Development of content validity and reliability of an instrument to assess adolescent food literacy

Authors

DOI:

https://doi.org/10.33448/rsd-v10i16.23631

Keywords:

Adolescent; Feeding behavior; Surveys and questionnaires; Health literacy.

Abstract

The objective was to develop and verify the content validity and reliability of an instrument that proposes to assess the levels of food literacy in adolescents. The test and retest was conducted with 60 participants to estimate reliability. The instrument developed was called Adolescent Food Literacy (ALE). The content validity analysis was conducted by a team of experts. Then, the instrument reliability (Cronbach's alpha/internal consistency) and test-retest (simple Kappa) were checked. After evaluation by the expert committee, the instrument was considered valid as to its content. Subsequently, it was recommended that the instrument be applied to evaluate the other proposed qualities. The results achieved were discussed again with the committee of experts, interviewers, and authors of the "LAA" instrument, who judged the instrument apt to be used in the remaining stages of the evaluations, with no need for changes, in the final version presented. The instrument was applied to 60 adolescents, of which 34 (56.7%) were male, with a mean age of 14.6 years and a prevalence of brown skin color/race (n=45 / 75%). With regard to the estimate of reliability, the internal consistency or Cronbach's alpha estimated was 0.82. As for the reproducibility, it was verified that among the 54 questions of the instrument, only two obtained a Kappa lower than 0.60. Thus, the LAA instrument showed good application and easy understanding, good standards of reliability and content validity.

References

Albert, D. & Steinberg, L. (2011). Judgment and decision making in adolescence. Journal of Research on Adolescence, 21(1), 211–224. https://doi.org/10.1111/j.1532-7795.2010.00724.x

Albuquerque, T. O.; Sampaio, H. A. C.; Barbosa Filho, V. C.; Cabral, L. A.; Leal, A. L. F.; Silva, S. A. et al. (2021). Intervenções fundamentadas no letramento alimentar: Revisão de escopo conforme a renda do país. Research, Society and Development, 10(9):e51310918311, 2021. http://dx.doi.org/10.33448/rsd-v109.18311

Baker, D. W., Williams, M. V., Parker, R. M., Gazmararian, J. A. & Nurss, J. (1999). Development of a brief test to measure functional health literacy. Patient Education and Counseling, 38(1), 33-42. https://doi.org/10.1016/s0738-3991(98)00116-5

Blakemore, S.-J. & Robbins, T. W. (2012). Decision-making in the adolescent brain. Nature Neuroscience, 15(9), 1184–1191. https://doi.org/10.1038/nn.3177

Chang, F.; Miao, N.; Lee, C.; Chen, P.; Chiu, C. & Lee, S. (2016). The association of media exposure and media literacy with adolescent alcohol and tobacco use. Journal of Health Psychology, 21(4), 513-525. https://doi.org/10.1177/1359105314530451

Chassin, L.; Presson, C. C.; Sherman, S. J. & McConnell, A. R. (1995). Adolescent health issues. In M. C. Roberts (Ed.), Handbook of pediatric psychology (pp. 723–740). The Guilford Press.

Coluci, M. Z. O.; Alexandre, N. M. C. & Milani, D. Construção de instrumentos de medida na área da saúde. Ciência & Saúde Coletiva. 2015;20(3):925-936. http://doi.org/10.1590/1413-81232015203.04332013

Cronbach, J. L. My current t procedures. (2004). Educational and Psychological Measurement, 64(3):391-418. https://doi.org/10.1177/0013164404266386

Davis, L. L. Instrument review: getting the most from a panel of experts. (1992). Applied Nursing Research. 5(4):194-197. https://doi.org/10.1016/S0897-1897(05)80008-4

Davis, T. C.; Wolf, M. S.; Arnold, C. L.; Byrd, R. S.; Long, S. W.; Springer, T. et al. (2006). Development and validation of the Rapid estimate of adolescent literacy in medicine (REALM-Teen): A tool to screen adolescents for below-grade reading in health care settings. Pediatrics, 118(6), e1707–e1714. https://doi.org/10.1542/peds.2006-1139

Dhir, B. & Ryan, F. (2010). Child overweight and obesity: Measurement, causes and management of overweight and obesity in children. Community Practitioner, 83(1), 32-35.

