Development and validation of nutrition knowledge test for high school students using a novel study design: A Rasch analysis
Development and validation of nutrition knowledge test for high school students using a novel study design: A Rasch analysis
DOI:
https://doi.org/10.14306/renhyd.26.1.1486Keywords:
adolescent, nutrition, diet, healthy, surveys and questionnairesAbstract
Introduction: The creation of a high-quality, valid, and reliable knowledge test for high school students will contribute to establishing dietary programs more conscious, for individuals and society. The aim of the study is to develop a valid and reliable nutrition knowledge test for high school students.
Methodology: Data were collected from 346 high school students age from 14 to 18 years. Rasch modelling was used for validating the test. The expert group followed a five-step test developing process and developed 22 multiple-choice items.
Results: Findings indicated that 20 of 22 test items showed high internal consistency and reliability for both test items and person participating in this study. The wright map indicated a well distributed item difficulties and relatively good person abilities.
Conclusions: It is thought that the study findings obtained through the Rasch modelling and the knowledge test created will be a guiding tool in respect of multidimensionality, validity, and reliability for the concept, such as nutrition which is crucial in human life.
References
(1) Barzegari A, Ebrahimi M, Azizi M, Ranjbar K A. Study of Nutrition Knowledge, Attitudes and Food Habits of College Students. World Applied Sciences Journal. 2011;15(7):1012-7.
(2) Samoggia A, Riedel B. Assessment of nutrition-focused mobile apps’ influence on consumers’ healthy food behaviour and nutrition knowledge. Food Res Int. 2020;128:108766, doi: 10.1016/j.foodres.2019.108766.
(3) Kimokoti RW, Millen BE. Nutrition for the Prevention of Chronic Diseases. Med Clin North Am. 2016;100(6):1185-98, doi: 10.1016/j.mcna.2016.06.003.
(4) Sichert-Hellert W, Beghin L, De Henauw S, Grammatikaki E, Hallström L, Manios Y, et al. Nutritional knowledge in European adolescents: results from the HELENA (Healthy Lifestyle in Europe by Nutrition in Adolescence) study. Public Health Nutr. 2011;14(12):2083-91, doi: 10.1017/S1368980011001352.
(5) Häggman-Laitila A, Salokekkilä P, Karki S. Young People’s Preparedness for Adult Life and Coping After Foster Care: A Systematic Review of Perceptions and Experiences in the Transition Period. Child Youth Care Forum. 2019;48(5):633-61, doi: 10.1007/s10566-019-09499-4.
(6) Golden NH, Schneider M, Wood C. Preventing Obesity and Eating Disorders in Adolescents. Pediatrics. 2016;138(3):e20161649, doi: 10.1542/peds.2016-1649.
(7) Moreno LA, Sarría A, Fleta J, Rodríguez G, González JM, Bueno M. Sociodemographic factors and trends on overweight prevalence in children and adolescents in Aragón (Spain) from 1985 to 1995. J Clin Epidemiol. 2001;54(9):921-7, doi: 10.1016/s0895-4356(01)00358-4.
(8) Harvey-Berino J, Hood V, Rourke J, Terrance T, Dorwaldt A, Secker-Walker R. Food preferences predict eating behavior of very young Mohawk children. J Am Diet Assoc. 1997;97(7):750-3, doi: 10.1016/S0002-8223(97)00186-7.
(9) Kostanjevec S, Jerman J, Koch V. Nutrition knowledge in relation to the eating behaviour and attitudes of Slovenian schoolchildren. Nutrition & Food Science. 2013;43(6):564-72, doi: 10.1108/NFS-10-2012-0108.
(10) Cavanagh SE, Riegle-Crumb C, Crosnoe R. Puberty and the Education of Girls. Soc Psychol Q. 2007;70(2):186-98.
(11) Jones AM, Zidenberg-Cherr S. Exploring nutrition education resources and barriers, and nutrition knowledge in teachers in California. J Nutr Educ Behav. 2015;47(2):162-9, doi: 10.1016/j.jneb.2014.06.011.
