Development and Psychometric Evaluation of the Preconception Health Knowledge Questionnaire

Cairncross, Zoe F; Dennis, Cindy‐Lee; Brennenstuhl, Sarah; Ravindran, Saranyah; Enders, Joanne; Graves, Lisa; Mill, Catriona; Telner, Deanna; Brown, Hilary K.

doi:10.1177/0890117120946682

Cited by 6 publications

(7 citation statements)

References 33 publications

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“…As there is only one other safe foodhandling knowledge measure designed for use among consumers (Byrd-Bredbenner et al, 2007), it is difficult to compare the current measure to other measures in the domain. However, knowledge measures in other domains have found similar results regarding these aspects of measure development (Cairncross et al, 2021;Dickson-Spillmann et al, 2011;Han et al, 2019). This suggests that the psychometric properties of the current measure are similar to other published knowledge measures.…”

Section: Discussionsupporting

confidence: 78%

Development of a safe food handling knowledge questionnaire: psychometric properties and acceptability among consumers

Charlesworth

Mullan

Preece

2022

NFS

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Purpose Foodborne illness remains high globally, with the majority of cases occurring in the domestic environment. Research in the safe food-handling domain is limited by the absence of an up-to-date and suitable measure of safe food-handling knowledge for use among consumers, with previous measures limited by questionnaire design features that increase participant burden and burnout and a lack of alignment with current safe food-handling guidelines. The purpose of this study is to develop a safe food-handling knowledge measure to capture a comprehensive understanding of consumers’ safe food-handling knowledge while minimising participant burden and burnout. Design/methodology/approach Items were developed and evaluated prior to administering them to participants. Data was collected among 277 participants who completed the measure online. Findings Results indicated that the measure had good acceptability among participants in the sample (mean = 5.44, SD = 0.77, range = 2.42–7) and that the measure had acceptable reliability (Cronbach’s α = 0.60), item discrimination and item difficulty. These findings suggest that the safe food-handling knowledge measure would be suitable for use in future studies examining consumer safe food-handling. Originality/value This study provides an updated, acceptable and suitable safe food-handling knowledge measure for use among consumers to better understand consumers’ understanding of safe food-handling practices. Use of this measure in future research can improve the measurement of consumer safe food-handling knowledge to allow for better tailoring of future interventions and health campaigns for safe food-handling among consumers.

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Section: Discussionsupporting

confidence: 78%

Development of a safe food handling knowledge questionnaire: psychometric properties and acceptability among consumers

Charlesworth

Mullan

Preece

2022

NFS

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“…23 111 For this to be achieved, the development and application of a validated preconception care health literacy instrument can be used to undertake assessment of health professionals' preconception care knowledge to determine the next steps needed for preconception care education and evaluation of preconception care delivery. 112…”

Section: Discussionmentioning

confidence: 99%

Relationships between Women's and Men's Modifiable Preconception Risks and Health Behaviors and Maternal and Offspring Health Outcomes: An Umbrella Review

Caut¹,

Schoenaker

McIntyre

et al. 2022

Semin Reprod Med

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Parental health before conception effects maternal and offspring health outcomes. Preconception care provides healthcare to prospective parents addressing modifiable preconception risks and health behaviors. This umbrella review aimed to consolidate evidence on women's and men's modifiable preconception risks or health behaviors associated with maternal and offspring health outcomes. MEDLINE, EMBASE, Maternity and Infant Care, CINAHL, and PsycINFO were searched from March 4, 2010, to March 4, 2020. Eligible studies were systematic reviews or meta-analyses of observational studies examining associations between modifiable preconception risks or health behaviors and maternal and offspring health outcomes. Screening, data extraction, and methodological quality assessment (AMSTAR 2) occurred independently by two reviewers. Degree of overlap was examined. Findings were summarized for evidence synthesis. Twenty-seven systematic reviews were included. Modifiable preconception risks and health behaviors were identified across categories: body composition (e.g., overweight, obesity), lifestyle behaviors (e.g., caffeine, smoking), nutrition (e.g., micronutrients), environmental exposures (e.g., radiation), and birth spacing (e.g., short interpregnancy intervals). Outcomes associated with exposures affected embryo (e.g., embryonic growth), maternal (e.g., gestational diabetes mellitus), fetal/neonate (e.g., preterm birth), and child (e.g., neurocognitive disorders) health. For real-world practice and policy relevance, evidence-based indicators for preconception care should include body composition, lifestyle, nutrition, environmental, and birth spacing.

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“…The variable was dichotomized to identify those with negative attitudes, defined having a score >3. Preconception health knowledge was assessed using the Preconception Health Knowledge Questionnaire (PHKQ), a 25-item multiple choice knowledge test that has been validated in this sample [ 40 ]. Responses were coded as being correct or incorrect, and a total score was calculated based on the number of correct responses.…”

Section: Methodsmentioning

confidence: 99%

Preconception risk factors and health care needs of pregnancy-planning women and men with a lifetime history or current mental illness: A nationwide survey

et al. 2022

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Objectives While depression and anxiety are common in women and men of reproductive age, preconception interventions to optimize the health of individuals with mental illness before pregnancy is limited and focuses primarily on psychotropic medication management. Comparing individuals with depression, anxiety, and comorbidity to those with neither condition, we identified areas of preconception care optimization related to psychosocial risk factors, general physical health, medication use, and uptake of high-risk health behaviours. We also investigated differences in preconception health care use, attitudes, and knowledge. Method We conducted a nationwide survey of 621 women (n = 529) and men (n = 92) across Canada who were planning a pregnancy within five years, including those with lifetime or current depression (n = 38), anxiety (n = 55), and comorbidity (n = 104) and those without mental illness (n = 413). Individuals with depression, anxiety, and comorbidity were compared to individuals without mental illness using logistic regression, adjusted for age, sex, and education level. Results Individuals with a lifetime or current mental illness were significantly more likely to have several risk factors for suboptimal reproductive and perinatal outcomes, including increased rates of obesity, stress, fatigue, loneliness, number of chronic health conditions, and medication use. Further, they were more likely to have high-risk health behaviours including increased substance use, internet addiction, poorer eating habits, and decreased physical activity. By assessing depression, anxiety, or both separately, we also determined there was variation in risk factors by mental illness type. Conclusion Our nationwide study is one of the first and largest to examine the preconception care needs of women and men with a lifetime or current mental illness who are pregnancy-planning. We found this population has many important reproductive and perinatal risk factors that are modifiable via preconception interventions which could have a significant positive impact on their health trajectories and those of their future children.

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Development and Psychometric Evaluation of the Preconception Health Knowledge Questionnaire

Cited by 6 publications

References 33 publications

Development of a safe food handling knowledge questionnaire: psychometric properties and acceptability among consumers

Development of a safe food handling knowledge questionnaire: psychometric properties and acceptability among consumers

Relationships between Women's and Men's Modifiable Preconception Risks and Health Behaviors and Maternal and Offspring Health Outcomes: An Umbrella Review

Preconception risk factors and health care needs of pregnancy-planning women and men with a lifetime history or current mental illness: A nationwide survey

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