices | 0.43 | 0.001 |
Portions | 0.54 | 0.001 |
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Rapson, J.; Conlon, C.; Beck, K.; von Hurst, P.; Ali, A. The Development of a Psychometrically Valid and Reliable Questionnaire to Assess Nutrition Knowledge Related to Pre-Schoolers. Nutrients 2020, 12, 1964. https://doi.org/10.3390/nu12071964
Rapson J, Conlon C, Beck K, von Hurst P, Ali A. The Development of a Psychometrically Valid and Reliable Questionnaire to Assess Nutrition Knowledge Related to Pre-Schoolers. Nutrients. 2020; 12(7):1964. https://doi.org/10.3390/nu12071964
Chicago/Turabian StyleRapson, Jeanette, Cathryn Conlon, Kathryn Beck, Pamela von Hurst, and Ajmol Ali. 2020. "The Development of a Psychometrically Valid and Reliable Questionnaire to Assess Nutrition Knowledge Related to Pre-Schoolers" Nutrients 12, no. 7: 1964. https://doi.org/10.3390/nu12071964