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Quan D, Michael I, Gollub E. Preliminary Validation of Digital Photography to Assess the Home Food Environment. Eur J Investig Health Psychol Educ 2023; 13:1257-1268. [PMID: 37504484 PMCID: PMC10378086 DOI: 10.3390/ejihpe13070093] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2023] [Revised: 07/05/2023] [Accepted: 07/09/2023] [Indexed: 07/29/2023] Open
Abstract
The home food environment (HFE), the availability and accessibility of foods and food products within the home, has a strong influence on healthy eating behaviors. Studies assessing the HFE commonly utilize a home food inventory (HFI) for data collection. However, this approach tends to be burdensome for participants. This study validated a low-burden digital photo method for assessing the home food environment and confirmed that this method is preferred by participants. Study participants completed an HFI, submitted photos of household foods, then identified preference for the HFI or photo reporting method. Researchers completed an HFI based on each participant's photo submissions. Researcher-to-participant and researcher-to-researcher comparisons were made through ANOVA and randomized block analyses to determine concurrent validity and inter-rater reliability. Method preference was assessed using the Z-test. The participant group (N = 53) was predominantly female (68%), young adult (90.5%), and Hispanic or Latino (71.7%). Concurrent validity was initially moderate (ĸ = 0.54); adjustments yielded substantial agreement (ĸ = 0.61). The inter-rater reliability (p = 0.98) demonstrated significant consistency among reviewers. The photo-documentation method was found to be valid and preferred (p = 0.01) for reporting on the HFE. The photo method can be used advantageously to collect quality data.
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Affiliation(s)
- Daniela Quan
- School of Nutrition and Food Sciences, Louisiana State University, Baton Rouge, LA 70803, USA
| | - Isaac Michael
- Department of Experimental Statistics, Louisiana State University, Baton Rouge, LA 70803, USA
| | - Elizabeth Gollub
- School of Nutrition and Food Sciences, Louisiana State University Agricultural Center, Baton Rouge, LA 70803, USA
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Kong A, Fitzgibbon M, Hubbard C, Campbell RT, Kessee N, Schiffer L. Validation of a self-report home food availability checklist against in-home food inventories conducted in low-income Black/African American and Hispanic/Latinx households with preschool-age children. Appetite 2022; 172:105964. [PMID: 35124159 PMCID: PMC8898284 DOI: 10.1016/j.appet.2022.105964] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/10/2021] [Revised: 11/12/2021] [Accepted: 02/02/2022] [Indexed: 11/29/2022]
Abstract
Home food availability (HFA) checklists can be completed by self-report to assess the home food environment. Checklists developed for Black/African American (B/AA) and Hispanic/Latinx (H/L) households are seldom validated against objective approaches such as exhaustive in-home food inventories. This study validated a self-report HFA checklist developed for B/AA and H/L households (n = 97) against researcher-completed HFA checklists verified by exhaustive in-home food inventories. Mean estimates of sensitivity, specificity, and area of the receiver operating curve (ROC), and interrater agreement (Gwet AC1) were calculated to examine the accuracy and agreement of self-reported checklists against direct observation of individual food items. Mean differences in HFA food group scores were compared (self-report vs observed) to examine group-level relative validity. The predictive validity of this self-reported measure on observed scores and dietary intake were also examined with linear regression. The average values for ROC area (average of sensitivity and specificity) ranged from acceptable (0.76 for sweets) to excellent (0.81 for vegetables, fruits). Average interrater agreement values ranged from moderate (0.41-0.60: sweets) to substantial (0.61-0.79: vegetables, fruit, SSBs, savory foods). Self-reported mean scores, compared to observed scores, were higher for vegetables (mean diff: 1.04) and lower for sweets (mean diff: 0.38, p = 0.01), but regression analyses demonstrated that self-reported scores were good predictors of observed scores with absolute error (based on standard deviation of residuals) ranging from ±1.27 to 1.69 points. Self-reported scores also predicted multiple aspects of dietary intake but more so among H/L households. In conclusion, the HFA checklist obtained via self-report performed well based on multiple indicators of validity suggesting that this self-reported measure can be used to assess home food environments among of B/AA and H/L households.
