Design and Evaluation of a Training Protocol for a Photographic Method of Visual Estimation of Fruit and Vegetable Intake among Kindergarten Through Second-Grade Students

Natalie Masis, Jennifer McCaffrey, Susan L. Johnson, Karen Chapman-Novakofski

Research output: Contribution to journalArticlepeer-review

Abstract

Objective To design a replicable training protocol for visual estimation of fruit and vegetable (FV) intake of kindergarten through second-grade students through digital photography of lunch trays that results in reliable data for FV served and consumed. Methods Protocol development through literature and researcher input was followed by 3 laboratory-based trainings of 3 trainees. Lunchroom data collection sessions were done at 2 elementary schools for kindergarten through second-graders. Intraclass correlation coefficients (ICCs) were used. Results By training 3, ICC was substantial for amount of FV served and consumed (0.86 and 0.95, respectively; P < .05). The ICC was moderate for percentage of fruits consumed (0.67; P = .06). In-school estimates for ICCs were all significant for amounts served at school 1 and percentage of FV consumed at both schools. Conclusions and Implications The protocol resulted in reliable estimation of combined FV served and consumed using digital photography. The ability to estimate FV intake accurately will benefit intervention development and evaluation.

Original languageEnglish (US)
Pages (from-to)346-351.e1
JournalJournal of Nutrition Education and Behavior
Volume49
Issue number4
DOIs
StatePublished - Apr 1 2017

Keywords

  • dietary assessment
  • digital photography
  • food intake
  • fruits and vegetables
  • reliability
  • school nutrition

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Nutrition and Dietetics

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