Validity and Reliability of the Turkish Version of the NutriSTEP Questionnaire

Yıl 2024, , 35 - 42, 05.07.2024

Merve Azak , Duygu Gözen

https://doi.org/10.26650/CURARE.2024.1447500

Öz

Objective: This study aims to evaluate the validity and reliability of the Nutrition Screening Tool for Every Preschooler (NutriSTEP) questionnaire in Turkish, a measurement tool originating from Canada that is designed to assess the nutrition risk of preschool children.
Materials and Methods: An online cross-cultural validation study was conducted with 196 parents of children aged 3-5 years in Istanbul, Türkiye. The NutriSTEP questionnaire is comprised of 17 items covering four categories and underwent translation into Turkish and subsequent evaluation for language, content, and face validity. Data collection occurred online, with statistical analyses being performed to gauge the reliability and validity of the tool.
Results: A total of 196 parents participated in the study who yielded a mean NutriSTEP score of 27.30 ± 6.64, indicating a notable prevalence of medium to high nutrition risk among preschoolers. The content validity index was assessed at 0.99, underscoring the robustness of the tool’s content validity. The item-scale correlation analysis revealed a significant and consistent correlation between each item and the total score, affirming the coherence of the items within the NutriSTEP scale. Further scrutiny through item analysis unveiled predominantly positive correlations between most items and the total score, further bolstering the tool’s efficacy at gauging nutrition risk. A criterion-related validity analysis highlighted significant associations between NutriSTEP scores and various factors, illuminating the tool’s predictive capacity concerning nutrition risk. Moreover, the test-retest analysis demonstrated a robust correlation between the initial and repeated administrations of NutriSTEP (p < 0.01), reaffirming its reliability over time.
Conclusion: In conclusion, the Turkish adaptation of NutriSTEP demonstrates strong validity and reliability for assessing nutrition risk among preschool children, making it a suitable tool for use in Türkiye. Its user-friendly nature that allows parents to complete the assessment swiftly in approximately 10 minutes provides valuable insights into various aspects of children’s nutritional status.

