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Open AccessArticle

The Comparative Reliability and Feasibility of the Past-Year Canadian Diet History Questionnaire II: Comparison of the Paper and Web Versions

Cancer Measurement, Outcomes, Research and Evaluation, CancerControl Alberta, Alberta Health Services, 1820 Richmond Rd SW, Calgary, AB T2T 5C7, Canada
Departments of Oncology and Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, Health Sciences Centre, Foothills Campus, 3330 Hospital Dr NW, Calgary, AB T2N 4N1, Canada
Prevention and Cancer Control, Cancer Care Ontario, 620 University Avenue, Toronto, ON M5G 2L7, Canada
Department of Nutritional Sciences, Faculty of Medicine, University of Toronto, 150 College Street, Toronto, ON M5S 3E2, Canada
Department of Health and Physical Education, Mount Royal University, 4825 Mount Royal Gate SW, Calgary, AB T3E 6K6, Canada
School of Public Health and Health Systems, University of Waterloo, 200 University Avenue West, LHN 1713, Waterloo, ON N2L 3G1, Canada
Department of Social and Preventive Medicine, University of Montreal, and Centre de Recherche du CHUM (CRCHUM), 850 Saint-Denis Street, 2nd Floor, Montreal, QC H2X 0A9, Canada
Bureau of Food Surveillance and Science Integration, Food Directorate, Health Canada, Ottawa, ON K1A 0K9, Canada
Alberta’s Tomorrow Project, CancerControl Alberta, Alberta Health Services, Sun Life Place, 15th floor, 10123 99 Ave, Edmonton, AB T5J 3H1, Canada
Author to whom correspondence should be addressed.
Nutrients 2017, 9(2), 133;
Received: 30 November 2016 / Revised: 31 January 2017 / Accepted: 8 February 2017 / Published: 13 February 2017
(This article belongs to the Special Issue Technology Based Approaches to Dietary Intake Assessment)
Advances in technology-enabled dietary assessment include the advent of web-based food frequency questionnaires, which may reduce costs and researcher burden but may introduce new challenges related to internet connectivity and computer literacy. The purpose of this study was to evaluate the intra- and inter-version reliability, feasibility and acceptability of the paper and web Canadian Diet History Questionnaire II (CDHQ-II) in a sub-sample of 648 adults (aged 39–81 years) recruited from Alberta’s Tomorrow Project. Participants were randomly assigned to one of two groups: (1) paper, web, paper; or (2) web, paper, web over a six-week period. With few exceptions, no statistically significant differences in mean nutrient intake were found in the intra- and inter-version reliability analyses. The majority of participants indicated future willingness to complete the CDHQ-II online, and 59% indicated a preference for the web over the paper version. Findings indicate that, in this population of adults drawn from an existing cohort, the CDHQ-II may be administered in paper or web modalities (increasing flexibility for questionnaire delivery), and the nutrient estimates obtained with either version are comparable. We recommend that other studies explore the feasibility and reliability of different modes of administration of dietary assessment instruments prior to widespread implementation. View Full-Text
Keywords: dietary assessment; feasibility; reliability; food frequency questionnaire dietary assessment; feasibility; reliability; food frequency questionnaire
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Lo Siou, G.; Csizmadi, I.; Boucher, B.A.; Akawung, A.K.; Whelan, H.K.; Sharma, M.; Al Rajabi, A.; Vena, J.E.; Kirkpatrick, S.I.; Koushik, A.; Massarelli, I.; Rondeau, I.; Robson, P.J. The Comparative Reliability and Feasibility of the Past-Year Canadian Diet History Questionnaire II: Comparison of the Paper and Web Versions. Nutrients 2017, 9, 133.

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