ArticleJournal of cancer education : the official journal of the American Association for Cancer Education2016
Measuring Nutrition Literacy in Breast Cancer Patients: Development of a Novel Instrument.
Article in Journal of cancer education : the official journal of the American Association for Cancer Education, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03978312 (Implications of Nutrition Health Literacy on Accessibility and Engagement With Nutrition Information in Cancer Patients and Their Support Networks), which is not on this map. Cited by 35 papers, 1 of them a synthesis that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Implications of Nutrition Health Literacy on Accessibility and Engagement With Nutrition Information in Cancer Patients and Their Support Networks
Who cites it
35 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Health Literacy in Surgery.Health literacy research and practice · 2020Pooled it
- Nutrition Literacy Among Latina/x People During Pregnancy Is Associated With Socioeconomic Position.Journal of the Academy of Nutrition and Dietetics · 2022Trial
- 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
- The Development, Applications, and Future Directions of Nutritional Literacy Scales: A Scoping Review.Nutrients · 2026Article
- Developing and Validating a Breast Cancer Screening Health Literacy Questionnaire Guided by Sørensen's Integrated Model for Malaysian Adults.The Malaysian journal of medical sciences : MJMS · 2026Article
- Nutrition literacy and dietary self-management in breast and gynecologic cancer survivorship.Frontiers in public health · 2026Review
- Validating the Arabic Adolescent Nutrition Literacy Scale (ANLS): A Reliable Tool for Measuring Nutrition Literacy.Nutrients · 2025Article
- Nutrition in head and neck cancer care: a roadmap and call for research.The Lancet. Oncology · 2025Review
- Developing subscale threshold scores for the nutrition literacy assessment instrument (NLit).Discover public health · 2025Article
- Article
- Access to nutrition services and information after active cancer treatment: a mixed methods study.Journal of cancer survivorship : research and practice · 2024Article
- Exploring university students' nutrition literacy in Saudi Arabia: a cross-sectional survey.Frontiers in nutrition · 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
- Development and Validation of Nutrition Literacy Assessment Instrument for Chinese Lactating Women: A Preliminary Study.Nutrients · 2023Article
- Article
- Dietary Behavior and Its Association with Nutrition Literacy and Dietary Attitude Among Breast Cancer Patients Treated with Chemotherapy: A Multicenter Survey of Hospitals in China.Patient preference and adherence · 2023Article
- Development and validation of a short nutrition literacy scale for young adults.Frontiers in nutrition · 2023Article
- The Development of a Video-based Nutrition Education Curriculum for Patients Undergoing Radical Cystectomy.Bladder cancer (Amsterdam, Netherlands) · 2023Article
- Development and Validation of Nutrition Literacy Assessment Instrument for Chinese Pregnant Women.Nutrients · 2022Article
- Development of Nutrition Literacy Scale for Middle School Students in Chongqing, China: A Cross-Sectional Study.Frontiers in nutrition · 2022Article
Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
No nutrition literacy instruments have been tested in breast cancer survivors, yet nutrition is a critical lifestyle factor for optimizing weight and improving quality of life in breast cancer survival. Our objectives were to adapt our Nutrition Literacy Assessment Instrument for breast cancer populations and to pilot test its validity and reliability. We modified the instrument based on review by content experts in cancer and nutrition and cognitive interviews with 18 cancer survivors. The modified instrument (Nutrition Literacy Assessment Instrument for Breast Cancer, NLit-BCa) was pilot-tested with 17 high-risk women and 55 breast cancer survivors. We conducted the NLit-BCa on two separate occasions 4 weeks apart and assessed reliability by confirmatory factor analysis. Construct validity was evaluated by comparing results of the NLit-BCa to a Healthy Eating Index score derived from two separate 24-h dietary recalls. Content validity of the NLit-BCa was acceptable (0.93). Entire reliability for three instrument domains was substantial (>0.80), while remaining domains demonstrated fair or moderate reliability. Significant relationships were found between five of the six domains of nutrition literacy and diet quality (P < 0.05). The NLit-BCa is content valid and demonstrates promising reliability and construct validity related to diet quality, through a larger sample size, and removal of non-discriminating items is needed to confirm these findings. Thus, the NLit-BCa demonstrates potential for comprehensively measuring nutrition literacy in breast cancer populations.
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