Eleutério, T. P.; Pereira, E. J.; Farias, P. K. S.; Hott, K. S.; Paula, F. M. T. & Martins, A. M. B. L. (2018). Elaboração e verificação da validade e confiabilidade de um instrumento de letramento em nutrição entre pessoas com diabetes. Cadernos Saúde Coletiva, 26(3):298-307. https://doi.org/10.1590/1414-462X201800030028

Fellow, E. T. P.; Lane, D. & Elliott, C. (2017). Defining food literacy: A scoping review. Appetite, 116, 365-371. http://doi.org/10.1016/j.appet.2017.05.007

Fordyce-Voorham, S. (2011). Identification of essential food skills for skill-based healthful eating programs in secondary schools. Journal of Nutrition Education and Behavior, 43(2), 116e122. http://doi.org/10.1016/j.jneb.2009.12.002

Ghaddar, S. F.; Valerio, M. A.; Garcia, C. M. & Hansen, L. (2012). Adolescent health literacy: The importance of credible sources for online health information. Journal of School Health, 82(1), 28-36. http://doi.org/10.1111/j.1746-1561.2011.00664.x

Grant, J. S. & Davis, L. L. (1997). Selection and use of content experts for instrument development. Research in Nursing & Health. 20(3):269-274. http://doi.org/10.1002/(sici)1098-240x(199706)20:3<269::aid-nur9>3.0.co;2-g

Hair, J. F.; Black, W. C.; Babin, B. J.; Anderson, R. E. & Tatham, R. L. Análise multivariada de dados. Bookman Editora, 2009.

Haynes, S. N.; Richard, D. C. S. & Kubany, E. S. (1995). Content validity in psychological assessment: A functional approach to concepts and methods. Psychological Assessment, 7(3), 238-247. https://doi.org/10.1037/1040-3590.7.3.238

Landis, J. R. & Koch, G. G. (1977). The measurement of observer agreement for categorical data. Biometrics. 33(1):159-174.

Levin-Zamir, D.; Lemish, D. & Gofin, R. (2011). Media health literacy (MHL): Development and measurement of the concept among adolescents. Health Education Research, 26(2), 323-335. http://doi.org/10.1093/her/cyr007

Luna, B. (2009). Developmental changes in cognitive control through adolescence. Advances in Child Development and Behavior, 37, 233-278. http://doi.org/10.1016/s0065-2407(09)03706-9.

Lynn, M. R. Determination and quantification of content validity. (1986). Nursing Research, 35(6):382-385.

Mokkink, L. B.; Terwee, C. B.; Patrick, D. L.; Alonso, J.; Stratford, P. W.; Knol, D. L. et al. The COSMIN study reached international consensus on taxonomy, terminology, and definitions of measurement properties for health-related patient-reported outcomes. (2010). Journal of Clinical Epidemiology, 63(7):737-45. http://doi.org/10.1016/j.jclinepi.2010.02.006

Murimi, M. W.; Kanyi, M.; Mupfudze, T.; Amin, M. R.; Mbogori, T. & Aldubayan, K. (2017). Factors Influencing Efficacy of Nutrition Education Interventions: A Systematic Review. Journal of Nutrition Education and Behavior, 49(2):142-165. http://doi.org/10.1016/j.jneb.2016.09.003

Nelson, S. A.; Corbin, M. A. & Nickols-Richardson, S. M. (2013). A call for culinary skills education in childhood obesity-prevention interventions: Current status and peer influences. Journal of the Academy of Nutrition and Dietetics, 113(8), 1031-1036. http://doi.org/10.1016/j.jand.2013.05.002

Nelson, M. C.; Story, M.; Larson, N. I.; Neumark-Sztainer, D. & Lytle, L. A. (2008). Emerging adulthood and college-aged youth: An overlooked age for weightrelated behavior change. Obesity, 16(10), 2205-2211. http://doi.org/10.1038/oby.2008.365

Norman, C. D. & Skinner, H. A. (2006). eHEALS: The eHealth Literacy Scale. Journal of Medical Internet Research, 8(4), e27. http://dx.doi.org/10.2196/jmir.8.4.e27.