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Affiliation(s)
- Angela Kong
- University of Illinois at Chicago, Department of Pharmacy Systems, Outcomes, and Policy, 833 S Wood St, Chicago, IL, 60612, USA; University of Illinois at Chicago, Institute for Health Research and Policy, 1747 W Roosevelt Rd, Chicago, IL, 60608, USA.
| | - Marian Fitzgibbon
- University of Illinois at Chicago, Institute for Health Research and Policy, 1747 W Roosevelt Rd, Chicago, IL, 60608, USA; University of Illinois Cancer Center, 914 S. Wood St. MC 700, Chicago, IL, 601612, USA; University of Illinois at Chicago, Department of Pediatrics, 1835 W Polk St. Chicago, IL, 60612, USA.
| | - Colin Hubbard
- University of California San Francisco, Department of Medicine, 400 Parnassus Ave. San Francisco, CA, 94143, USA.
| | - Richard T Campbell
- University of Illinois at Chicago, Institute for Health Research and Policy, 1747 W Roosevelt Rd, Chicago, IL, 60608, USA.
| | - Nicollette Kessee
- University of Illinois Cancer Center, 914 S. Wood St. MC 700, Chicago, IL, 601612, USA.
| | - Linda Schiffer
- University of Illinois at Chicago, Institute for Health Research and Policy, 1747 W Roosevelt Rd, Chicago, IL, 60608, USA.
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Preto LT, Scarpatto CH, Ley LLG, Silveira C, Salerno MR, Moreno JP, Castro SMDJ, Booij L, Mattiello R. Validation of the Family Health Behavior Scale for the Brazilian population. J Pediatr (Rio J) 2022; 98:84-91. [PMID: 33965407 PMCID: PMC9432311 DOI: 10.1016/j.jped.2021.04.002] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/02/2020] [Revised: 04/01/2021] [Accepted: 04/06/2021] [Indexed: 11/28/2022] Open
Abstract
OBJECTIVE To validate the Family Health Behavior Scale (FHBS) for Brazilian families. METHODS The sample included 272 children aged 5 to 12 years old. Caregivers and their healthy answered the FHBS and questions about physical activity. In addition, anthropometric measurements of the children's weight and height were performed, as well as the bioimpedance exam. The scale was translated and the following validities were assessed: content (qualitative analysis and content validity index), construct (factor analysis) and concurrent validity (difference between domains and the total score with the categories of BMI, fat percentage and physical activity). Reliability (Cronbach's alpha, ceiling-floor effect, two-half test, intraclass correlation and Bland - Altman) was also assessed. RESULTS FHBS instrument performed well with regard to the psychometric properties in the Brazilian population. The content validity index was 0.987. Fit indices of the factor analysis were considered satisfactory, according to Bartlett's sphericity test (χ 2 = 1927, df = 351; p < 0.001) and the Kaiser-Meyer-Olkin index (KMO = 0.789). Concurrent validity, the differences between the mean of the domains and the total score between the categories of BMI (p = 0.011), percentage of fat (0.004) and physical activity (p < 0.001) were all significant. The reliability results were Cronbach's alpha internal consistency = 0.83, adequate ceiling-floor effect, 0.8105 (0.09 SD) two-half test, 0.626 intraclass correlation (95% CI: 0.406 to 0.777) and Bland - Altman -0.840 (-22.76 to 21.07). CONCLUSION The FHBS adapted for the Brazilian population showed evidence of adequate psychometric performance.
