Araştırma Makalesi
BibTex RIS Kaynak Göster

Turkish Validity and Reliability of the Novel Validated Short Questionnaire for Assessing Adherence to the Mediterranean Diet and Nutritional Sustainability (MedQ-Sus): A Methodological Study

Yıl 2024, Cilt: 13 Sayı: 4, 1485 - 1495, 25.12.2024

İzzet Ülker , Elham Foroudi Pourdeh

https://doi.org/10.37989/gumussagbil.1556347

Öz

This study aims to validate the "Adherence of Mediterranean Diet and Nutritional Sustainability Questionnaire (MedQ-Sus)" and Filling the gap of a reliable, alcohol-free Mediterranean diet adherence tool for the Turkish population, considering the culture of low alcohol consumption. This study, which involved 290 participants aged 18 to 64, was conducted from October 2023 to May 2024. Content validity was assessed by an expert panel of 10 dietitian academics. The Davis method was applied to calculate the Content Validity Index (CVI). With CVI scores ranging from 0.8 to 1.0, none of the scale items were removed. Exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) served to assess the construct validity of the scale. The data were deemed appropriate for factor analysis, as indicated by the Kaiser-Meyer-Olkin (KMO) value of 0.905 and the Bartlett test results (χ² = 2426.436, p < 0.001). The single-factor structure of the scale was supported by the EFA results, with item factor loadings between 0.699 and 0.916. The Cronbach's α coefficient for the scale was found to be 0.954 in the internal consistency analyses. Positive item-total correlations were observed, and removing any item did not result in a significant increase in the Cronbach's α coefficient. As a result, it was concluded that the MedQ-Sus scale in its Turkish version is both valid and reliable. In Turkey, this scale can be utilized to evaluate the adherence of adults to the Mediterranean diet (MD) as well as their perception of nutritional sustainability. This study contributes to validating and establishing the reliability of a tool for measuring adherence to the MD among Turkish speakers.

Anahtar Kelimeler

mediterranean diet sustainability adherence validity reliability

Etik Beyan

The Ethics Committee at Erzurum Technical University approved the study protocol (19.10.2023-11-15).