(12) D’Adamo CR, McArdle PF, Balick L, Peisach E, Ferguson T, Diehl A, et al. Spice MyPlate: Nutrition Education Focusing Upon Spices and Herbs Improved Diet Quality and Attitudes Among Urban High School Students. Am J Health Promot. 2016;30(5):346-56, doi: 10.1177/0890117116646333.
(13) de Vlieger N, Riley N, Miller A, Collins CE, Bucher T. Nutrition education in the Australian New South Wales primary school curriculum: An exploration of time allocation, translation and attitudes in a sample of teachers. Health Promot J Austr. 2019;30(1):94-101, doi: 10.1002/hpja.188.
(14) Schrama JW, Haidar MN, Geurden I, Heinsbroek LTN, Kaushik SJ. Energy efficiency of digestible protein, fat and carbohydrate utilisation for growth in rainbow trout and Nile tilapia. Br J Nutr. 2018;119(7):782-91, doi: 10.1017/S0007114518000259.
(15) Dickson-Spillmann M, Siegrist M, Keller C. Development and validation of a short, consumer-oriented nutrition knowledge questionnaire. Appetite. 2011;56(3):617-20, doi: 10.1016/j.appet.2011.01.034.
(16) Keller HH, McKenzie JD, Goy RE. Construct validation and test-retest reliability of the seniors in the community: risk evaluation for eating and nutrition questionnaire. J Gerontol A Biol Sci Med Sci. 2001;56(9):M552-558, doi: 10.1093/gerona/56.9.m552.
(17) Miller CK, Jensen GL, Achterberg CL. Evaluation of a food label nutrition intervention for women with type 2 diabetes mellitus. J Am Diet Assoc. 1999;99(3):323-8, doi: 10.1016/S0002-8223(99)00082-6.
(18) Parmenter K, Wardle J. Development of a general nutrition knowledge questionnaire for adults. Eur J Clin Nutr. 1999;53(4):298-308, doi: 10.1038/sj.ejcn.1600726.
(19) Sapp SG, Jensen HH. Reliability and Validity of Nutrition Knowledge and Diet-Health Awareness Tests Developed from the 1989–1991 Diet and Health Knowledge Surveys. Journal of Nutrition Education. 1997;29(2):63-72, doi: 10.1016/S0022-3182(97)70157-2.
(20) Trakman GL, Forsyth A, Hoye R, Belski R. Developing and validating a nutrition knowledge questionnaire: key methods and considerations. Public Health Nutr. 2017;20(15):2670-9, doi: 10.1017/S1368980017001471.
(21) Boone WJ. Rasch Analysis for Instrument Development: Why, When, and How? CBE Life Sci Educ. 2016;15(4):rm4, doi: 10.1187/cbe.16-04-0148.
(22) Devrilmez E, Dervent F, Ward P, Ince ML. A test of common content knowledge for gymnastics: A Rasch analysis. European Physical Education Review. 2019;25(2):512-23, doi: 10.1177/1356336X17751232.
(23) Rasch G. Probabilistic Models for Some Intelligence and Attainnment Tests. Chicago: Uni Chicago Press; 1980.
(24) T.C. Millî Eğitim Bakanlığı Talim Terbiye Kurulu Başkanlığı. Ortaöğretim Beden Eğitimi ve Spor Dersi Müfredatı. [accedido 19 enero 2022]. Disponible en: https://mufredat.meb.gov.tr/ProgramDetay.aspx?PID=334.
(25) T.C. Millî Eğitim Bakanlığı Talim Terbiye Kurulu Başkanlığı. Ortaöğretim Sağlık Bilgisi Ders Müfredatı. [accedido 20 enero 2022]. Disponible en: https://mufredat.meb.gov.tr/ProgramDetay.aspx?PID=348.
(26) Jones AM, Lamp C, Neelon M, Nicholson Y, Schneider C, Wooten Swanson P, et al. Reliability and validity of nutrition knowledge questionnaire for adults. J Nutr Educ Behav. 2015;47(1):69-74, doi: 10.1016/j.jneb.2014.08.003.
