Reproducibility and validity of the secondary level School-Based Nutrition Monitoring student questionnaire☆
Section snippets
Instrument development
The development of the survey was an iterative process [11], [12] that included the following: needs assessment; development of a Rationale, Goals, and Scope statement; development of questionnaire items; review by an expert panel; focus group testing; and cognitive interview testing of questionnaire items. The initial needs assessment data were collected by an interagency work group assembled by the two lead agencies: the CDC and the USDA. The University of Texas-Houston investigators
Reproducibility
A demographic profile of the students who participated in the reproducibility test is shown in Table 2.Approximately three-fourths of the students were white, although there was also significant Hispanic student representation.
Reproducibility data for each of the survey questions are listed in Table 3. No significant gender differences were detected for any survey questions in terms of reproducibility (data not shown), so only overall data are presented. Agreement for questions on food or meal
Discussion
Overall, the reproducibility of most items on the SBNM secondary questionnaire was found to be similar to that of other questionnaires for school-aged children [3], [4], [6]. For example, questions on weight behaviors from the YRBS questionnaire have been found to have κ statistic values of 67.2% or higher in students in grades 7 to 12 ((3)). Reproducibility of ″usual” food behavior and physical activity questions was, in general, acceptable but not as high or consistent as those obtained for
Applications
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The School-Based Nutrition Monitoring (SBNM) questionnaires are brief assessments of nutrition and physical activity that can be used at the state and local level. These questionnaires are useful epidemiologic tools for monitoring group trends in selected nutrition and physical activity-related behaviors (Table 1), assessing the effects of nutrition-related interventions or providing information for needs assessments among school-aged students. These instruments are relatively inexpensive and
Acknowledgements
The authors thank Sarah Kuester, Jill Randell, and Jay Hirschmann for their contributions to the project, as well as the schools and students from Austin Independent School District in Austin, Tex; Goliad Independent School District in Goliad, Tex; Round Rock Independent School District, Round Rock, Tex; Lake Travis Independent School District, Austin, Tex; and Houston Independent School District, Houston, Tex. We also thank Jennifer Richardson for technical assistance with preparation of this
References (57)
- et al.
Dietary assessment methods among school-aged children: validity and reliability
PREV MED
(2000) - et al.
The effects of the Child and Adolescent Trial for Cardiovascular Health upon psychosocial determinants of diet and physical activity behavior
PREV MED
(1996) - et al.
Development of a questionnaire to assess knowledge, attitudes, and behaviors in American Indian children
AM J CLIN NUTR
(1999) - et al.
Children's frequency of consumption of foods high in fat and sodium
AM J PREV MED
(1990) - et al.
Sources of fat, fatty acids, and cholesterol in the diets of adolescents
J AM DIET ASSOC
(1990) - et al.
Development and reproducibility of a food frequency questionnaire to assess diets of older children and adolescents
J AM DIET ASSOC
(1995) - et al.
Validation of a youth/adolescent food frequency questionnaire
PREV MED
(1997) - et al.
Reliability and validity of nutrition knowledge and diet-health awareness tests developed from the 1989-1991 diet and health knowledge surveys
J NUTR EDUC
(1997) - et al.
Nutrition knowledge and attitudes of elementary school students after receiving nutrition education
J NUTR EDUC
(1982) - et al.
What do children know about fat, fiber, and cholesterol: a survey of 5116 primary and secondary school students
J NUTR EDUC
(1991)
Importance of cognitive testing for survey items: an example from food security questionnaires
J NUTR EDUC
Improving food frequency questionnaires: a qualitative approach using cognitive interviewing
J AM DIET ASSOC
Issues in reproducibility and validity of dietary studies
AM J CLIN NUTR
Bias, prevalence, and κ
J CLIN EPIDEMIOL
Validation of 24-hour recalls assisted by food records in third-grade children
J AM DIET ASSOC
Literacy and body fatness are associated with underreporting of energy intake in US low-income women using the multiple-pass 24-hour recall: a doubly labeled water study
J AM DIET ASSOC
Accuracy in dietary assessment: on the road to good science
J AM DIET ASSOC
Validity and reliability of qualitative dietary fat index questionnaires: a review
J AM DIET ASSOC
Assessing diets of children and adolescents
AM J CLIN NUTR
Nutrition monitoring in the United States
Reliability of the Youth Risk Behavior Survey questionnaire
AM J EPIDEMIOL
Children's dietary knowledge, skills, and attitudes: measurement issues
J SCH HEALTH
Youth Risk Behavior Survey
NUTRITION AND YOUR HEALTH: DIETARY GUIDELINES FOR AMERICANS
AHA Dietary Guidelines: revision 2000: a statement for healthcare professionals from the Nutrition Committee of the American Heart Association
CIRCULATION
Dietary assessment resource manual
J NUTRITION
DESIGNING AND CONDUCTING HEALTH SURVEYS
The methods and tools of survey research
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2021, Journal of Adolescent HealthCitation Excerpt :A self-reported health behavior survey was completed before and after the implementation of the 10-week PHS curriculum. Items were adapted from the validated School Physical Activity and Nutrition Survey (SPAN) [16,17]. Dietary behaviors included questions on servings of fruits, vegetables, fried meat, fried snacks, nonfruit juice, nondiet soda, and diet soda.
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This work was funded by the Centers for Disease Control and Prevention and the United States Department of Agriculture through the CDC Prevention Research Centers, U48/CCU609653-01 (SIP 6).