ArticleBMC public health2025
Validation and adaptation of the self-perceived food literacy scale (SPFL) among Hebrew and Arabic speaking women in Israel.
Article in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06258733 (Food Literacy Intervention for Arab and Jewish Women in the Jerusalem Region - is a "Train the Trainer" Approach Feasible and Effective?), which is not on this map. Cited by 1 paper.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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.
Food Literacy Intervention for Arab and Jewish Women in the Jerusalem Region - is a "Train the Trainer" Approach Feasible and Effective?
Who cites it
1 citing paper in PubMed.
- The knowledge-behavior gap in nutritional literacy and its associations with chronic disease in older adults: a mediation analysis.Frontiers in nutrition · 2026Article
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4 authors.
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Abstract
backgroundFood literacy (FL) encompasses the knowledge, skills, and behaviors required for making informed food choices. The self-perceived food literacy scale (SPFL, 29 items) is a widely used FL measurement tool, yet it has not been validated and adapted for the diverse Israeli population. This study aims to validate and shorten an adapted SPFL for Hebrew and Arabic-speaking women in Israel, ensuring cultural relevance and reducing respondent burden.
methodsThe validation process comprised three steps: face validity and pretesting of an extended 35-item SPFL (based on the original 29-item SPFL with an additional 6 items representing aspects of FL that appear in other tools but are absent in the SPFL), content validation via confirmatory factor analysis (CFA) and exploratory factor analysis (EFA) on survey data including 2,129 participants (653 Arabic speakers, 1,476 Hebrew speakers), and convergent validity assessment through correlation with the Israeli Mediterranean Diet Adherence Scale (I-MEDAS). Reliability was assessed via internal consistency measures, and associations between FL levels and socio-demographic factors were also examined. CFA confirmed the original SPFL’s 8-domain structure, while EFA identified six FL domains, leading to a refined 23-item modified SPFL (M-SPFL).
resultsThe M-SPFL demonstrated strong internal consistency (composite reliability = 0.89) and acceptable model fit across both language groups, and was correlated with the original SPFL (r = .96, p < .001) and with I-MEDAS scores (r = .52, p < .001). FL levels were positively associated with age, marital status, and higher education.
conclusionsThe M-SPFL is a valid, reliable, and culturally adapted tool for assessing FL among Israeli women. Its application can enhance public health initiatives by informing targeted nutrition interventions to improve dietary behaviors and reduce health disparities.
trial registrationNot applicable.
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