Volume 22 Issue 12
Dec.  2024
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XIA Juan, SHAO Jian, ZHU Wenyu, MENG Xinyu, LYU Lin, HUAI Xiaozhan, YU Jinming. Development and validation of nutrition literacy assessment scale for cancer survivors[J]. Chinese Journal of General Practice, 2024, 22(12): 2124-2128. doi: 10.16766/j.cnki.issn.1674-4152.003813
Citation: XIA Juan, SHAO Jian, ZHU Wenyu, MENG Xinyu, LYU Lin, HUAI Xiaozhan, YU Jinming. Development and validation of nutrition literacy assessment scale for cancer survivors[J]. Chinese Journal of General Practice, 2024, 22(12): 2124-2128. doi: 10.16766/j.cnki.issn.1674-4152.003813

Development and validation of nutrition literacy assessment scale for cancer survivors

doi: 10.16766/j.cnki.issn.1674-4152.003813
Funds:

 82103966

  • Received Date: 2024-07-29
    Available Online: 2025-01-20
  •   Objective  Dietary nutrition is a crucial factor affecting the prognosis and quality of life of cancer survivors in China. Current dietary assessment methods have limitations in epidemiological research due to their extensive content. Therefore, this study aims to develop a nutritional literacy assessment scale suitable for cancer survivors in China and provide a scientific and appropriate tool for assessing their nutritional issues rapidly.  Methods  From January 2022 to March 2023, an initial scale was formed through the literature review, expert consultation, and preliminary surveys. From March to July 2023, a total of 3 857 cancer survivors were recruited based on the previously established cancer survivor cohort by the research group. The multidimensional item response theory (MIRT) model was used to select scale items, and the structural validity of the selected items was verified.  Results  Based on the discrimination, difficulty, information volume, and factor load of each item, the nutrition literacy scale for cancer survivors was developed, consisting of 4 dimensions and 21 items. The total Cronbach's α coefficient of the scale was 0.83, and the results of the second-order confirmatory factor analysis also indicated a good model fit (χ2/df=1.769, TLI=0.986, CFI=0.988, RMSEA=0.026). The level of nutrition literacy was significantly correlated with cancer survivors' quality of life.  Conclusion  The nutrition literacy scale for cancer survivors exhibits good reliability and validity, making it suitable for assessing the nutritional literacy level of cancer survivors and related research.

     

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