Establishing the criterion validity of an adapted dietary screener for Asian Americans amongst Chinese American adults

Abstract Objective To assess the criterion validity of a dietary screener questionnaire adapted for Asian Americans (ADSQ) compared to Automated Self-Administered 24-Hour Dietary Assessment Tool (ASA-24) food diary data amongst Chinese American Adults (CHAs). The ADSQ incorporated example ethnic foo...

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Main Authors: Lena Woo, Stella S. Yi, Agnes Park, Lu Hu, Lorna E. Thorpe, Pasquale E. Rummo, Jeannette M. Beasley
Format: Article
Language:English
Published: BMC 2023-08-01
Series:Archives of Public Health
Subjects:
Online Access:https://doi.org/10.1186/s13690-023-01158-4
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author Lena Woo
Stella S. Yi
Agnes Park
Lu Hu
Lorna E. Thorpe
Pasquale E. Rummo
Jeannette M. Beasley
author_facet Lena Woo
Stella S. Yi
Agnes Park
Lu Hu
Lorna E. Thorpe
Pasquale E. Rummo
Jeannette M. Beasley
author_sort Lena Woo
collection DOAJ
description Abstract Objective To assess the criterion validity of a dietary screener questionnaire adapted for Asian Americans (ADSQ) compared to Automated Self-Administered 24-Hour Dietary Assessment Tool (ASA-24) food diary data amongst Chinese American Adults (CHAs). The ADSQ incorporated example ethnic foods from six Asian American groups. Lessons learned with respect to translating the ADSQ from English into Simplified Chinese were also documented. Design Agreement between a two-day food diary (one weekend day and one weekday) and the ADSQ was assessed for vegetable, fruit, dairy, added sugar, fiber, calcium, and whole grain intake using paired t-tests to compare means and Spearman correlations to assess agreement between intake of food components. Setting Data were collected online and via phone interviews. Participants Thirty-three CHAs aged 19–62 years (63.6% female). Results Mean differences were small for fruit, dairy, fiber, calcium, and whole grain intake, but were significantly different for vegetables and added sugar intake. Spearman correlations were < 0.5 and non-significant (p > 0.05) for all components. Both the ASA-24 and the ADSQ identified the same categories where CHAs intake is misaligned with dietary recommendations: whole grains, total fruit, and dairy. Difficulties were encountered in translating 13 out of 26 questions. Conclusions The ADSQ may be a useful tool to identify intervention targets for improving dietary quality, but caution is warranted when interpreting vegetable and added sugar estimates. Differences in the English and Chinese languages underscore the need to take into account both literal translations and semantics in translating the ADSQ into other languages.
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spelling doaj.art-67cd7574aff1410a9b6088465b62dceb2023-11-19T12:26:56ZengBMCArchives of Public Health2049-32582023-08-018111710.1186/s13690-023-01158-4Establishing the criterion validity of an adapted dietary screener for Asian Americans amongst Chinese American adultsLena Woo0Stella S. Yi1Agnes Park2Lu Hu3Lorna E. Thorpe4Pasquale E. Rummo5Jeannette M. Beasley6Renaissance School of Medicine, Stony Brook UniversityDepartment of Population Health, NYU Grossman School of MedicineDepartment of Medicine, NYU Grossman School of MedicineDepartment of Population Health, NYU Grossman School of MedicineDepartment of Population Health, NYU Grossman School of MedicineDepartment of Population Health, NYU Grossman School of MedicineDepartment of Medicine, NYU Grossman School of MedicineAbstract Objective To assess the criterion validity of a dietary screener questionnaire adapted for Asian Americans (ADSQ) compared to Automated Self-Administered 24-Hour Dietary Assessment Tool (ASA-24) food diary data amongst Chinese American Adults (CHAs). The ADSQ incorporated example ethnic foods from six Asian American groups. Lessons learned with respect to translating the ADSQ from English into Simplified Chinese were also documented. Design Agreement between a two-day food diary (one weekend day and one weekday) and the ADSQ was assessed for vegetable, fruit, dairy, added sugar, fiber, calcium, and whole grain intake using paired t-tests to compare means and Spearman correlations to assess agreement between intake of food components. Setting Data were collected online and via phone interviews. Participants Thirty-three CHAs aged 19–62 years (63.6% female). Results Mean differences were small for fruit, dairy, fiber, calcium, and whole grain intake, but were significantly different for vegetables and added sugar intake. Spearman correlations were < 0.5 and non-significant (p > 0.05) for all components. Both the ASA-24 and the ADSQ identified the same categories where CHAs intake is misaligned with dietary recommendations: whole grains, total fruit, and dairy. Difficulties were encountered in translating 13 out of 26 questions. Conclusions The ADSQ may be a useful tool to identify intervention targets for improving dietary quality, but caution is warranted when interpreting vegetable and added sugar estimates. Differences in the English and Chinese languages underscore the need to take into account both literal translations and semantics in translating the ADSQ into other languages.https://doi.org/10.1186/s13690-023-01158-4Dietary screenerChinese american adults (CHAs)Criterion validityDiet assessmentASA-24
spellingShingle Lena Woo
Stella S. Yi
Agnes Park
Lu Hu
Lorna E. Thorpe
Pasquale E. Rummo
Jeannette M. Beasley
Establishing the criterion validity of an adapted dietary screener for Asian Americans amongst Chinese American adults
Archives of Public Health
Dietary screener
Chinese american adults (CHAs)
Criterion validity
Diet assessment
ASA-24
title Establishing the criterion validity of an adapted dietary screener for Asian Americans amongst Chinese American adults
title_full Establishing the criterion validity of an adapted dietary screener for Asian Americans amongst Chinese American adults
title_fullStr Establishing the criterion validity of an adapted dietary screener for Asian Americans amongst Chinese American adults
title_full_unstemmed Establishing the criterion validity of an adapted dietary screener for Asian Americans amongst Chinese American adults
title_short Establishing the criterion validity of an adapted dietary screener for Asian Americans amongst Chinese American adults
title_sort establishing the criterion validity of an adapted dietary screener for asian americans amongst chinese american adults
topic Dietary screener
Chinese american adults (CHAs)
Criterion validity
Diet assessment
ASA-24
url https://doi.org/10.1186/s13690-023-01158-4
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