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Validation of a Web-Based, Time-Use Application to Assess Children's School Meal Intakes: My E-Diary for Activities and Lifestyle (MEDAL). Nutrients 2021; 13:nu13113790. [PMID: 34836046 PMCID: PMC8624734 DOI: 10.3390/nu13113790] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/20/2021] [Revised: 10/07/2021] [Accepted: 10/14/2021] [Indexed: 11/18/2022] Open
Abstract
My E-Diary for Activities and Lifestyle (MEDAL), a web-based application, was developed to assess the diets of children. This study examined the validity of school recess meals reported by children on MEDAL, using meal photography as the reference. Recess meals were photographed by trained researchers, and food items and portion sizes of recess meals reported on MEDAL were compared to recess meal photos. Validity was assessed by percentages of match, omission and intrusion for food items and percentages of the match, underestimation and overestimation for portion sizes. The Mann–Whitney test and the Wilcoxon matched-pairs signed-rank test examined if sex, school and day of recording influenced the validity of food item reporting. We found that participants (n = 33, aged 10–11 years) recalled 60.2% of food items consumed at recess accurately (matches); omissions (24.6%) were more common than intrusions (15.2%). Omissions tended to be side dishes, and intrusions tended to be high-calorie items. Sex, school and day of recording did not influence validity. For food portion sizes, 58.3% of items were accurately reported. Overestimations (33.3%) were more common than underestimations (8.3%). In conclusion, these children were able to report food items consumed during school recess meals using MEDAL, albeit with limitations on the degree of accuracy.
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Kirkpatrick SI, Guenther PM, Douglass D, Zimmerman T, Kahle LL, Atoloye A, Marcinow M, Savoie-Roskos MR, Dodd KW, Durward C. The Provision of Assistance Does Not Substantially Impact the Accuracy of 24-Hour Dietary Recalls Completed Using the Automated Self-Administered 24-H Dietary Assessment Tool among Women with Low Incomes. J Nutr 2019; 149:114-122. [PMID: 30602015 PMCID: PMC6904414 DOI: 10.1093/jn/nxy207] [Citation(s) in RCA: 22] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/27/2018] [Accepted: 08/07/2018] [Indexed: 11/13/2022] Open
Abstract
Background Evidence is lacking informing the use of the Automated Self-Administered 24-h Dietary Assessment Tool (ASA24) with populations characterized by low income. Objective This study was conducted among women with low incomes to evaluate the accuracy of ASA24 recalls completed independently and with assistance. Methods Three hundred and two women, aged ≥18 y and with incomes below the Supplemental Nutrition Assistance Program thresholds, served themselves from a buffet; amounts taken as well as plate waste were unobtrusively weighed to enable calculation of true intake for 3 meals. The following day, women completed ASA24-2016 independently (n = 148) or with assistance from a trained paraprofessional in a small group (n = 154). Regression modeling examined differences by condition in agreement between true and reported foods; energy, nutrient, and food group intakes; and portion sizes. Results Participants who completed ASA24 independently and those who received assistance reported matches for 71.9% and 73.5% (P = 0.56) of items truly consumed, respectively. Exclusions (consumed but not reported) were highest for lunch (at which participants consumed approximately 2 times the number of distinct foods and beverages compared with breakfast and dinner). Commonly excluded foods were additions to main dishes (e.g., tomatoes in salad). On average, excluded foods contributed 43.6 g (46.2 kcal) and 40.1 g (43.2 kcal) among those in the independent and assisted conditions, respectively. Gaps between true and reported intake were different between conditions for folate and iron. Within conditions, significant gaps were observed for protein, vitamin D, and meat (both conditions); vitamin A, iron, and magnesium (independent); and folate, calcium, and vegetables (assisted). For foods and beverages for which matches were reported, no difference in the gap between true and reported portion sizes was observed by condition (P = 0.22). Conclusions ASA24 performed relatively well among women with low incomes; however, accuracy was somewhat lower than previously observed among adults with a range of incomes. The provision of assistance did not significantly impact accuracy.