Destekleyen Kurum

None

Teşekkür

None

Kaynakça

  • 1. World Health Organization. (2019). "Sustainable healthy diets: Guiding principles". Food & Agriculture Organization. Available online: https://www.who.int/publications/i/item/9789241516648 (accessed on 30 June 2024).
  • 2. Tangredi, B.P. (2022). "The Mediterranean diet and One Health: A study in synergies". CABI One Health, ohcs20220012. https://doi.org/10.1079/cabionehealth.2022.0012.
  • 3. Dominguez, L.J, Di Bella, G, Veronese, N. and Barbagallo, M. (2021). "Impact of Mediterranean Diet on Chronic Non-Communicable Diseases and Longevity". Nutrients, 13, 2028. https://doi.org/10.3390/nu13062028.
  • 4. Franchini, C, Biasini, B, Sogari, G, Wongprawmas, R, Andreani, G, Dolgopolova, I, Gómez, M.I, Roosen, J, Menozzi, D, Mora, C et al. (2024). "Adherence to the Mediterranean Diet and its association with sustainable dietary behaviors, sociodemographic factors, and lifestyle: A cross-sectional study in US university students". Nutrition Journal, 23, 56. https://doi.org/10.1186/s12937-024-00962-0.
  • 5. Bonaccio, M, Pounis, G, Cerletti, C, Donati, M.B, Iacoviello, L. and de Gaetano, G. (2017). "Mediterranean diet, dietary polyphenols and low-grade inflammation: results from the MOLI-SANI study". British Journal of Clinical Pharmacology, 83, 107-113. https://doi.org/10.1111/bcp.12924.
  • 6. Karayiannis, D, Kontogianni, M.D, Mendorou, C, Mastrominas, M. and Yiannakouris, N. (2018). "Adherence to the Mediterranean diet and IVF success rate among non-obese women attempting fertility". Human Reproduction, 33, 494-502. https://doi.org/10.1093/humrep/dey003.
  • 7. Lăcătușu, C.M, Grigorescu, E.D, Floria, M, Onofriescu, A. and Mihai, B.M. (2019). "The Mediterranean Diet: From an Environment-Driven Food Culture to an Emerging Medical Prescription". International Journal of Environmental Research and Public Health, 16, 942. https://doi.org/10.3390/ijerph16060942.
  • 8. Lotfi, K, Saneei, P, Hajhashemy, Z. and Esmaillzadeh, A. (2022). "Adherence to the Mediterranean Diet, Five-Year Weight Change, and Risk of Overweight and Obesity: A Systematic Review and Dose-Response Meta-Analysis of Prospective Cohort Studies". Advances in Nutrition, 13, 152-166. https://doi.org/10.1093/advances/nmab092.
  • 9. Martín-Peláez, S, Fito, M. and Castaner, O. (2020). "Mediterranean Diet Effects on Type 2 Diabetes Prevention, Disease Progression, and Related Mechanisms: A Review". Nutrients, 12, 2236. https://doi.org/10.3390/nu12082236.
  • 10. Morze, J, Danielewicz, A, Przybyłowicz, K, Zeng, H, Hoffmann, G. and Schwingshackl, L. (2021). "An updated systematic review and meta-analysis on adherence to Mediterranean diet and risk of cancer". European Journal of Nutrition, 60, 1561-1586. https://doi.org/10.1007/s00394-020-02346-6.
  • 11. Mazza, E, Ferro, Y, Pujia, R, Mare, R, Maurotti, S, Montalcini, T. and Pujia, A. (2021). "Mediterranean Diet in Healthy Aging". Journal of Nutrition, Health & Aging, 25, 1076-1083. https://doi.org/10.1007/s12603-021-1675-6.
  • 12. Sadeghi, O, Keshteli, A.H, Afshar, H., Esmaillzadeh, A. and Adibi, P. (2021). "Adherence to Mediterranean dietary pattern is inversely associated with depression, anxiety and psychological distress". Nutritional Neuroscience, 24, 248-259. https://doi.org/10.1080/1028415x.2019.1620425.
  • 13. Sikalidis, A.K, Kelleher, A.H. and Kristo, A.S. (2021). "Mediterranean diet". Encyclopedia, 1, 371-387. https://doi.org/10.3390/encyclopedia102003.
  • 14. Tranidou, A, Dagklis, T, Magriplis, E, Apostolopoulou, A, Tsakiridis, I, Chroni, V. et al. (2023). "Pre-Pregnancy Adherence to Mediterranean Diet and Risk of Gestational Diabetes Mellitus: A Prospective Cohort Study in Greece". Nutrients, 15, 4848. https://doi.org/10.3390/nu15040848.
  • 15. Alberti-Fidanza, A. and Fidanza, F. (2004). "Mediterranean Adequacy Index of Italian diets". Public Health Nutrition, 7, 937-941. https://doi.org/10.1079/phn2004557.
  • 16. Bach, A, Serra-Majem, L, Carrasco, J.L, Roman, B, Ngo, J, Bertomeu, I. and Obrador, B. (2006). "The use of indexes evaluating the adherence to the Mediterranean diet in epidemiological studies: a review". Public Health Nutrition, 9, 132-146. https://doi.org/10.1079/phn2005936.
