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- Title
Adaptation, acceptability and feasibility of a Short Food Survey to assess the dietary intake of children during attendance at childcare.
- Authors
Grady, Alice; Fielding, Alison; Golley, Rebecca K; Finch, Meghan; Hendrie, Gilly A; Burrows, Tracy; Seward, Kirsty; Lecathelinais, Christophe; Yoong, Sze Lin
- Abstract
<bold>Objective: </bold>To (i) describe the adaptation of the Short Food Survey (SFS) for assessing the dietary intake of children (2-5 years) during attendance at Early Childhood Education and Care (SFS-ECEC); (ii) determine the acceptability and feasibility of the SFS-ECEC; and (iii) compare the SFS-ECEC to direct observations for assessing dietary intake of children in care.<bold>Design: </bold>The adapted forty-seven-item SFS-ECEC was completed by childcare educators to capture individual child's usual intake over the past month. Acceptability and feasibility were assessed via educator self-report and completion rates. Mean servings of food groups consumed in accordance with dietary guidelines reported in the SFS-ECEC were compared to those obtained by a single-day direct observation via visual estimation conducted by trained personnel. Mean differences, intra-class correlations, Bland-Altman plots, percentage agreement and Cohen's κ were examined.<bold>Setting: </bold>Early Childhood Education and Care, NSW, Australia.<bold>Participants: </bold>Educators and children.<bold>Results: </bold>213 (98·61 %) SFS-ECECs were returned. Acceptability was high with 86·54 % of educators reporting the tool as easy to understand. Mean differences in servings of food groups between the SFS-ECEC and direct observation were statistically significantly different for five out of six foods and ranged 0·08-1·07, with intra-class correlations ranging 0·00-0·21. Agreement between the methods in the classification of children meeting or not meeting dietary guidelines ranged 42·78-93·01 %, with Cohen's κ ranging -0·03 to 0·14.<bold>Conclusions: </bold>The SFS-ECEC is acceptable and feasible for completion by childcare educators. While tool refinement and further validation is warranted, small mean differences suggest the tool may be useful in estimating group-level intakes.
- Subjects
NEW South Wales; AUSTRALIA; NUTRITION surveys; FOOD portions; CHILD care; BLAND-Altman plot; EARLY childhood education
- Publication
Public Health Nutrition, 2020, Vol 23, Issue 9, p1484
- ISSN
1368-9800
- Publication type
journal article
- DOI
10.1017/S136898001900404X