Adaptation and Validation of a Nutrition Literacy Assessment Instrument

营养素养评估工具的调整和验证

• 批准号: 8769021
• 负责人: Heather Gibbs
• 金额: $ 8.3万
• 依托单位: UNIVERSITY OF KANSAS MEDICAL CENTER
• 依托单位国家: 美国
• 财政年份: 2014
• 资助国家: 美国
• 起止时间: 2014-08-01 至 2016-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8769021
• 关键词: Adult; American; Attention; Behavioral; Cardiovascular Diseases; Caring; Chronic Disease; Cognitive; Complex; Data; Diet; Diet Habits; Dietitian; Disease; Eating; Education; Ethnic Origin; Goals; Health; Health Personnel; Health Professional; Health Services Research; Healthcare; High Prevalence; Hyperlipidemia; Hypertension; Individual; Institute of Medicine (U.S.); Measures; Mediator of activation protein; Non-Insulin-Dependent Diabetes Mellitus; Nutrition Assessment; Nutritional; Obesity; Outcome Measure; Overweight; Patients; Persons; Population; Prevention; Preventive; Primary Health Care; Public Health; Race; Research; Research Project Grants; Socioeconomic Status; Testing; United States; Validation; Validity and Reliability; Work; base; design; food environment; good diet; health literacy; improved; instrument; literacy; nutrition; nutrition education; prevent; primary care setting; programs; public education; public health relevance; skills; tool

DESCRIPTION (provided by applicant): In 2004, the Institute of Medicine brought national attention to the issue of health literacy, but nutrition literacy has received little attention. Nurition education for the public is a necessary preventive measure, considering the increasing rates of overweight and obesity in the United States as well as diet-related chronic diseases. Because nutrition is so important for prevention and treatment of many diseases, health professionals need to be able to assess their patients' competency with diet-related information and skills before determining their plan of care. While tools to identify health literacy are available for us in primary care settings, these tools do not adequately assess nutrition literacy. The objectives of this research application are to produce an effective tool for measuring nutrition literacy among primary care patients with chronic illness, and to identify the extent to which nutrition literacy is associated with diet quality. We hypothesize that nutrition literacy will vary substantially among patients and will be related to dietary quality. The long-term goal of this research is to improve nutrition education as a means for improving diet quality. Specific aims of this research application seek to (Aim 1) adapt the Nutrition Literacy Assessment Instrument (NLAI) (a tool we have designed for measuring nutrition literacy) for use in a primary care population; (Aim 2) estimate the NLAI's ability to produce consistent scores (reliability) and estimate its accuracy in measuring nutrition literacy (validity); and (Aim 3) estimate the ability f the NLAI to predict diet quality (predictive validity). We anticipate that these aims will produce n effective tool for measuring nutrition literacy that can have wide application in health care and research settings.

描述（申请人提供）：2004年，医学研究所引起了全国对健康素养问题的关注，但营养素养却很少受到关注。考虑到美国超重和肥胖率以及与饮食相关的慢性病不断增加，对公众进行营养教育是一项必要的预防措施。由于营养对于预防和治疗许多疾病非常重要，因此卫生专业人员需要能够在确定患者的护理计划之前评估患者掌握饮食相关信息和技能的能力。虽然我们在初级保健机构中可以使用识别健康素养的工具，但这些工具并不能充分评估营养素养。这项研究应用的目的是开发一种有效的工具来衡量初级保健慢性病患者的营养素养，并确定营养素养与饮食质量的相关程度。我们假设患者的营养素养差异很大，并且与饮食质量有关。这项研究的长期目标是改善营养教育，以此作为提高饮食质量的手段。本研究应用的具体目标是（目标 1）调整营养素养评估工具（NLAI）（我们为测量营养素养而设计的工具）以供初级保健人群使用； （目标 2）估计 NLAI 产生一致分数的能力（可靠性）并估计其测量营养素养的准确性（有效性）； （目标 3）估计 NLAI 预测饮食质量的能力（预测有效性）。我们预计这些目标将产生一种有效的测量营养素养的工具，可以在医疗保健和研究环境中广泛应用。