  • 17. Martínez-González, M, Corella, D, Salas-Salvadó, J, Ros, E., Covas, M.I, Fiol, M, Wärnberg, J, Arós, F, Ruíz-Gutiérrez, V, Lamuela-Raventós, R.M. et al. (2012). "Cohort profile: design and methods of the PREDIMED study". International Journal of Epidemiology, 41, 377-385. https://doi.org/10.1093/ije/dyq250.
  • 18. Pisani, P, Faggiano, F, Krogh, V, Palli, D, Vineis, P. and Berrino, F. (1997). "Relative validity and reproducibility of a food frequency dietary questionnaire for use in the Italian EPIC centres". International Journal of Epidemiology, 26(1), 152-S160. https://doi.org/10.1093/ije/26.suppl_1.s152.
  • 19. Sofi, F, Macchi, C, Abbate, R, Gensini, G.F. and Casini, A. (2014). "Mediterranean diet and health status: an updated meta-analysis and a proposal for a literature-based adherence score". Public Health Nutrition, 17, 2769-2782. https://doi.org/10.1017/s1368980013003169.
  • 20. Trichopoulou, A, Costacou, T, Bamia, C. and Trichopoulos, D. (2003). "Adherence to a Mediterranean diet and survival in a Greek population". New England Journal of Medicine, 348, 2599-2608. https://doi.org/10.1056/NEJMoa025039.
  • 21. Trichopoulou, A, Kouris-Blazos, A, Wahlqvist, M.L, Gnardellis, C, Lagiou, P, Polychronopoulos, E, Vassilakou, T, Lipworth, L. and Trichopoulos, D. (1995). "Diet and overall survival in elderly people". BMJ, 311, 1457-1460. https://doi.org/10.1136/bmj.311.7018.1457.
  • 22. Anderson, B.O, Berdzuli, N, Ilbawi, A, Kestel, D, Kluge, H.P, Krech, R, Mikkelsen, B, Neufeld, M, Poznyak, V. and Rekve, D. et al. (2023). "Health and cancer risks associated with low levels of alcohol consumption". The Lancet Public Health, 8, e6-e7. https://doi.org/10.1016/s2468-2667(22)00317-6.
  • 23. Bagriacik, N, Elmacioglu, F, Sakar, S, Yolacan, C. and Yildiz, S. (2013). "Study on Eating Habits and Physical Activity Status in Turkey". Journal of Nutritional Therapeutics, 2, 201-212. https://doi.org/10.6000/1929-5634.2013.02.04.4.
  • 24. Dernini, S. and Berry, E.M. (2015). "Mediterranean Diet: From a Healthy Diet to a Sustainable Dietary Pattern". Frontiers in Nutrition, 2, 15. https://doi.org/10.3389/fnut.2015.00015.
  • 25. Ruggeri, S, Buonocore, P. and Amoriello, T. (2022). "New Validated Short Questionnaire for the Evaluation of the Adherence of Mediterranean Diet and Nutritional Sustainability in All Adult Population Groups". Nutrients, 14, 3517. https://doi.org/10.3390/nu14235177.
  • 26. Tavşancıl, E. (2014). Measurement of attitudes and data analysis with SPSS. Ankara: Nobel Yayın.
  • 27. Bölükbaş, N. and Göl, G. (2021). "Surgical Anxiety Questionnaire: Turkish validity and reliability". Psychology Health and Medicine, 1-12. https://doi.org/10.1080/13548506.2021.1994619.
  • 28. Esin, M. (2014). "Data collection methods and tools & reliability and validity of data collection tools". In: Research Process in Nursing, Application and Critical. İstanbul, Turkey: Nobel Medicine Book Houses, p. 193-233.
  • 29. Karakoç, A.G.D.F.Y. and Dönmez, L. (2014). "Ölçek geliştirme çalışmalarında temel ilkeler". Tıp Eğitimi Dünyası, 13, 39-49. https://doi.org/10.25282/ted.228738
  • 30. Kılıç, A. and Koyuncu, İ. (2017). "Ölçek uyarlama çalışmalarının yapı geçerliği açısından incelenmesi". Küreselleşen dünyada eğitim, p. 1202-1205.
  • 31. Özdamar, K. (2016). Scale and test development structural equation modeling in education, health and behavioral sciences: IBM SPSS, IBM SPSS AMOS and MINITAB applied. Eskişehir: Nisan Bookstore.
  • 32. Yılmaz, M, Dişsiz, G, Demir, F, Irız, S. and Alacacioglu, A. (2017). "Reliability and Validity Study of a Tool to Measure Cancer Stigma: Patient Version". Asia Pacific Journal of Oncology Nursing, 4, 155-161. https://doi.org/10.4103/apjon.apjon_10_17.
  • 33. Carter-Harris, L, Hermann, C.P, Schreiber, J, Weaver, M.T. and Rawl, S.M. (2014). "Lung cancer stigma predicts timing of medical help-seeking behavior". Oncology Nursing Forum, 41, E203-210. https://doi.org/10.1188/14.Onf.E203-e210.
  • 34. Çapık, C, Gözüm, S. and Aksayan, S. (2018). "Intercultural scale adaptation stages, language and culture adaptation: updated guideline". Florence Nightingale Journal of Nursing, 26, 233-241. https://doi.org/10.26650/F

