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Nutrition Health Literacy Instrument for Adults with Chronic Health Conditions

Characteristics

Domains assessed: Application/function, Comprehension, Numeracy
Specific context: Blood Pressure, Diabetes, Nutrition
Validation sample population age: Adults: 18 to 64 years
Modes of administration in validation study : Computer-based, Paper and pencil
Time Cut-off: 0 minutes
Assessment: Objective

Psychometrics

Number of items: 42
Sample size in validation study: 429
Administration Time (minutes): 25 minutes
Language of validated version: English

Main article reference

Gibbs, H. D., Ellerbeck, E. F., Gajewski, B., Zhang, C., & Sullivan, D. K. (2017). The Nutrition Literacy Assessment Instrument is a Valid and Reliable Measure of Nutrition Literacy in Adults with Chronic Disease. Journal of nutrition education and behavior, 50(3), 247-257.e1.

Link to article

Corresponding author

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Heather Gibbs
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Department of Dietetics & Nutrition, Mail Stop 4013, University of Kansas Medical Center, Kansas City, KS, United States of America
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Description

A tool to measure Nutrition Literacy in adult primary care population with nutrition-related chronic disease.

Year Measure first Published: 2017

About This Measure

Categorical scoring: Yes
Scoring categories: Scores ≤28 correct may be interpreted as “likelihood of poor nutrition literacy”; Scores of 29–38 correct may be interpreted as “possibility of poor nutrition literacy”; Scores ≥39 may be interpreted as “possibility of good nutrition literacy.”
Reliability: Test-retest correlation: 0.88
Modern Approach for Tool Development: Yes

About the Validation of this Measure

Country where validated: United States of America
Content validity: The development of the tool included an expert panel in Nutrition education and 1 Psychometrician who revised the NLit looking improve the clarity of the format and content for the target patient population.
Criterion validity: NLit is demonstrated by the strong relationship found between nutrition literacy scores and diet quality scores (HEI-2010). The mean HEI-2010 scores of this sample fell between the 75th and 90th percentiles of scores in the 2003–2004 NHANES nationally representative sample used to validate HEI-20103, indicating better reported diet quality than would be predicted for a general sample of US adults (Gibbs et al., 2017).
Reliability notes: CFA=0.97
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