Development of the 10-question household foodwork interactional assessment questionnaire (FIA-Q10)

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...

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Main Authors: Leah E. Cahill, Sharon I. Kirkpatrick, Catherine L. Mah, Jennifer LP. Protudjer, Cynthia Kendell, Mary E. Jung, Helen Wong, Ellen T. Crumley, Meghan Day, Karen T. Y. Tang, Yan Huang, Jyoti Sihag, Laura Brady, Karthik K Tennankore, Navdeep Tangri, Rebecca C. Mollard, Dylan MacKay
Format: Article
Language:English
Published: BMC 2024-11-01
Series:International Journal of Behavioral Nutrition and Physical Activity
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Online Access:https://doi.org/10.1186/s12966-024-01671-x
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author Leah E. Cahill
Sharon I. Kirkpatrick
Catherine L. Mah
Jennifer LP. Protudjer
Cynthia Kendell
Mary E. Jung
Helen Wong
Ellen T. Crumley
Meghan Day
Karen T. Y. Tang
Yan Huang
Jyoti Sihag
Laura Brady
Karthik K Tennankore
Navdeep Tangri
Rebecca C. Mollard
Dylan MacKay
author_facet Leah E. Cahill
Sharon I. Kirkpatrick
Catherine L. Mah
Jennifer LP. Protudjer
Cynthia Kendell
Mary E. Jung
Helen Wong
Ellen T. Crumley
Meghan Day
Karen T. Y. Tang
Yan Huang
Jyoti Sihag
Laura Brady
Karthik K Tennankore
Navdeep Tangri
Rebecca C. Mollard
Dylan MacKay
author_sort Leah E. Cahill
collection DOAJ
description 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.
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spelling doaj-art-3d4911ebb1024e8ca086c99a05c85b102025-08-20T02:38:35ZengBMCInternational Journal of Behavioral Nutrition and Physical Activity1479-58682024-11-0121111110.1186/s12966-024-01671-xDevelopment of the 10-question household foodwork interactional assessment questionnaire (FIA-Q10)Leah E. Cahill0Sharon I. Kirkpatrick1Catherine L. Mah2Jennifer LP. Protudjer3Cynthia Kendell4Mary E. Jung5Helen Wong6Ellen T. Crumley7Meghan Day8Karen T. Y. Tang9Yan Huang10Jyoti Sihag11Laura Brady12Karthik K Tennankore13Navdeep Tangri14Rebecca C. Mollard15Dylan MacKay16Department of Medicine, Dalhousie UniversitySchool of Public Health Sciences, University of WaterlooSchool of Health Administration, Dalhousie UniversityDepartment of Pediatrics and Child Health, University of ManitobaDepartment of Medicine, Dalhousie UniversitySchool of Health and Exercise Sciences, University of British ColumbiaSchool of Health Administration, Dalhousie UniversityFaculty of Management, Dalhousie UniversityDepartment of Medicine, Dalhousie UniversityQEII Health Sciences Centre, Nova Scotia HealthQEII Health Sciences Centre, Nova Scotia HealthDepartment of Foods and Nutrition, CCS Haryana Agricultural UniversityQEII Health Sciences Centre, Nova Scotia HealthDepartment of Medicine, Dalhousie UniversitySeven Oaks General HospitalDepartment of Food and Human Nutritional Sciences, Faculty of Agriculture and Food Sciences, University of ManitobaDepartment of Food and Human Nutritional Sciences, Faculty of Agriculture and Food Sciences, University of ManitobaAbstract 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.https://doi.org/10.1186/s12966-024-01671-xHousehold foodworkFood preparationNutrition assessment
spellingShingle Leah E. Cahill
Sharon I. Kirkpatrick
Catherine L. Mah
Jennifer LP. Protudjer
Cynthia Kendell
Mary E. Jung
Helen Wong
Ellen T. Crumley
Meghan Day
Karen T. Y. Tang
Yan Huang
Jyoti Sihag
Laura Brady
Karthik K Tennankore
Navdeep Tangri
Rebecca C. Mollard
Dylan MacKay
Development of the 10-question household foodwork interactional assessment questionnaire (FIA-Q10)
International Journal of Behavioral Nutrition and Physical Activity
Household foodwork
Food preparation
Nutrition assessment
title Development of the 10-question household foodwork interactional assessment questionnaire (FIA-Q10)
title_full Development of the 10-question household foodwork interactional assessment questionnaire (FIA-Q10)
title_fullStr Development of the 10-question household foodwork interactional assessment questionnaire (FIA-Q10)
title_full_unstemmed Development of the 10-question household foodwork interactional assessment questionnaire (FIA-Q10)
title_short Development of the 10-question household foodwork interactional assessment questionnaire (FIA-Q10)
title_sort development of the 10 question household foodwork interactional assessment questionnaire fia q10
topic Household foodwork
Food preparation
Nutrition assessment
url https://doi.org/10.1186/s12966-024-01671-x
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