Akdeniz Diyetine Uyumun ve Beslenme Sürdürülebilirliğinin Değerlendirilmesine Yönelik Yeni Doğrulanmış Kısa Anketin (MedQ-Sus) Türkçe Geçerliliği ve Güvenilirliği: Metodolojik Bir Çalışma

Yıl 2024, Cilt: 13 Sayı: 4, 1485 - 1495, 25.12.2024

İzzet Ülker , Elham Foroudi Pourdeh

https://doi.org/10.37989/gumussagbil.1556347

Öz

Bu çalışma, "Akdeniz Diyetine Uyum ve Beslenme Sürdürülebilirliği Anketi (MedQ-Sus)"nin geçerliliğini test etmeyi ve düşük alkol tüketim kültürü göz önüne alındığında, Türk toplumu için güvenilir, alkolsüz bir Akdeniz diyeti uyum aracı ihtiyacını karşılamayı amaçlamaktadır. Çalışma, Ekim 2023 ile Mayıs 2024 arasında, 18 ile 64 yaşları arasındaki 290 katılımcı üzerinde gerçekleştirilmiştir. İçerik geçerliliği, 10 diyetisyen akademisyenden oluşan bir uzman paneli tarafından değerlendirilmiştir. Ayrıca, Davis yöntemi kullanılarak içerik geçerlilik indeksi (CVI) hesaplanmıştır. Maddelerin CVI puanları 0.8 ile 1.0 arasında değişmiş; bu doğrultuda, ölçekte herhangi bir madde çıkarılmamıştır. Açıklayıcı faktör analizi (AFA) ve doğrulayıcı faktör analizi (DFA) kullanılarak ölçeğin yapı geçerliliği değerlendirilmiştir. Kaiser-Meyer-Olkin (KMO) değeri 0.905 ve Bartlett testi sonuçları (x² = 2426.436, p < 0.001), verilerin faktör analizi için uygun olduğunu göstermiştir. AFA sonuçları, ölçeğin tek faktörlü yapısını doğrulamış ve Faktör yükleri maddeler için 0.699 ile 0.916 arasında bulunmuştur. İç tutarlılık analizlerinde, ölçeğin Cronbach α katsayısı 0.954 olarak tespit edilmiştir. Madde-toplam korelasyonları pozitif olup, herhangi bir madde çıkarıldığında Cronbach α katsayısında anlamlı bir artış gözlemlenmemiştir. Sonuç olarak, MedQ-Sus ölçeğinin Türkçe versiyonunun hem geçerli hem de güvenilir olduğu belirlenmiştir. Bu ölçek, Türkiye'de yetişkinlerin Akdeniz diyetine uyumunu ve beslenme sürdürülebilirliğine ilişkin algılarını değerlendirmek için kullanılabilir. Bu çalışma, Türkçe konuşanlar arasında Akdeniz diyetine uyumu ölçmek için bir aracın geçerliliğini ve güvenilirliğini sağlamaya katkıda bulunmaktadır.

Anahtar Kelimeler

akdeniz diyet sürdürülebilirlik bağlılık geçerlilik güvenirlik

Etik Beyan

Erzurum Teknik Üniversitesi Etik Kurulu tarafından onaylandı (19.10.2023-11-15).

