Validation and reliability for the updated REAP-S dietary screener, (Rapid Eating Assessment of Participants, Short Version, v.2)
Abstract Background The American Heart Association (AHA) chose the REAP-S dietary screener in 2020 as one of three US dietary screeners recommended for integrating dietary assessment into clinical care. The REAP-S v.2 is an updated version that is aligned with the 2020–2025 US Dietary Guidelines and...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2023-07-01
|
| Series: | BMC Nutrition |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s40795-023-00747-4 |
| _version_ | 1797774379856166912 |
|---|---|
| author | Viswanathan Shankar Kathryn H. Thompson Judith Wylie-Rosett C. J. Segal-Isaacson |
| author_facet | Viswanathan Shankar Kathryn H. Thompson Judith Wylie-Rosett C. J. Segal-Isaacson |
| author_sort | Viswanathan Shankar |
| collection | DOAJ |
| description | Abstract Background The American Heart Association (AHA) chose the REAP-S dietary screener in 2020 as one of three US dietary screeners recommended for integrating dietary assessment into clinical care. The REAP-S v.2 is an updated version that is aligned with the 2020–2025 US Dietary Guidelines and is easily incorporated into electronic medical records and taught to medical students. Methods The University of New England, Institutional Review Board, approved the study protocol. We evaluated the reliability and validity of the REAP-S v.2 scale by having first-year medical students (n = 167) complete both the REAP-S v.2 and a three-day food record and then analyzing their data with the following statistical techniques: Internal consistency was measured using Cronbach's alpha. Construct validity was assessed with exploratory factor analysis. Criterion validity was evaluated using analysis of variance (ANOVA) that explored the associations between REAP-S v.2 scale item responses and selected nutrient estimates from the food record analyses. The hierarchical cluster analysis classified healthy and unhealthy diet grouping under each subscale. Further using these groupings, cut points for "good" and "bad" diets for each of the three main REAP-S v.2 subscales (Food Sufficiency/Food Insufficiency; Healthy Eating Pattern and Low Nutrient Density Foods) were calculated using receiver operating characteristics (ROC) analysis. Students analyzed their three-day food intake records using an online USDA application called SuperTracker. Results The Cronbach’s alpha measuring internal consistency was acceptable for the overall scale at 0.71. The exploratory factor analysis extracted three factors that roughly paralleled the three main subscales, suggesting construct validity. Most selected food record-derived nutrient values were significantly associated with scale items confirming criterion validity. The score cut points suggest that dietary counseling might be needed at ≤ 8, ≤ 10, and ≤ 16 for the above subscales. Conclusion The REAP-S v.2 is intended for clinicians to use as a brief dietary screener with their patients. Tested in a population of first-year medical students, the REAP-S v.2 brief dietary screener showed acceptable internal consistency, criterion, and construct validity. It is easily scored and incorporated into the electronic medical record. |
| first_indexed | 2024-03-12T22:19:12Z |
| format | Article |
| id | doaj.art-cc921b3ba6ee42c2a5e26fe2cefd6825 |
| institution | Directory Open Access Journal |
| issn | 2055-0928 |
| language | English |
| last_indexed | 2024-03-12T22:19:12Z |
| publishDate | 2023-07-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Nutrition |
| spelling | doaj.art-cc921b3ba6ee42c2a5e26fe2cefd68252023-07-23T11:08:50ZengBMCBMC Nutrition2055-09282023-07-019111210.1186/s40795-023-00747-4Validation and reliability for the updated REAP-S dietary screener, (Rapid Eating Assessment of Participants, Short Version, v.2)Viswanathan Shankar0Kathryn H. Thompson1Judith Wylie-Rosett2C. J. Segal-Isaacson3Department of Epidemiology and Population Health, Albert Einstein College of MedicineDepartment of Biomedical Sciences, College of Osteopathic Medicine, University of New EnglandDepartment of Epidemiology and Population Health, Albert Einstein College of MedicineDepartment of Epidemiology and Population Health, Albert Einstein College of MedicineAbstract Background The American Heart