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Affiliation(s)
- Luiza Tweedie Preto
- Pontifícia Universidade Católica do Rio Grande do Sul, Programa de Pós-graduação em Pediatria e Saúde da Criança, Porto Alegre, RS, Brazil
| | - Camila H Scarpatto
- Pontifícia Universidade Católica do Rio Grande do Sul, Programa de Pós-graduação em Pediatria e Saúde da Criança, Porto Alegre, RS, Brazil
| | - Laura Lessa Gaudie Ley
- Pontifícia Universidade Católica do Rio Grande do Sul, Programa de Pós-graduação em Pediatria e Saúde da Criança, Porto Alegre, RS, Brazil
| | - Carolina Silveira
- Pontifícia Universidade Católica do Rio Grande do Sul, Programa de Pós-graduação em Pediatria e Saúde da Criança, Porto Alegre, RS, Brazil; Universidade Federal do Rio Grande do Sul, Faculdade de Nutrição, Porto Alegre, RS, Brazil
| | - Margareth Rodrigues Salerno
- Pontifícia Universidade Católica do Rio Grande do Sul, Escola de Medicina, Núcleo de Formação em Pediatria e Saúde da Família, Porto Alegre, RS, Brazil
| | - Jennette Palcic Moreno
- Baylor College of Medicine, Houston, USDA/ARS Children's Nutrition Research Center, Department of Pediatrics-Nutrition, Houston, Texas
| | | | - Linda Booij
- University of Montreal, Concordia University & CHU Sainte-Justine, Department of Psychology, Montreal, Canada
| | - Rita Mattiello
- Pontifícia Universidade Católica do Rio Grande do Sul, Programa de Pós-graduação em Pediatria e Saúde da Criança, Porto Alegre, RS, Brazil; Pontifícia Universidade Católica do Rio Grande do Sul, Programa de Pós-graduação em Medicina e Ciências da Saúde, Porto Alegre, RS, Brazil.
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LeCroy MN, Bryant M, Albrecht SS, Siega‐Riz AM, Ward DS, Cai J, Stevens J. Obesogenic home food availability, diet, and BMI in Pakistani and White toddlers. MATERNAL & CHILD NUTRITION 2021; 17:e13138. [PMID: 33470030 PMCID: PMC8189220 DOI: 10.1111/mcn.13138] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 03/18/2020] [Revised: 12/11/2020] [Accepted: 12/14/2020] [Indexed: 12/12/2022]
Abstract
Individuals of South Asian ethnicity have an increased risk for obesity and related diseases. Foods available in the home during the first 1000 days (conception to 24 months old) are an important determinant of diet, yet no study has examined the association of early-life home food availability (HFA) with later diet and obesity risk in South Asian households. We examined whether obesogenic HFA at 18 months of age is associated with dietary intake and body mass index (BMI) at 36 months of age in low-income Pakistani and White households in the United Kingdom. In this prospective birth cohort study (Born in Bradford 1000), follow-up assessments occurred at 18 (n = 1032) and 36 (n = 986) months of age. Variety and quantity of snack foods and sugar-sweetened beverages (SSBs) in the home and consumed were measured using the HFA Inventory Checklist and food frequency questionnaires, respectively. BMI was calculated using measured length/height and weight. Multinomial logistic regression models examined associations between HFA and tertiles of dietary intake, and multivariable linear regression models assessed associations between HFA and BMI. Pakistani households had a greater variety and quantity of snack foods and SSBs available compared with White households. Variety and quantity of snack foods and SSBs in the home at 18 months were positively associated with children's intake of these items at 36 months, but associations between HFA and BMI were null. Reducing obesogenic HFA during the first 1000 days may promote the development of more healthful diets, though this may not be associated with lower obesity risk during toddlerhood.