Destekleyen Kurum

Yok

Teşekkür

Yok

Kaynakça

  • 1. World Health Organization. (2019). "Sustainable healthy diets: Guiding principles". Food & Agriculture Organization. Available online: https://www.who.int/publications/i/item/9789241516648 (accessed on 30 June 2024).
  • 2. Tangredi, B.P. (2022). "The Mediterranean diet and One Health: A study in synergies". CABI One Health, ohcs20220012. https://doi.org/10.1079/cabionehealth.2022.0012.
  • 3. Dominguez, L.J, Di Bella, G, Veronese, N. and Barbagallo, M. (2021). "Impact of Mediterranean Diet on Chronic Non-Communicable Diseases and Longevity". Nutrients, 13, 2028. https://doi.org/10.3390/nu13062028.
  • 4. Franchini, C, Biasini, B, Sogari, G, Wongprawmas, R, Andreani, G, Dolgopolova, I, Gómez, M.I, Roosen, J, Menozzi, D, Mora, C et al. (2024). "Adherence to the Mediterranean Diet and its association with sustainable dietary behaviors, sociodemographic factors, and lifestyle: A cross-sectional study in US university students". Nutrition Journal, 23, 56. https://doi.org/10.1186/s12937-024-00962-0.
  • 5. Bonaccio, M, Pounis, G, Cerletti, C, Donati, M.B, Iacoviello, L. and de Gaetano, G. (2017). "Mediterranean diet, dietary polyphenols and low-grade inflammation: results from the MOLI-SANI study". British Journal of Clinical Pharmacology, 83, 107-113. https://doi.org/10.1111/bcp.12924.
  • 6. Karayiannis, D, Kontogianni, M.D, Mendorou, C, Mastrominas, M. and Yiannakouris, N. (2018). "Adherence to the Mediterranean diet and IVF success rate among non-obese women attempting fertility". Human Reproduction, 33, 494-502. https://doi.org/10.1093/humrep/dey003.
  • 7. Lăcătușu, C.M, Grigorescu, E.D, Floria, M, Onofriescu, A. and Mihai, B.M. (2019). "The Mediterranean Diet: From an Environment-Driven Food Culture to an Emerging Medical Prescription". International Journal of Environmental Research and Public Health, 16, 942. https://doi.org/10.3390/ijerph16060942.
  • 8. Lotfi, K, Saneei, P, Hajhashemy, Z. and Esmaillzadeh, A. (2022). "Adherence to the Mediterranean Diet, Five-Year Weight Change, and Risk of Overweight and Obesity: A Systematic Review and Dose-Response Meta-Analysis of Prospective Cohort Studies". Advances in Nutrition, 13, 152-166. https://doi.org/10.1093/advances/nmab092.
  • 9. Martín-Peláez, S, Fito, M. and Castaner, O. (2020). "Mediterranean Diet Effects on Type 2 Diabetes Prevention, Disease Progression, and Related Mechanisms: A Review". Nutrients, 12, 2236. https://doi.org/10.3390/nu12082236.
  • 10. Morze, J, Danielewicz, A, Przybyłowicz, K, Zeng, H, Hoffmann, G. and Schwingshackl, L. (2021). "An updated systematic review and meta-analysis on adherence to Mediterranean diet and risk of cancer". European Journal of Nutrition, 60, 1561-1586. https://doi.org/10.1007/s00394-020-02346-6.
  • 11. Mazza, E, Ferro, Y, Pujia, R, Mare, R, Maurotti, S, Montalcini, T. and Pujia, A. (2021). "Mediterranean Diet in Healthy Aging". Journal of Nutrition, Health & Aging, 25, 1076-1083. https://doi.org/10.1007/s12603-021-1675-6.
  • 12. Sadeghi, O, Keshteli, A.H, Afshar, H., Esmaillzadeh, A. and Adibi, P. (2021). "Adherence to Mediterranean dietary pattern is inversely associated with depression, anxiety and psychological distress". Nutritional Neuroscience, 24, 248-259. https://doi.org/10.1080/1028415x.2019.1620425.
  • 13. Sikalidis, A.K, Kelleher, A.H. and Kristo, A.S. (2021). "Mediterranean diet". Encyclopedia, 1, 371-387. https://doi.org/10.3390/encyclopedia102003.
  • 14. Tranidou, A, Dagklis, T, Magriplis, E, Apostolopoulou, A, Tsakiridis, I, Chroni, V. et al. (2023). "Pre-Pregnancy Adherence to Mediterranean Diet and Risk of Gestational Diabetes Mellitus: A Prospective Cohort Study in Greece". Nutrients, 15, 4848. https://doi.org/10.3390/nu15040848.
  • 15. Alberti-Fidanza, A. and Fidanza, F. (2004). "Mediterranean Adequacy Index of Italian diets". Public Health Nutrition, 7, 937-941. https://doi.org/10.1079/phn2004557.
  • 16. Bach, A, Serra-Majem, L, Carrasco, J.L, Roman, B, Ngo, J, Bertomeu, I. and Obrador, B. (2006). "The use of indexes evaluating the adherence to the Mediterranean diet in epidemiological studies: a review". Public Health Nutrition, 9, 132-146. https://doi.org/10.1079/phn2005936.
