Development and Validation of a Food Literacy Assessment Tool for Community-Dwelling Elderly People

Int J Environ Res Public Health. 2021 May 7;18(9):4979. doi: 10.3390/ijerph18094979.

Abstract

Food literacy refers to the knowledge, skills, and attitudes required for individuals to choose foods that promote health. As the rate of diet-related diseases increases, food literacy is becoming more important. However, there are no tools available to evaluate food literacy among the Korean elderly. We derived 547 questions from a literature review and, after three rounds of Delphi surveys, selected 33 preliminary questions. We calculated the content validity ratio of the questions and applied a face validity procedure. We then selected 32 questions, assessed their validity, and distributed them as a questionnaire to 205 elderly people. We then conducted exploratory factor analysis (EFA) to determine the validity of the questionnaire and used an internal consistency index (Cronbach's α coefficient) to determine reliability. Based on the factor analysis, 13 questions were selected, distributed among three factors, and evaluated using the Kaiser-Meyer-Olkin (KMO) and Bartlett sphericity tests. The factor analysis showed that KMO was 0.872, which is a highly acceptable score, and the Bartlett sphericity test was χ2 = 1,374.69 at p = 0.00. The food literacy questionnaire developed in this study will likely be helpful for improving the healthcare of elderly people.

Keywords: elderly; food literacy; questionnaire; validity.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Delivery of Health Care
  • Factor Analysis, Statistical
  • Health Promotion*
  • Humans
  • Independent Living*
  • Reproducibility of Results
  • Surveys and Questionnaires