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Affiliation(s)
- Madison N. LeCroy
- Department of Nutrition, Gillings School of Global Public HealthUniversity of North Carolina at Chapel HillChapel HillNorth CarolinaUSA
- Department of Epidemiology and Population HealthAlbert Einstein College of MedicineNew YorkNew YorkUSA
| | - Maria Bryant
- National Institute for Health Research Career Development Fellow, Clinical Trials Research Unit, Leeds Institute of Clinical Trials ResearchUniversity of LeedsLeedsUK
| | - Sandra S. Albrecht
- Department of Nutrition, Gillings School of Global Public HealthUniversity of North Carolina at Chapel HillChapel HillNorth CarolinaUSA
- Carolina Population CenterUniversity of North Carolina at Chapel HillChapel HillNorth CarolinaUSA
- Department of Epidemiology, Mailman School of Public HealthColumbia UniversityNew YorkNew YorkUSA
| | - Anna Maria Siega‐Riz
- School of NursingUniversity of VirginiaCharlottesvilleVirginiaUSA
- Departments of Nutrition and Biostatistics and Epidemiology, School of Public Health and Health SciencesUniversity of Massachusetts AmherstAmherstMassachusettsUSA
| | - Dianne S. Ward
- Department of Nutrition, Gillings School of Global Public HealthUniversity of North Carolina at Chapel HillChapel HillNorth CarolinaUSA
| | - Jianwen Cai
- Department of Biostatistics, Gillings School of Global Public HealthUniversity of North Carolina at Chapel HillChapel HillNorth CarolinaUSA
| | - June Stevens
- Departments of Nutrition and Epidemiology, Gillings School of Global Public HealthUniversity of North Carolina at Chapel HillChapel HillNorth CarolinaUSA
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Bellows LL, Boles RE, Hibbs-Shipp SK, Burdell A, Johnson SL. Checklist to Capture Food, Physical Activity, and Sedentary Devices in the Home Environment: The Home Inventory Describing Eating and Activity (Home-IDEA2). JOURNAL OF NUTRITION EDUCATION AND BEHAVIOR 2019; 51:589-597. [PMID: 30733165 DOI: 10.1016/j.jneb.2018.12.007] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/06/2018] [Revised: 12/16/2018] [Accepted: 12/17/2018] [Indexed: 06/09/2023]
Abstract
OBJECTIVE To modify and test a self-report checklist for the home food and activity environment, Home-Inventory Describing Eating and Activity (IDEA2), psychometrically with families of young children. DESIGN A mixed-methods approach: (1) cognitive interviews informed instrument design (content validity), (2) parent and trained independent raters concurrently and independently completed the Home-IDEA2 during home visits (criterion validity); (3) the Home-IDEA2 was compared with a national sample via the Food Acquisition and Purchase Survey (FoodAPS) database (construct validity). SETTING Rural communities in Colorado. PARTICIPANTS Families of preschoolers: cognitive interviews (n = 20) and home visits (n = 26). MAIN OUTCOME MEASURES AND ANALYSIS Content validity: responses to each question were analyzed using a general inductive approach. Criterion validity: Cohen's kappa (κ) coefficient was calculated for each Home-IDEA2 item. Construct validity: frequencies were calculated to determine the proportion of Home-IDEA2 food items found in FoodAPS households. RESULTS Cognitive interviews identified the need for more food descriptions and the reduction of total items from 154 to 134. Testing resulted in acceptable agreement (κ = 0.6-1.0) for 82 items (58 food, 16 physical activity, and 8 electronics), moderate agreement for 36 (35 food and 1 physical activity; κ = 0.4-0.5), and poor agreement for 16 (15 food and 1 electronics; κ ≤ 0.3). Overall reliability improved from 55% to 65% for Home-IDEA2 items. Comparison of Home-IDEA2 items with FoodAPS demonstrated that 60% of foods found in US homes were covered by the Home-IDEA2. CONCLUSIONS AND IMPLICATIONS This study resulted in a valid, reliable, and low-burden self-report measure for food, activity, and electronic home environments by low-income, minority parents of preschoolers.
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Affiliation(s)
- Laura L Bellows
- Department of Food Science and Human Nutrition, Colorado State University, Fort Collins, CO.
| | - Richard E Boles
- Department of Pediatrics, University of Colorado Anschutz Medical Campus, Aurora, CO
| | - Sarah K Hibbs-Shipp
- Department of Food Science and Human Nutrition, Colorado State University, Fort Collins, CO
| | - Alexandra Burdell
- Department of Food Science and Human Nutrition, Colorado State University, Fort Collins, CO
| | - Susan L Johnson
- Department of Pediatrics, University of Colorado Anschutz Medical Campus, Aurora, CO
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