1. Development of the 10-question household foodwork interactional assessment questionnaire (FIA-Q10).
- Author
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Cahill LE, Kirkpatrick SI, Mah CL, Protudjer JL, Kendell C, Jung ME, Wong H, Crumley ET, Day M, Tang KTY, Huang Y, Sihag J, Brady L, Tennankore KK, Tangri N, Mollard RC, and MacKay D
- Subjects
- Humans, Surveys and Questionnaires, Female, Male, Delphi Technique, Adult, Meals, Diet, Healthy, Diet, Reproducibility of Results, Middle Aged, Family Characteristics, Feeding Behavior psychology
- Abstract
Background: Public health nutrition recommendations and clinical dietary interventions emphasize eating healthy food at home, implicitly requiring household foodwork. Household foodwork is defined as the physical and mental tasks a household does for eating meals and snacks. Because no tools exist to measure it, how much time people spend doing household foodwork and the foodwork barriers they experience remain unknown. The objective of the present research was to develop the first stand-alone household foodwork assessment tool., Methods: Through informal interviews with partners with lived experience, clinicians, and researchers, a literature review, a stakeholder meeting of advisors, and a two-round electronic Delphi process including face/content validation by expert panelists (n = 21), we developed the 10-question household foodwork interactional assessment questionnaire (FIA-Q10). An optional accompanying module was developed to collect self-identified demographic data to provide context for understanding how social-structural positionality factors may interact to influence foodwork., Results: The FIA-Q10 assesses the domains of household composition, frequency of eating at home, special diets within a household, foodwork stress intensity, foodwork barriers, desired supports related to foodwork, and time use for foodwork. The FIA-Q10 measures time use for four subdomains of foodwork among individuals and their households: (1) planning, (2) getting, (3) preparing/cooking, and (4) cleaning up food. In the second Delphi round, the FIA-Q10 scored 95% for language appropriateness, 67% for visual appropriateness, 95% for relevance, 95% for representativeness, and 95% for distribution. Suggested improvements were implemented. All Delphi panelists (100%) reported they would consider using the FIA-Q10., Conclusions: The FIA-Q10's development is the first step towards a standardized assessment of foodwork, enabling examination of challenges in foodwork that may impact nutrition and nutrition equity. Future research will focus on FIA-Q10 validation in multiple populations., Competing Interests: Declarations. Ethics approval and consent to participate: Not applicable. Consent for publication: Not applicable. Competing interests: JLLP is Section Head, Allied Health; and Co-Lead, Research Pillar for the Canadian Society of Allergy and Clinical Immunology and is on the steering committee for Canada’s National Food Allergy Action Plan. She reports consulting for Ajinomoto Cambrooke, Novartis, Nutricia and ALK-Abelló. KKT has no conflicts of interest relevant to the current study, but has received funding support from Bayer, Otsuka, Virtual Hallway and Vifor pharmaceuticals for CME/Advisory board work. He has received unrestricted funding for investigator-initiated research projects through Otsuka, Canada. DM has no conflicts of interest relevant to the current study, but has received funding from Diabetes Update, CNS and Abbott for speaking engagements. NT has no conflicts of interest relevant to the current study but reports grants, personal fees, and other from Tricida Inc, AstraZeneca Inc, Otsuka Inc, Janssen, Boehringer Ingelheim/Eli Lilly, Renibus, Bayer, PulseData, Roche, ClinPredict Ltd, and Klinrisk. The other authors declare that they have no competing interests., (© 2024. The Author(s).)
- Published
- 2024
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