Association (AHA) chose the REAP-S dietary screener in 2020 as one of three US dietary screeners recommended for integrating dietary assessment into clinical care. The REAP-S v.2 is an updated version that is aligned with the 2020–2025 US Dietary Guidelines and is easily incorporated into electronic medical records and taught to medical students. Methods The University of New England, Institutional Review Board, approved the study protocol. We evaluated the reliability and validity of the REAP-S v.2 scale by having first-year medical students (n = 167) complete both the REAP-S v.2 and a three-day food record and then analyzing their data with the following statistical techniques: Internal consistency was measured using Cronbach's alpha. Construct validity was assessed with exploratory factor analysis. Criterion validity was evaluated using analysis of variance (ANOVA) that explored the associations between REAP-S v.2 scale item responses and selected nutrient estimates from the food record analyses. The hierarchical cluster analysis classified healthy and unhealthy diet grouping under each subscale. Further using these groupings, cut points for "good" and "bad" diets for each of the three main REAP-S v.2 subscales (Food Sufficiency/Food Insufficiency; Healthy Eating Pattern and Low Nutrient Density Foods) were calculated using receiver operating characteristics (ROC) analysis. Students analyzed their three-day food intake records using an online USDA application called SuperTracker. Results The Cronbach’s alpha measuring internal consistency was acceptable for the overall scale at 0.71. The exploratory factor analysis extracted three factors that roughly paralleled the three main subscales, suggesting construct validity. Most selected food record-derived nutrient values were significantly associated with scale items confirming criterion validity. The score cut points suggest that dietary counseling might be needed at ≤ 8, ≤ 10, and ≤ 16 for the above subscales. Conclusion The REAP-S v.2 is intended for clinicians to use as a brief dietary screener with their patients. Tested in a population of first-year medical students, the REAP-S v.2 brief dietary screener showed acceptable internal consistency, criterion, and construct validity. It is easily scored and incorporated into the electronic medical record.https://doi.org/10.1186/s40795-023-00747-4Dietary screenerNutritionNutrition assessmentDietDiet assessmentDietary guidelines |
| spellingShingle | Viswanathan Shankar Kathryn H. Thompson Judith Wylie-Rosett C. J. Segal-Isaacson Validation and reliability for the updated REAP-S dietary screener, (Rapid Eating Assessment of Participants, Short Version, v.2) BMC Nutrition Dietary screener Nutrition Nutrition assessment Diet Diet assessment Dietary guidelines |
| title | Validation and reliability for the updated REAP-S dietary screener, (Rapid Eating Assessment of Participants, Short Version, v.2) |
| title_full | Validation and reliability for the updated REAP-S dietary screener, (Rapid Eating Assessment of Participants, Short Version, v.2) |
| title_fullStr | Validation and reliability for the updated REAP-S dietary screener, (Rapid Eating Assessment of Participants, Short Version, v.2) |
| title_full_unstemmed | Validation and reliability for the updated REAP-S dietary screener, (Rapid Eating Assessment of Participants, Short Version, v.2) |
| title_short | Validation and reliability for the updated REAP-S dietary screener, (Rapid Eating Assessment of Participants, Short Version, v.2) |
| title_sort | validation and reliability for the updated reap s dietary screener rapid eating assessment of participants short version v 2 |
| topic | Dietary screener Nutrition Nutrition assessment Diet Diet assessment Dietary guidelines |
| url | https://doi.org/10.1186/s40795-023-00747-4 |
| work_keys_str_mv | AT viswanathanshankar validationandreliabilityfortheupdatedreapsdietaryscreenerrapideatingassessmentofparticipantsshortversionv2 AT kathrynhthompson validationandreliabilityfortheupdatedreapsdietaryscreenerrapideatingassessmentofparticipantsshortversionv2 AT judithwylierosett validationandreliabilityfortheupdatedreapsdietaryscreenerrapideatingassessmentofparticipantsshortversionv2 AT cjsegalisaacson validationandreliabilityfortheupdatedreapsdietaryscreenerrapideatingassessmentofparticipantsshortversionv2 |