Agreement between a brief mailed screener and an in-depth telephone survey: observations from the Fresh Start study

Journal of the American Dietetic Association
Denise Clutter SnyderFresh Start study

Abstract

Brief screening instruments can roughly characterize individual behavior and target those most in need of change. However, the level of agreement between abbreviated and full-scale instruments is often unknown. We determined agreement between a brief screener and an in-depth survey for assessing eligibility into a randomized controlled trial to improve lifestyle behaviors among cancer survivors who consumed diets with >or=30% total energy from fat or fewer than five servings of fruits and vegetables per day, and/or who exercised <150 min/wk. Responses of 203 subjects to mailed screeners, which included scales from the National Cancer Institute (NCI)Percent Energy from Fat Screener and 5-A-Day trials, and one item on exercise, were compared with data from telephone interviews using the Diet History Questionnaire and the 7-Day Physical Activity Recall. Moderate correlations and fair agreement existed between screener and survey for intakes of fat [ r =0.54 ( P <.0001)/kappa statistic (ks)=0.35] and fruits and vegetables [ r =0.50 ( P <.0001)/ks=0.32], whereas agreement was low for exercise (ks=0.15). NCI and 5-A-Day screening instruments perform relatively well in targeting cancer survivors most in need of dietary change. Decisio...Continue Reading

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Citations

Oct 28, 2009·The International Journal of Behavioral Nutrition and Physical Activity·Cheryl-Ann BennettBoyd A Swinburn
Jan 11, 2011·Journal of Nutrition Education and Behavior·Victoria WallenCathy Romaniello
Jan 5, 2008·Journal of Nutrition Education and Behavior·Monica PenkiloDeanna M Hoelscher
May 1, 2007·Journal of the American Dietetic Association·Ronette R Briefel
May 1, 2007·Journal of the American Dietetic Association·Cayla R TealLovell A Jones
Jan 8, 2011·Journal of Human Nutrition and Dietetics : the Official Journal of the British Dietetic Association·N D WrightC R Isasi
Sep 26, 2012·Maternal & Child Nutrition·Friede WenholdPaul Rheeder
Jul 27, 2005·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Wendy Demark-WahnefriedBernardine M Pinto
Jan 20, 2007·American Journal of Health Promotion : AJHP·Carol M DevineGlorian Sorensen
Jan 12, 2007·Journal of Aging and Physical Activity·Jill A BennettJennifer Scherer

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