Revision and Psychometric Validation of a Survey Tool to Measure Critical Nutrition Literacy in Young Adults

McNamara, Jade; Kunicki, Zachary J.; Olfert, Melissa D.; Byrd‐Bredbenner, Carol; Greene, Geoffrey

doi:10.1016/j.jneb.2020.01.015

Cited by 8 publications

(12 citation statements)

References 25 publications

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“…[ 27 ] McNamara psychometrically validated the 11-item claim scale of the CNLT in a cross-sectional convenience sample of approximately 1700 U.S. college students. [ 21 ] Validation resulted in a 7-item instrument CNLT-R, with two factors: (1) critical appraisal of media sources (Cronbach's alpha [α] = 0.73) and (2) critical appraisal of evidence-based nutrition sources (α = 0.64). The overall 7-item instrument was found to have sound psychometrical validity and reliability (α = 0.69).…”

Section: Methodsmentioning

confidence: 99%

“…CNL was measured using the CNLT-R.[ 21 ] Examples of the items include, “I have confidence in the various diets that I read about in newspapers, magazines, etc.” and “I am concerned that the dietary information that I read may not be based on science.” Items were evaluated using a 5-point Likert scale ranging from 1 = strongly disagree to 5 = strongly agree. The responses of the 7 items were averaged, producing an overall CNL score ranging from 1 to 5, where 1 indicated lower CNL and 5 indicated higher CNL.…”

Section: Methodsmentioning

confidence: 99%

“…Phase 2 was an analysis of a cross-sectional survey of college students from three different northeastern universities: URI, West Virginia University (WVU), and Rutgers University (Rutgers). Students participated in an online survey that assessed students' health-related behavior[ 29 ] and CNL using the CNLT-R.[ 21 ] This survey also included dietary assessment and demographics. Among demographic variables, students specified whether they lived on or off campus.…”

Section: Methodsmentioning

confidence: 99%

“…CNL was measured using the CNLT-R.[ 21 ] CNL scores were then divided into tertiles to produce three equally distributed groups of participants where a score of 1.0–3.21 indicated lower CNL, 3.21–3.79 indicated moderate CNL, and 3.79–5.0 indicated higher CNL.…”

Section: Methodsmentioning

confidence: 99%

“…[ 2 13 14 ] Previous studies have established that functional and interactive nutrition literacy are indicators of diet quality[ 16 17 ] and can be improved after participating in nutrition programming. [ 18 19 20 ] Although a recently developed instrument (Revised CNL Tool [CNLT-R]) was found to have strong psychometric properties through exploratory and confirmatory factor analysis determining validity and reliability,[ 21 ] to the authors' knowledge, no studies have investigated the changeability of CNL and the relationship between CNL and indicators of diet quality. Exploring these relationships will provide guidance on the development of future healthful eating interventions directed at college students.…”

Section: Introductionmentioning

confidence: 99%

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Establishing criterion validity for the Revised Critical Nutrition Literacy Tool in U.S. college students

Bedoyan

McNamara

Olfert

et al. 2021

J Edu Health Promot

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BACKGROUND: Critical nutrition literacy (CNL) plays an important role in how college students make everyday decisions about nutrition choices. Increasing CNL is an aim of many introductory nutrition courses, but there are limited instruments measuring this construct. This study aimed to assess the changeability of CNL and the relationship between CNL and markers of diet quality in young adults. DESIGN: This was a two-phase research project consisting of a nonexperimental, pre–post study and a cross-sectional assessment from 2018 to 2019. Participants were U.S. college students, 18-24 years old, recruited from introductory-level courses from three participating universities, located in Rhode Island, West Virginia, and New Jersey. SUBJECTS AND METHODS: Interventions consisted of (1) a 4-credit, 13-week nutrition course and (2) a cross-sectional, online behavior, environment, and perception survey. CNL was measured using the Revised CNL Tool (CNLT-R) instrument across both phases. Measures for phases include: (1) the changeability of CNL and (2) the relationship between CNL and markers of diet quality. ANALYSIS: Paired t -tests and multivariate analysis of variance were utilized through SPSS version 25.0. RESULTS: CNL score significantly increased from baseline to postintervention from 3.38 ± 0.48 to 3.61 ± 0.55 ( P = 0.014). There was an overall significant effect of CNL on markers of diet quality, such as cups of fruits and vegetables (F/V) and teaspoons of added sugar (F [2,1321] = 3.12, P < 0.05; Wilks' Λ = 0.99). CONCLUSIONS: This research found that an introduction to nutrition course was associated with an increase in CNL and that CNL is related to diet quality. The instrument could be used by nutrition educators as an outcome assessment. Future research should investigate other components of the CNL construct as well as predictive validity.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Establishing criterion validity for the Revised Critical Nutrition Literacy Tool in U.S. college students

Bedoyan

McNamara

Olfert

et al. 2021

J Edu Health Promot

Self Cite

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Development and Validation of the Young Adult Nutrition Literacy Tool

McNamara¹,

Kunicki²,

Neptune³

et al. 2022

Journal of Nutrition Education and Behavior

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Nutrition Literacy Measurement Tool With Multiple Features for Chinese Adults

et al. 2022

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Background: Nutrition literacy is an emerging term which is increasingly used in policy and research. Progression is limited by the lack of an accepted method to measure nutrition literacy in Chinese adult, even research in this area is growing. Objective: The objective of this study is to develop a valid instrument to assess nutrition literacy in Chinese adults. Methods: The process involved 2 steps: constructed nutrition literacy conceptual framework, and developed potential items of scale based on literature review; and conducted 2 rounds of Delphi consultation to select items of the preliminary questionnaire. Results: In Delphi survey, the content validity index for each domain, level, and dimension of nutrition literacy was 1.0, coefficient of variation was less than 0.10, and Kendall’s coefficient of concordance was greater than 0.83. All of the 2 domains, 3 levels, and 6 dimensions initially formulated by our research team were reserved in the conceptual framework of nutrition literacy. Furthermore, a 43-item nutrition literacy measurement scale was established. Each item kept in the final scale reaches a high degree of concentration and a high degree of coordination, with the mean of importance ranging from 4.38 to 5.00. Conclusions: A nutrition literacy measurement scale with multiple features was established for Chinese adults, providing an operationalized tool to assess comprehensively nutrition literacy for research and practice in the field of nutrition, diet, and health.

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Revision and Psychometric Validation of a Survey Tool to Measure Critical Nutrition Literacy in Young Adults

Cited by 8 publications

References 25 publications

Establishing criterion validity for the Revised Critical Nutrition Literacy Tool in U.S. college students

Establishing criterion validity for the Revised Critical Nutrition Literacy Tool in U.S. college students

Development and Validation of the Young Adult Nutrition Literacy Tool

Nutrition Literacy Measurement Tool With Multiple Features for Chinese Adults

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