  • 17. Martínez-González, M, Corella, D, Salas-Salvadó, J, Ros, E., Covas, M.I, Fiol, M, Wärnberg, J, Arós, F, Ruíz-Gutiérrez, V, Lamuela-Raventós, R.M. et al. (2012). "Cohort profile: design and methods of the PREDIMED study". International Journal of Epidemiology, 41, 377-385. https://doi.org/10.1093/ije/dyq250.
  • 18. Pisani, P, Faggiano, F, Krogh, V, Palli, D, Vineis, P. and Berrino, F. (1997). "Relative validity and reproducibility of a food frequency dietary questionnaire for use in the Italian EPIC centres". International Journal of Epidemiology, 26(1), 152-S160. https://doi.org/10.1093/ije/26.suppl_1.s152.
  • 19. Sofi, F, Macchi, C, Abbate, R, Gensini, G.F. and Casini, A. (2014). "Mediterranean diet and health status: an updated meta-analysis and a proposal for a literature-based adherence score". Public Health Nutrition, 17, 2769-2782. https://doi.org/10.1017/s1368980013003169.
  • 20. Trichopoulou, A, Costacou, T, Bamia, C. and Trichopoulos, D. (2003). "Adherence to a Mediterranean diet and survival in a Greek population". New England Journal of Medicine, 348, 2599-2608. https://doi.org/10.1056/NEJMoa025039.
  • 21. Trichopoulou, A, Kouris-Blazos, A, Wahlqvist, M.L, Gnardellis, C, Lagiou, P, Polychronopoulos, E, Vassilakou, T, Lipworth, L. and Trichopoulos, D. (1995). "Diet and overall survival in elderly people". BMJ, 311, 1457-1460. https://doi.org/10.1136/bmj.311.7018.1457.
  • 22. Anderson, B.O, Berdzuli, N, Ilbawi, A, Kestel, D, Kluge, H.P, Krech, R, Mikkelsen, B, Neufeld, M, Poznyak, V. and Rekve, D. et al. (2023). "Health and cancer risks associated with low levels of alcohol consumption". The Lancet Public Health, 8, e6-e7. https://doi.org/10.1016/s2468-2667(22)00317-6.
  • 23. Bagriacik, N, Elmacioglu, F, Sakar, S, Yolacan, C. and Yildiz, S. (2013). "Study on Eating Habits and Physical Activity Status in Turkey". Journal of Nutritional Therapeutics, 2, 201-212. https://doi.org/10.6000/1929-5634.2013.02.04.4.
  • 24. Dernini, S. and Berry, E.M. (2015). "Mediterranean Diet: From a Healthy Diet to a Sustainable Dietary Pattern". Frontiers in Nutrition, 2, 15. https://doi.org/10.3389/fnut.2015.00015.
  • 25. Ruggeri, S, Buonocore, P. and Amoriello, T. (2022). "New Validated Short Questionnaire for the Evaluation of the Adherence of Mediterranean Diet and Nutritional Sustainability in All Adult Population Groups". Nutrients, 14, 3517. https://doi.org/10.3390/nu14235177.
  • 26. Tavşancıl, E. (2014). Measurement of attitudes and data analysis with SPSS. Ankara: Nobel Yayın.
  • 27. Bölükbaş, N. and Göl, G. (2021). "Surgical Anxiety Questionnaire: Turkish validity and reliability". Psychology Health and Medicine, 1-12. https://doi.org/10.1080/13548506.2021.1994619.
  • 28. Esin, M. (2014). "Data collection methods and tools & reliability and validity of data collection tools". In: Research Process in Nursing, Application and Critical. İstanbul, Turkey: Nobel Medicine Book Houses, p. 193-233.
  • 29. Karakoç, A.G.D.F.Y. and Dönmez, L. (2014). "Ölçek geliştirme çalışmalarında temel ilkeler". Tıp Eğitimi Dünyası, 13, 39-49. https://doi.org/10.25282/ted.228738
  • 30. Kılıç, A. and Koyuncu, İ. (2017). "Ölçek uyarlama çalışmalarının yapı geçerliği açısından incelenmesi". Küreselleşen dünyada eğitim, p. 1202-1205.
  • 31. Özdamar, K. (2016). Scale and test development structural equation modeling in education, health and behavioral sciences: IBM SPSS, IBM SPSS AMOS and MINITAB applied. Eskişehir: Nisan Bookstore.
  • 32. Yılmaz, M, Dişsiz, G, Demir, F, Irız, S. and Alacacioglu, A. (2017). "Reliability and Validity Study of a Tool to Measure Cancer Stigma: Patient Version". Asia Pacific Journal of Oncology Nursing, 4, 155-161. https://doi.org/10.4103/apjon.apjon_10_17.
  • 33. Carter-Harris, L, Hermann, C.P, Schreiber, J, Weaver, M.T. and Rawl, S.M. (2014). "Lung cancer stigma predicts timing of medical help-seeking behavior". Oncology Nursing Forum, 41, E203-210. https://doi.org/10.1188/14.Onf.E203-e210.
  • 34. Çapık, C, Gözüm, S. and Aksayan, S. (2018). "Intercultural scale adaptation stages, language and culture adaptation: updated guideline". Florence Nightingale Journal of Nursing, 26, 233-241. https://doi.org/10.26650/F
Toplam 34 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Halk Sağlığı Beslenmesi, Beslenme ve Diyetetik (Diğer)
Bölüm Makaleler
Yazarlar