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Affiliation(s)
- Sharon I Kirkpatrick
- School of Public Health and Health Systems, University of Waterloo, Waterloo, Ontario, Canada,Address correspondence to SIK (e-mail: )
| | - Patricia M Guenther
- Department of Nutrition and Integrative Physiology, University of Utah, Salt Lake City, UT
| | | | | | - Lisa L Kahle
- Information Management Services, Inc., Rockville, MD
| | - Abiodun Atoloye
- Department of Nutrition, Dietetics and Food Sciences, Utah State University, Logan, UT
| | - Michelle Marcinow
- School of Public Health and Health Systems, University of Waterloo, Waterloo, Ontario, Canada
| | | | - Kevin W Dodd
- Division of Cancer Prevention, National Cancer Institute, Bethesda, MD
| | - Carrie Durward
- Department of Nutrition, Dietetics and Food Sciences, Utah State University, Logan, UT
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Accuracy of Parental Reporting of Preschoolers' Dietary Intake Using an Online Self-Administered 24-h Recall. Nutrients 2018; 10:nu10080987. [PMID: 30060605 PMCID: PMC6115856 DOI: 10.3390/nu10080987] [Citation(s) in RCA: 33] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/02/2018] [Revised: 07/24/2018] [Accepted: 07/26/2018] [Indexed: 11/17/2022] Open
Abstract
Parents are typically relied upon to report young children's dietary intake. However, there has been limited research assessing the accuracy of such reports captured using novel dietary assessment tools. The purpose of the current study was to assess the validity of the web-based Automated Self-Administered 24-h Dietary Assessment Tool (ASA24-Canada) for capturing dietary intake among children aged two-five years (n = 40), using parental proxy reporting. The study was conducted in a daycare setting, allowing for standardization of foods and drinks offered and direct observation of intake. Parental-reported intake was compared to true intake for lunch and dinner, as well as an afternoon snack, on a single day. Each eating occasion, including plate waste, was unobtrusively documented. Parents were not present for lunch or the afternoon snack, but joined their children at the daycare centre for the dinner meal. The following day, parents reported their children's intake from the previous 24-h period using ASA24-Canada. For the eating occasions assessed, parents reported exact or close matches for 79.2% (82.3% for lunch, 81.2% for the snack, and 77.4% for dinner) of the foods and beverages truly consumed by children. Estimates of intake for energy and macronutrients examined (carbohydrates, fat, and protein) based on parental reports were higher than those based on true (observed) intake. Our findings suggest that parents are able to report what their preschool children eat and drink relatively accurately. However, the accuracy of portion size estimates is low. Strategies to enhance portion size reporting are needed to improve parental proxy reporting.
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Sharman SJ, Powell MB, Skouteris H. A qualitative evaluation of the challenges faced by dieticians when interviewing children. Appetite 2016; 100:80-5. [PMID: 26879223 DOI: 10.1016/j.appet.2016.02.014] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2015] [Revised: 01/28/2016] [Accepted: 02/09/2016] [Indexed: 11/18/2022]
Abstract
BACKGROUND Investigative interviewing is a critical and challenging skill involved in the assessment and design of appropriate interventions for children's dietary problems. The current study provided an evaluation of the challenges faced by professional dieticians when conducting child investigative interviews, in the hope that this would provide a framework for the development of further guidance and resources in this important area. METHODS Fourteen professional dieticians were interviewed; they were asked about the information that they needed to elicit from children in particular situations and the questions that they would ask to do so. They were also asked to describe the strengths and limitations of the techniques that they used. RESULTS The results revealed that professionals faced three main challenges. The first challenge was eliciting information from children who did not want to answer questions. The second challenge was determining the level of accuracy in children's (and caregivers') responses. The third challenge was eliciting very specific information in particular situations, such as determining the cause of an allergic reaction. CONCLUSIONS Overall, professionals had difficulty articulating the questions that they would use to elicit the information that they required; indeed, their responses focused more on the content that they wanted to elicit (such as specific details) rather than the overall process that they would use to do so. Professionals may benefit from the development of guidelines to assist them in their interviews with children, based on what is currently known about interviewing children generally.
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Affiliation(s)
- Stefanie J Sharman
- School of Psychology, Deakin University, 221 Burwood Highway, Burwood, VIC, 3125, Australia.
| | - Martine B Powell
- School of Psychology, Deakin University, 221 Burwood Highway, Burwood, VIC, 3125, Australia.
| | - Helen Skouteris
- School of Psychology, Deakin University, 221 Burwood Highway, Burwood, VIC, 3125, Australia.
