ArticlePreventing chronic disease2013
Establishing content validity for the Nutrition Literacy Assessment Instrument.
Article in Preventing chronic disease, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 1 of them a synthesis that pooled it.
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Who cites it
36 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Just a subtle difference? Findings from a systematic review on definitions of nutrition literacy and food literacy.Health promotion international · 2018Pooled it
- Nutrition Literacy Among Latina/x People During Pregnancy Is Associated With Socioeconomic Position.Journal of the Academy of Nutrition and Dietetics · 2022Trial
- Trial
- Nutrition Literacy among Cancer Survivors: Feasibility Results from the Healthy Eating and Living Against Breast Cancer (HEAL-BCa) Study: a Pilot Randomized Controlled Trial.Journal of cancer education : the official journal of the American Association for Cancer Education · 2018Trial
- Family-Based Dietary Counselling in Pediatric Obesity: A Proposed System-Oriented Framework Integrating Home, School, and Social Environments.Nutrients · 2026Review
- Nutrition literacy: a key factor in public health improvement in India.Frontiers in nutrition · 2025Article
- Nutritional self-management in chronic diseases: a conceptual analysis.Frontiers in public health · 2025Review
- Factors influencing nutrition literacy in patients of colorectal cancer: a cross-sectional study.Frontiers in nutrition · 2025Article
- Cross-cultural adaptation and validation of the short nutritional literacy scale for young adults (18-35years) and analysis of the influencing factors.BMC public health · 2024Article
- Adaptation and Validation of the S-NutLit Scale to Assess Nutritional Literacy in the Peruvian Population.International journal of environmental research and public health · 2024Article
- Enhancing nutritional knowledge and self-regulation among adolescents: efficacy of a multifaceted food literacy intervention.Frontiers in psychology · 2024Article
- Development and assessment of a nutrition literacy scale for patients with end-stage kidney disease undergoing dialysis and its correlation with quality of life.Renal failure · 2023Article
- Evaluation of the nutrition literacy assessment questionnaire for college students and identification of the influencing factors of their nutrition literacy.BMC public health · 2023Article
- Status and associated factors of food and nutrition literacy among young adults aged 15-44 years in Shenzhen City, China.Frontiers in public health · 2023Article
- Development and validation of a short nutrition literacy scale for young adults.Frontiers in nutrition · 2023Article
- A cross-sectional study on the moderating effect of self-efficacy on the relationship between sociodemographic variables and nutrition literacy among older adults in rural areas of North Sichuan.Frontiers in nutrition · 2023Article
- Development and validation of a novel short-form nutrition literacy measurement tool for Chinese college students.Frontiers in public health · 2022Article
- Development of Nutrition Literacy Scale for Middle School Students in Chongqing, China: A Cross-Sectional Study.Frontiers in nutrition · 2022Article
- The Nutrition Literacy Assessment Instrument for Italian Subjects, NLit-IT: Exploring Validity and Reliability.International journal of environmental research and public health · 2021Article
- Parental practices, preferences, skills and attitudes on food consumption of pre-school children: Results from Nutriscience Project.PloS one · 2021Article
Corrections and comments
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionIdentification of low levels of health literacy is important for effective communication between providers and clients. Assessment instruments for general health literacy are inadequate for use in nutrition education encounters because they do not identify nutrition literacy. The primary objective of this 2-part study was to assess content validity for the Nutrition Literacy Assessment Instrument (NLAI).
methodsThis study included a 35-item online survey of registered dietitians (134 of whom answered all questions) and a pilot study in which 5 registered dietitians used the NLAI among 26 clients during nutrition education consultations. To assess agreement with the NLAI by survey participants, we used the following scale: "necessary" (70% agreement), "adequate" (80% agreement), or "good" (90% agreement); comments were analyzed by using content analysis. For the pilot, we made comparisons between subjective assessments, the Rapid Estimate of Adult Literacy in Medicine (REALM), and the NLAI. Registered dietitians also completed a postpilot-study survey.
resultsFor the online survey, we found good agreement (average, 89.7%) for including each section of the NLAI. All sections accomplished their purpose (average, 81.5%). For the pilot, REALM and NLAI correlation (r = 0.38) was not significant; the subjective assessment of clients by dietitians and NLAI lacked agreement 44% of the time, and registered dietitians provided instruction on deficient knowledge and skills identified by the NLAI 90% of the time.
conclusionThe NLAI is a content-valid measure of nutrition literacy. Additional validation of the NLAI is important because an objective instrument is needed for identifying nutrition literacy, a construct that appears to be different from health literacy.
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