(27) Linacre J A. User’s guide to winsteps rasch-model computer program. Version 3.65. 2008. [accedido 20 enero 2022]. Disponible en: https://www.winsteps.com.
(28) Bond T, Fox CM, Bond TG. Applying the Rasch Model: Fundamental Measurement in the Human Sciences, Second Edition. Mahwah, N.J; 2007.
(29) He Y, Ward P, Wang X. Validation of a Common Content Knowledge Test for Soccer. Journal of Teaching in Physical Education. 2018;37(4):407-12, doi: 10.1123/jtpe.2017-0204.
(30) Boone WJ, Staver JR, Yale MS. Rasch Analysis in the Human Sciences. New York, NY: Springer; 2014.
(31) Devries S, Agatston A, Aggarwal M, Aspry KE, Esselstyn CB, Kris-Etherton P, et al. A Deficiency of Nutrition Education and Practice in Cardiology. Am J Med. 2017;130(11):1298-305, doi: 10.1016/j.amjmed.2017.04.043.
(32) Kalantari N, Mohammadi NK, Rafieifar S, Eini-Zinab H, Aminifard A, Malmir H, et al. Indicator for Success of Obesity Reduction Programs in Adolescents: Body Composition or Body Mass Index? Evaluating a School-based Health Promotion Project after 12 Weeks of Intervention. Int J Prev Med. 2017;8:73, doi: 10.4103/ijpvm.IJPVM_306_16.
(33) Tavakol M, Dennick R. Psychometric evaluation of a knowledge based examination using Rasch analysis: An illustrative guide: AMEE Guide No. 72. Medical Teacher. 2013;35(1):e838-48, doi: 10.3109/0142159X.2012.737488.
(34) Trakman GL, Forsyth A, Hoye R, Belski R. The nutrition for sport knowledge questionnaire (NSKQ): development and validation using classical test theory and Rasch analysis. J Int Soc Sports Nutr. 2017;14:26, doi: 10.1186/s12970-017-0182-y.
(35) Guttersrud O, Dalane JØ, Pettersen S. Improving measurement in nutrition literacy research using Rasch modelling: examining construct validity of stage-specific «critical nutrition literacy» scales. Public Health Nutr. 2014;17(4):877-83, doi: 10.1017/S1368980013000530.
(36) Mötteli S, Barbey J, Keller C, Bucher T, Siegrist M. Measuring practical knowledge about balanced meals: development and validation of the brief PKB-7 scale. Eur J Clin Nutr. 2016;70(4):505-10, doi: 10.1038/ejcn.2015.173.
(37) Chen W-H, Lenderking W, Jin Y, Wyrwich KW, Gelhorn H, Revicki DA. Is Rasch model analysis applicable in small sample size pilot studies for assessing item characteristics? An example using PROMIS pain behavior item bank data. Qual Life Res. 2014;23(2):485-93, doi: 10.1007/s11136-013-0487-5.
(38) Osler M, Hansen ET. Dietary knowledge and behaviour among schoolchildren in Copenhagen, Denmark. Scand J Soc Med. 1993;21(2):135-40, doi: 10.1177/140349489302100214.
(39) Reinehr T, Kersting M, Chahda C, Andler W. Nutritional knowledge of obese and non-obese children. Nutr Res. 2003;23:645-9, doi: 10.1016/S0271-5317(03)00025-3.
(40) Castelli D, Williams L. Health-Related Fitness and Physical Education Teachers’ Content Knowledge. Journal of Teaching in Physical Education. 2007;26:3-19, doi: 10.1123/jtpe.26.1.3.
(41) Fitzgerald JT, Funnell MM, Anderson RM, Nwankwo R, Stansfield RB, Piatt GA. Validation of the Revised Brief Diabetes Knowledge Test (DKT2). Diabetes Educ. 2016;42(2):178-87, doi: 10.1177/0145721715624968.
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