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Kirkpatrick SI, Subar AF, Douglass D, Zimmerman TP, Thompson FE, Kahle LL, George SM, Dodd KW, Potischman N. Performance of the Automated Self-Administered 24-hour Recall relative to a measure of true intakes and to an interviewer-administered 24-h recall. Am J Clin Nutr 2014; 100:233-40. [PMID: 24787491 PMCID: PMC4144101 DOI: 10.3945/ajcn.114.083238] [Citation(s) in RCA: 256] [Impact Index Per Article: 25.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
BACKGROUND The Automated Self-Administered 24-hour Recall (ASA24), a freely available Web-based tool, was developed to enhance the feasibility of collecting high-quality dietary intake data from large samples. OBJECTIVE The purpose of this study was to assess the criterion validity of ASA24 through a feeding study in which the true intake for 3 meals was known. DESIGN True intake and plate waste from 3 meals were ascertained for 81 adults by inconspicuously weighing foods and beverages offered at a buffet before and after each participant served him- or herself. Participants were randomly assigned to complete an ASA24 or an interviewer-administered Automated Multiple-Pass Method (AMPM) recall the following day. With the use of linear and Poisson regression analysis, we examined the associations between recall mode and 1) the proportions of items consumed for which a match was reported and that were excluded, 2) the number of intrusions (items reported but not consumed), and 3) differences between energy, nutrient, food group, and portion size estimates based on true and reported intakes. RESULTS Respondents completing ASA24 reported 80% of items truly consumed compared with 83% in AMPM (P = 0.07). For both ASA24 and AMPM, additions to or ingredients in multicomponent foods and drinks were more frequently omitted than were main foods or drinks. The number of intrusions was higher in ASA24 (P < 0.01). Little evidence of differences by recall mode was found in the gap between true and reported energy, nutrient, and food group intakes or portion sizes. CONCLUSIONS Although the interviewer-administered AMPM performed somewhat better relative to true intakes for matches, exclusions, and intrusions, ASA24 performed well. Given the substantial cost savings that ASA24 offers, it has the potential to make important contributions to research aimed at describing the diets of populations, assessing the effect of interventions on diet, and elucidating diet and health relations. This trial was registered at clinicaltrials.gov as NCT00978406.
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Affiliation(s)
- Sharon I Kirkpatrick
- From the Division of Cancer Control and Population Sciences, National Cancer Institute Bethesda, MD (SIK, AFS, FET, SMG, and NP); Westat, Rockville, MD (DD and TPZ); Information Management Services Inc, Rockville, MD (LLK); and the Division of Cancer Prevention, National Cancer Institute, Bethesda, MD (KWD)
| | - Amy F Subar
- From the Division of Cancer Control and Population Sciences, National Cancer Institute Bethesda, MD (SIK, AFS, FET, SMG, and NP); Westat, Rockville, MD (DD and TPZ); Information Management Services Inc, Rockville, MD (LLK); and the Division of Cancer Prevention, National Cancer Institute, Bethesda, MD (KWD)
| | - Deirdre Douglass
- From the Division of Cancer Control and Population Sciences, National Cancer Institute Bethesda, MD (SIK, AFS, FET, SMG, and NP); Westat, Rockville, MD (DD and TPZ); Information Management Services Inc, Rockville, MD (LLK); and the Division of Cancer Prevention, National Cancer Institute, Bethesda, MD (KWD)
| | - Thea P Zimmerman
- From the Division of Cancer Control and Population Sciences, National Cancer Institute Bethesda, MD (SIK, AFS, FET, SMG, and NP); Westat, Rockville, MD (DD and TPZ); Information Management Services Inc, Rockville, MD (LLK); and the Division of Cancer Prevention, National Cancer Institute, Bethesda, MD (KWD)
| | - Frances E Thompson
- From the Division of Cancer Control and Population Sciences, National Cancer Institute Bethesda, MD (SIK, AFS, FET, SMG, and NP); Westat, Rockville, MD (DD and TPZ); Information Management Services Inc, Rockville, MD (LLK); and the Division of Cancer Prevention, National Cancer Institute, Bethesda, MD (KWD)
| | - Lisa L Kahle
- From the Division of Cancer Control and Population Sciences, National Cancer Institute Bethesda, MD (SIK, AFS, FET, SMG, and NP); Westat, Rockville, MD (DD and TPZ); Information Management Services Inc, Rockville, MD (LLK); and the Division of Cancer Prevention, National Cancer Institute, Bethesda, MD (KWD)
| | - Stephanie M George
- From the Division of Cancer Control and Population Sciences, National Cancer Institute Bethesda, MD (SIK, AFS, FET, SMG, and NP); Westat, Rockville, MD (DD and TPZ); Information Management Services Inc, Rockville, MD (LLK); and the Division of Cancer Prevention, National Cancer Institute, Bethesda, MD (KWD)
| | - Kevin W Dodd
- From the Division of Cancer Control and Population Sciences, National Cancer Institute Bethesda, MD (SIK, AFS, FET, SMG, and NP); Westat, Rockville, MD (DD and TPZ); Information Management Services Inc, Rockville, MD (LLK); and the Division of Cancer Prevention, National Cancer Institute, Bethesda, MD (KWD)
| | - Nancy Potischman
- From the Division of Cancer Control and Population Sciences, National Cancer Institute Bethesda, MD (SIK, AFS, FET, SMG, and NP); Westat, Rockville, MD (DD and TPZ); Information Management Services Inc, Rockville, MD (LLK); and the Division of Cancer Prevention, National Cancer Institute, Bethesda, MD (KWD)
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