TY - JOUR
T1 - NEFPAT Plus
T2 - A Valid and Reliable Tool for Assessing the Nutrition Environment in Food Pantries
AU - Nguyen, Cassandra J.
AU - Huang, Jiayi
AU - Kownacki, Caitlin
AU - Streitmatter, Kaitlyn
AU - McCaffrey, Jennifer
N1 - The authors thank Stephanie Acevedo, Akinwale Akingbule, and Veronica Skaradzinski for supporting the initial review and iterative revision phase of the research. The authors also thank the professionals who volunteered to serve as content reviewers. Finally, the authors thank all of the food pantry professionals and University of Illinois Extension staff who contributed to the pilot testing and reliability testing data collection.
PY - 2024/6
Y1 - 2024/6
N2 - Objective: To develop a consumer nutrition environment assessment tool to assess policy, systems, and environmental initiatives that are implemented in food pantries, which incorporates recent national guidance, and evaluate its validity and reliability. Setting: Illinois, US. Design: This study had 4 phases: (1) tool revision, (2) pilot testing, (3) content validity assessment, and (4) interrater and test-retest reliability assessment. The original Nutrition Environment Food Pantry Assessment Tool (NEFPAT) was revised to incorporate evidence from updated guidelines and evidence. The NEFPAT+ was pilot-tested by 9 professionals at 5 food pantries. After revisions, 18 experts rated the content validity. Interrater and test-retest reliability was based on 2–4 professionals completing independent evaluations at 21 food pantries twice, 1 month apart. Analysis: Content validity indices and intraclass correlation (ICC) coefficients for reliability estimates were compared with established thresholds. Results: The NEFPAT+ was rated content valid by 94% of experts. The ICC for NEFPAT+ scores indicated excellent interrater reliability (ICC, 0.96; 99% confidence interval, 0.75–0.97) and good test-retest reliability (ICC: 0.80; 99% confidence interval, 0.60–0.92). Conclusions: Evidence supports the content validity, interrater reliability, and test-retest reliability of the NEFPAT+. Future studies can assess how NEFPAT+ scores relate to intervention outcomes and dietary behaviors.
AB - Objective: To develop a consumer nutrition environment assessment tool to assess policy, systems, and environmental initiatives that are implemented in food pantries, which incorporates recent national guidance, and evaluate its validity and reliability. Setting: Illinois, US. Design: This study had 4 phases: (1) tool revision, (2) pilot testing, (3) content validity assessment, and (4) interrater and test-retest reliability assessment. The original Nutrition Environment Food Pantry Assessment Tool (NEFPAT) was revised to incorporate evidence from updated guidelines and evidence. The NEFPAT+ was pilot-tested by 9 professionals at 5 food pantries. After revisions, 18 experts rated the content validity. Interrater and test-retest reliability was based on 2–4 professionals completing independent evaluations at 21 food pantries twice, 1 month apart. Analysis: Content validity indices and intraclass correlation (ICC) coefficients for reliability estimates were compared with established thresholds. Results: The NEFPAT+ was rated content valid by 94% of experts. The ICC for NEFPAT+ scores indicated excellent interrater reliability (ICC, 0.96; 99% confidence interval, 0.75–0.97) and good test-retest reliability (ICC: 0.80; 99% confidence interval, 0.60–0.92). Conclusions: Evidence supports the content validity, interrater reliability, and test-retest reliability of the NEFPAT+. Future studies can assess how NEFPAT+ scores relate to intervention outcomes and dietary behaviors.
KW - consumer nutrition environment
KW - food insecurity
KW - health equity
KW - hunger
KW - measure development
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U2 - 10.1016/j.jneb.2024.02.004
DO - 10.1016/j.jneb.2024.02.004
M3 - Article
C2 - 38520424
AN - SCOPUS:85188734746
SN - 1499-4046
VL - 56
SP - 354
EP - 360
JO - Journal of Nutrition Education and Behavior
JF - Journal of Nutrition Education and Behavior
IS - 6
ER -