İzzet Ülker 0000-0001-9444-5243

Elham Foroudi Pourdeh 0009-0008-8202-1126

Yayımlanma Tarihi 25 Aralık 2024
Gönderilme Tarihi 26 Eylül 2024
Kabul Tarihi 18 Kasım 2024
Yayımlandığı Sayı Yıl 2024 Cilt: 13 Sayı: 4

Kaynak Göster

APA Ülker, İ., & Pourdeh, E. F. (2024). Turkish Validity and Reliability of the Novel Validated Short Questionnaire for Assessing Adherence to the Mediterranean Diet and Nutritional Sustainability (MedQ-Sus): A Methodological Study. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi, 13(4), 1485-1495. https://doi.org/10.37989/gumussagbil.1556347
AMA Ülker İ, Pourdeh EF. Turkish Validity and Reliability of the Novel Validated Short Questionnaire for Assessing Adherence to the Mediterranean Diet and Nutritional Sustainability (MedQ-Sus): A Methodological Study. Gümüşhane Sağlık Bilimleri Dergisi. Aralık 2024;13(4):1485-1495. doi:10.37989/gumussagbil.1556347
Chicago Ülker, İzzet, ve Elham Foroudi Pourdeh. “Turkish Validity and Reliability of the Novel Validated Short Questionnaire for Assessing Adherence to the Mediterranean Diet and Nutritional Sustainability (MedQ-Sus): A Methodological Study”. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi 13, sy. 4 (Aralık 2024): 1485-95. https://doi.org/10.37989/gumussagbil.1556347.
EndNote Ülker İ, Pourdeh EF (01 Aralık 2024) Turkish Validity and Reliability of the Novel Validated Short Questionnaire for Assessing Adherence to the Mediterranean Diet and Nutritional Sustainability (MedQ-Sus): A Methodological Study. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi 13 4 1485–1495.
IEEE İ. Ülker ve E. F. Pourdeh, “Turkish Validity and Reliability of the Novel Validated Short Questionnaire for Assessing Adherence to the Mediterranean Diet and Nutritional Sustainability (MedQ-Sus): A Methodological Study”, Gümüşhane Sağlık Bilimleri Dergisi, c. 13, sy. 4, ss. 1485–1495, 2024, doi: 10.37989/gumussagbil.1556347.
ISNAD Ülker, İzzet - Pourdeh, Elham Foroudi. “Turkish Validity and Reliability of the Novel Validated Short Questionnaire for Assessing Adherence to the Mediterranean Diet and Nutritional Sustainability (MedQ-Sus): A Methodological Study”. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi 13/4 (Aralık 2024), 1485-1495. https://doi.org/10.37989/gumussagbil.1556347.
JAMA Ülker İ, Pourdeh EF. Turkish Validity and Reliability of the Novel Validated Short Questionnaire for Assessing Adherence to the Mediterranean Diet and Nutritional Sustainability (MedQ-Sus): A Methodological Study. Gümüşhane Sağlık Bilimleri Dergisi. 2024;13:1485–1495.
MLA Ülker, İzzet ve Elham Foroudi Pourdeh. “Turkish Validity and Reliability of the Novel Validated Short Questionnaire for Assessing Adherence to the Mediterranean Diet and Nutritional Sustainability (MedQ-Sus): A Methodological Study”. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi, c. 13, sy. 4, 2024, ss. 1485-9, doi:10.37989/gumussagbil.1556347.
Vancouver Ülker İ, Pourdeh EF. Turkish Validity and Reliability of the Novel Validated Short Questionnaire for Assessing Adherence to the Mediterranean Diet and Nutritional Sustainability (MedQ-Sus): A Methodological Study. Gümüşhane Sağlık Bilimleri Dergisi. 2024;13(4):1485-9.
 Kapak Resmi İndir