Anahtar Kelimeler

Children, preschoolers, nutrition screening, nutrition risk, parent

Kaynakça

• 1. Simpson JR, Gumbley J, Whyte K, Lac J, Morra C, Rysdale L, et al. Development, reliability, and validity testing of Toddler NutriSTEP: A nutrition risk screening questionnaire for children 18-35 months of age. Applied Physiology, Nutrition and Metabolism 2015;40(9):877-86. google scholar
• 2. Mehdizadeh A, Vatanparast H, Khadem-Rezaiyan M, Norouzy A, Abasalti Z, Rajabzadeh M, et al. Validity and reliability of the Persian Version of Nutrition Screening Tool for Every Preschooler (NutriSTEP®) in Iranian Preschool Children. J Pediatr Nurs 2020; 52:e90-5. google scholar
• 3. Wham C, Edge B, Kruger R. Adaptation and reliability of ‘Nutrition Screening Tool for Every Preschooler’ (NutriSTEP) for use as a parent-administered questionnaire in New Zealand. J Paediatr Child Health. 2021; 57(9):1426-31 google scholar
• 4. Simpson JR, Keller HH, Rysdale LA, Beyers JE. Nutrition Screening Tool for Every Preschooler (NutriSTEPTM): Validation and test-retest reliability of a parent-administered questionnaire assessing nutrition risk of preschoolers. Eur J Clin Nutr. 2008;62(6):770-80. google scholar
• 5. Buja A, Grotto G, Brocadello F, Sperotto M, Baldo V. Primary school children and nutrition: lifestyles and behavioral traits associated with a poor-to-moderate adherence to the Mediterranean diet. A cross-sectional study. Eur J Pediatr. 2020;179(5):827-34. google scholar
• 6. Battistini C, Meroni E, Erba D. Food education project for young footballers in the federal center of Verano Brianza: evaluation of adherence to the Mediterranean diet and nutrition knowledge. Nutrition, Metabolism and Cardiovascular Diseases. 2021;30(3):534—5. google scholar
• 7. Watson-Jarvis K, M.cNeil D, Fenton TR, Campbell K. Implementing the nutrition screening tool for every preschooler (NutriSTEP®): In community health centers. Canadian Journal of Dietetic Practice and Research 2011;72(2):96-8. google scholar
• 8. Carducci B, Reesor M, Haresign H, Rysdale L, Keller H, Beyers J, et al. NutriSTEP® is reliable for internet and onscreen use. Canadian Journal of Dietetic Practice and Research. 2015;76(1):9-14. google scholar
• 9. Turkish Ministry of Industry and Technology. Socio-economic Development Ranking Research of Districts. Ankara, Turkey; 2019 Report No: 2. google scholar
• 10. Esin MN. Data Collection Methods and Tools & Reliability and Validity of Data Collection Tools. In: Erdoğan S, Nahcivan N, Esin MN, editors. Research Process, Practice and Critical in Nursing. 4th ed. Istanbul, Turkey: Nobel Medical Bookstores; 2020. p. 193-233. google scholar
• 11. Segalowitz SJ, Santesso DL, Murphy TI, Homan D, Chantziantoniou DK, Khan S. Retest reliability of medial frontal negativities during performance monitoring. Psychophysiology 2010;47(2):260-70. google scholar 12. Olvet DM, Hajcak G. Reliability of error-related brain activity. Brain Res 2009; 11;1284:89-99. google scholar
• 13. Wang Y, Beydoun MA, Li J, Liu Y, Moreno LA. Do children and their parents eat a similar diet? Resemblance in child and parental dietary intake: systematic review and meta-analysis. J Epidemiol Community Health 2011;65:177-89. google scholar
• 14. Zurita-Ortega F, Román-Mata SS, Chacón-Cuberos R, CastroSánchez M, Muros JJ. Adherence to the Mediterranean Diet Is Associated with physical activity, self-concept and sociodemographic factors in university student. Nutrients 2018; 10(8):966. google scholar
• 15. Santiago-Torres M, Adams AK, Carrel AL, Larowe TL, Schoeller DA. Home food availability, parental dietary intake, and familial eating habits influence the diet quality of urban hispanic children. Childhood Obesity;10(5):408-15. google scholar
• 16. Tang D, Bu T, Dong X. Are parental dietary patterns associated with children’s overweight and obesity in China? BMC Pediatr. 2020;20(12):1-11. google scholar
• 17. NutriSTEP. Nutrition Resource Centre & Janis Randall Simpson. 2015. NutriSTEP® Implementation Toolkit. google scholar
• 18. Kresic G, Kendel Jovanovic G, Pavicic Zezelj S, Pleadin J, Liovic N, Plepel K. Parental adherence to Mediterranean diet is associated with their adolescents' cereals intake. Croatian Journal of Food Science and Technology 2018;10(1):81-8. google scholar
• 19. Yavuz HM, van Ijzendoorn MH, Mesman J, van der Veek S. Interventions aimed at reducing obesity in early childhood: a meta-analysis of programs that involve parents. Journal of Child Psychology and Psychiatry 2015;56(6):677-92. google scholar
• 20. Arcila-Agudelo AM, Ferrer-Svoboda C, Torres-Fernandez T, Farran-Codina A. Determinants of adherence to healthy eating patterns in a population of children and adolescents: Evidence on the Mediterranean Diet in the City of Mataró (Catalonia, Spain). Nutrients 2019;11(4):854. google scholar
• 21. Papadaki S, Mavrikaki E. Greek adolescents and the Mediterranean diet: factors affecting quality and adherence. Nutrition 2015;31(2):345-9. google scholar
• 22. Al-Shookri A, Al-Shukaily L, Hassan F, Al-Sheraji S, Al-Tobi S. Effect of mothers nutritional knowledge and attitudes on omani children’s dietary ıntake. Oman Med J 2011;26(4):253. google scholar
• 23. Karayağız Muslu G, Beytut D, Kahraman A, Yardımcı F, Başbakkal Z. Nutritional style of parents and examination of the effective factors. Turk Pediatri Ars 2014; 49(3):224-30. google scholar
• 24. Hermans RCJ, van den Broek N, Nederkoorn C, Otten R, Ruiter ELM, Johnson-Glenberg MC. Feed the Alien! The effects of a nutrition ınstruction game on children’s nutritional knowledge and food intake. Games Health J. 2018;7(3):164-74. google scholar
• 25. Lee JE, Lee DE, Kim K, Shim JE, Sung E, Kang JH, et al. Development of tailored nutrition information messages based on the transtheoretical model for smartphone application of an obesity prevention and management program for elementary school students. Nutr Res Pract 2017;11(3):247-56. google scholar
• 26. Zarnowiecki D, Sinn N, Petkov J, Dollman J. Parental nutrition knowledge and attitudes as predictors of 5-6-year-old children’s healthy food knowledge. Public Health Nutr [Internet]. 2012 [cited 2021 Nov 22];15(7):1284-90. google scholar
• 27. Hughes SO, Hayes JT, Sigman-Grant M, VanBrackle A. Potential Use of Food/Activity, Parenting Style, and Caregiver Feeding Style Measurement Tools with American Indian Families: A Brief Report. Matern Child Health J. 2017;21(2):242-7. google scholar
• 28. Aubel J, Martin SL, Cunningham K. Introduction: A family systems approach to promote maternal, child and adolescent nutrition. Matern Child Nutr 2021; 17(S1):e13228. google scholar
• 29. Field A. Exploratory factor analysis. In: Field A, editor. Discovering statistics using SPSS. 4th ed. London: SAGE Publications 2013; 665-719. google scholar
• 30. Çokluk Ö, Şekercioğlu G, Büyüköztürk Ş. Multivariate statistics for social sciences: SPSS and LISREL applications. 6th ed. Ankara, Turkey: Pegem Akademi; 2021. google scholar
• 31. Kalkan İ, Özarik B. Whole wheat bread and İts effects on health. Aydın Gastronomy 2017;1(1):37-46. google scholar
• 32. Ministry of Health. Turkey Nutrition and Health Survey. T Available from: https://hsgm.saglik.gov.tr/depo/birimler/ saglikli-beslenme-hareketli-hayat-db/Yayinlar/kitaplar/TBSA_ RAPOR_KITAP_20.08.pdf google scholar
• 33. Bayoumi I, Birken CS, Nurse KM, Parkin PC, Maguire JL, Macarthur C, et al. Screening for marginal food security in young children in primary care. BMC Pediatr 2021;21(1):1-6. google scholar