Objective: To develop a consumer nutrition environment assessment tool to assess policy, systems, and environmental initiatives that are implemented in food pantries, which incorporates recent national guidance, and evaluate its validity and reliability.
Setting: Illinois, US.
Design: This study had 4 phases: (1) tool revision, (2) pilot testing, (3) content validity assessment, and (4) interrater and test-retest reliability assessment. The original Nutrition Environment Food Pantry Assessment Tool (NEFPAT) was revised to incorporate evidence from updated guidelines and evidence. The NEFPAT+ was pilot-tested by 9 professionals at 5 food pantries. After revisions, 18 experts rated the content validity. Interrater and test-retest reliability was based on 2-4 professionals completing independent evaluations at 21 food pantries twice, 1 month apart.
Analysis: Content validity indices and intraclass correlation (ICC) coefficients for reliability estimates were compared with established thresholds.
Results: The NEFPAT+ was rated content valid by 94% of experts. The ICC for NEFPAT+ scores indicated excellent interrater reliability (ICC, 0.96; 99% confidence interval, 0.75-0.97) and good test-retest reliability (ICC: 0.80; 99% confidence interval, 0.60-0.92).
Conclusions: Evidence supports the content validity, interrater reliability, and test-retest reliability of the NEFPAT+. Future studies can assess how NEFPAT+ scores relate to intervention outcomes and dietary behaviors.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1016/j.jneb.2024.02.004 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Sociodemographic and behavioral factors associated with diet quality among low-income community health center patients with hypertension.
PLoS One
January 2025
Division of General Internal Medicine, Massachusetts General Hospital, Boston, Massachusetts, United States of America.
Objective: Identify the most important sociodemographic and behavioral factors related to the diet of low-income adults with hypertension in order to guide the development of a community health worker (CHW) healthy eating intervention for low-income populations with hypertension.
Design: In this cross-sectional analysis, dietary recalls were used to assess Healthy Eating Index-2020 (HEI-2020) total (range: 0 to 100 [best diet quality]) and component scores and sodium intake. Self-reported sociodemographic and behavioral data were entered into a Least Absolute Shrinkage and Selection Operator (LASSO) regression model to determine the relative importance of factors related to diet quality.
The Impacts of Programs and Policies to Address Food Insecurity: An Analysis of Change in Income.
Nutrients
December 2024
Department of Community Health Sciences, Boston University School of Public Health, 801 Massachusetts Ave. 4th Floor, Boston, MA 02118, USA.
Background/objectives: This paper examines hunger over time to analyze how food insecurity is impacted by reduced income, including household funding from the government. Federal policies and community-based programs have the ability to prevent increases in food insecurity, particularly for populations that have risk factors, such as households with children; single-parent households; low-income households, especially those in rural areas; Black and Hispanic households; and, households experiencing economic hardships.
Methods: This study is bas ed on a cross-sectional survey that was administered in 2018 and 2019 to food pantry clients, an already food insecure population accessing resources, in Eastern Massachusetts.
Providing medically tailored groceries and food resource coaching through the charitable food system to patients of a safety-net clinic in Dallas, Texas: a randomised controlled trial protocol.
BMJ Open
January 2025
O'Donnell School of Public Health, UT Southwestern Medical Center, Dallas, Texas, USA
Introduction: Linking patients living with chronic, diet-related diseases and food insecurity to charitable food assistance, medically tailored groceries (MTGs) and food resource coaching may empower patients to better manage their health in a way that is economically sustainable. This protocol paper describes the implementation of a study evaluating MTGs and food resource coaching in a food pantry setting.
Methods And Analysis: A randomised controlled trial whereby patients of a safety-net health centre will be screened for The Emergency Food Assistance Program (TEFAP) and study eligibility.
Food assistance use barriers, facilitators, and recommendations: insights from a qualitative study of racially and ethnically diverse parents.
J Nutr Sci
December 2024
Department of Family Medicine and Community Health, University of Minnesota Medical School, Minneapolis, MN, USA.
The objective of this study was to explore barriers and facilitators to utilising a range of food assistance resources as reported by parents living with or at risk for food insecurity (FI), as well as parents' recommendations for improving utilisation of these resources. Qualitative data from semi-structured interviews about parents' perspectives on interventions to address FI were analysed using a hybrid deductive/inductive thematic approach. Parents were drawn from the larger longitudinal cohort study ( = 1,307), which was recruited from primary care clinics in Minnesota.
View Article and Find Full Text PDFThe Association of Food Security With Hypertensive Disorders of Pregnancy: A National Health Interview Survey Analysis.
J Clin Hypertens (Greenwich)
December 2024
Division of Obstetric Anesthesiology, Department of Anesthesiology & Perioperative Medicine, University of California, Los Angeles, California, USA.
Food security is one of the most researched social determinants of health (SDoH), however, there is a lack of literature on the impact of food security on cardiovascular disease in pregnancy. The primary objective was to examine the association between food security with hypertensive disorders of pregnancy. We performed a cross-sectional analysis of 2019-2022 data from the National Health Interview Survey.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!