Ogden, C. L.; Carroll, M. D.; Kit, B. K. & Flegal, K. M. (2012). Prevalence of obesity and trends in body mass index among US children and adolescents, 1999-2010. Journal of the American Medical Association, 307(5), 483-490. http://doi.org/10.1001/jama.2012.40

Pasquali, L. (2009). Psychometrics. Revista da Escola de Enfermagem da USP, 43(spe), 992-999. https://doi.org/10.1590/S0080-62342009000500002

Polit, D. F. & Beck C. T. (2006). The content validity index: are you sure you know what's being reported? Critique and recomendationas. Research in Nursing & Health, 29: 489-497. http://doi.org/10.1002/nur.20147

Primack, B. A.; Gold, M. A.; Switzer, G. E.; Hobbs, R.; Land, S. R. & Fine, M. J. (2006). Development and validation of a smoking media literacy scale for adolescents. Archives of Pediatrics & Adolescent Medicine, 160(4), 369-374. http://doi.org/10.1001/archpedi.160.4.369

Rodrigues, M. L. M., Ponte, T. D. R., Vasconcelos, C. M. C. S. d., Cacau, L. T. & Sampaio, H. A. d. C. (2021). Desenvolvimento e validação de uma cartilha fundamentada no letramento em saúde sobre chás medicinais para mulheres sobreviventes de câncer de mama. Research, Society and Development, 10(4): e49410414266. http://dx.doi.org/10.33448/rsd-v10i4.14266

Rubio, D. M.; Berg-Weger, M.; Tebb, S. S.; Lee, S.; Rauch, S. (2003). Objectifying content validity: conducting a content validity study in social work research. Social Work Research, 27(2):94-105. https://doi.org/10.1093/swr/27.2.94

Salgado, M. V.; Pérez-Stable, E. J.; Primack, B. A.; Kaplan, C. P.; Mejia, R. M.; Gregorich, S. E. et al. (2012). Association of media literacy with cigarette smoking among youth in Jujuy, Argentina. Nicotine & Tobacco Research, 14(5), 516-521. https://doi.org/10.1093/ntr/ntr240

Sapnas, K. G. & Zeller, R. A. (2002). Minimizing sample size when using exploratory factor analysis for measurement. Journal of Nursing Measurement, 10(2):135-54. https://doi.org/10.1891/jnum.10.2.135.52552

Shone, L. P.; King, J. P.; Doane, C.; Wilson, K. M. & Wolf, M. S. (2011). Misunderstanding and potential unintended misuse of acetaminophen among adolescents and young adults. Journal of Health Communication, 16(sup3), 256–267. https://doi.org/10.1080/10810730.2011.604384

Sorensen, K.; Van den Broucke, S.; Fullam, J.; Doyle, G.; Pelikan, J.; Slonska, Z. & Brand, H. (2012). Health literacy and public health: a systematic review and integration of definitions and models. BMC Public Health, 12(1), 80. http://doi.org/10.1186/1471-2458-12-80

Valim, M. D.; Marziale, M. H. P.; Hayashida, M.; Rocha, F. L. R. & Santos, J. L. F. (2015). Validity and reliability of the Questionnaire for Compliance with Standard Precaution. Revista de Saúde Pública, 49(87):1-8. https://doi.org/10.1590/S0034-8910.2015049005975

Vidgena, H. A. & Gallegos, D. (2014). Defining food literacy and its components. Appetite, 76, 50-59. http://doi.org/10.1016/j.appet.2014.01.010

Weiss, B. D., Mays, M. Z., Martz, W., Castro, K. M., DeWalt, D. A., Pignone, M. P. et al. (2005). Quick assessment of literacy in primary care: The newest vital sign. The Annals of Family Medicine, 3(6), 514–522. http://doi.org/10.1370/afm.405

Wickham, C. A. & Carbone, E. T. (2018) What's technology cooking up? A systematic review of the use of technology in adolescent food literacy programs. Appetite, 125, 333-344. https://10.1016/j.appet.2018.02.001

Worsley, A. (2015). From nutrients to food literacy. Journal of the Home Economics Institute of Australia, 22(3), 13-21.

World Health Organization – WHO. (2011). Global Recommendations on Physical Activity for Health. https://www.who.int/dietphysicalactivity/global-PA-recs-2010.pdf

Published

12/12/2021

How to Cite

FARIAS, P. K. S.; SALES, M. S. M. .; BARBOSA, A. C. M. .; MONTEIRO, P. A. .; SOARES, P. D. de F. .; SOARES, L. J. F. .; OLIVEIRA, F. B. S. de; FONSECA, V. S. .; LEITE, A. S. .; ELEUTÉRIO, T. P.; REIS, E. C. dos .; MONTEIRO, E. L. de F. .; SANTOS, A. S. F.; SAMPAIO, H. A. de C. .; MARTINS, A. M. E. de B. L. . Development of content validity and reliability of an instrument to assess adolescent food literacy . Research, Society and Development, [S. l.], v. 10, n. 16, p. e283101623631, 2021. DOI: 10.33448/rsd-v10i16.23631. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/23631. Acesso em: 25 dec. 2024.

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Section

Health Sciences