Development and validation of a food and nutrition literacy questionnaire for Chinese parents of children with functional constipation (FNLQ-p)

ObjectivesChildhood functional constipation is a widespread condition with a global prevalence. Dietary interventions play a crucial role in the management of childhood constipation. Hence, the development and validation of a specialized food and nutrition literacy assessment tool for parents of sch...

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Main Authors: Jie Yang, Hui Wang, Yanchi Shen, Hui Yang, Yan Huang, Jinjin Cao
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Nutrition
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fnut.2025.1485366/full
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author Jie Yang
Hui Wang
Yanchi Shen
Hui Yang
Yan Huang
Jinjin Cao
author_facet Jie Yang
Hui Wang
Yanchi Shen
Hui Yang
Yan Huang
Jinjin Cao
author_sort Jie Yang
collection DOAJ
description ObjectivesChildhood functional constipation is a widespread condition with a global prevalence. Dietary interventions play a crucial role in the management of childhood constipation. Hence, the development and validation of a specialized food and nutrition literacy assessment tool for parents of school-aged children with functional constipation is of paramount significance.MethodsOn the basis of literature review, the first draft was formed, and the results of expert correspondence and pre survey were combined to delete and modify the first draft. In the second stage, 459 parents of school-age children with constipation were invited to fill out the questionnaire. Item analysis, exploratory factor analysis, and confirmatory factor analysis were then conducted to assess the questionnaire's reliability and validity.ResultsThe final scale comprises 4 dimensions and 25 items. Exploratory factor analysis extracted four common factors (nutrition knowledge, nutrition skills, nutrition interaction, nutrition evaluation), and the cumulative variance contribution rate was 64. 532%. The content validity index (I-CVI) of each item level is 0.86–1, the content validity index (S-CVI) at the scale level is 0.96. The overall Cronbach'sα coefficient was 0.85. Confirmatory factor analysis supported the four-factor structure derived from exploratory analysis, with all relevant fit indices meeting standard criteria.ConclusionsThe food and nutrition literacy questionnaire developed in our study had good validity and reliability, making it a useful tool for assessing the food and nutrition literacy among parents of school-aged children diagnosed with functional constipation.
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spelling doaj-art-e2e8a4bb91c34a00b03e310b81bcd6bd2025-01-31T05:10:20ZengFrontiers Media S.A.Frontiers in Nutrition2296-861X2025-01-011210.3389/fnut.2025.14853661485366Development and validation of a food and nutrition literacy questionnaire for Chinese parents of children with functional constipation (FNLQ-p)Jie Yang0Hui Wang1Yanchi Shen2Hui Yang3Yan Huang4Jinjin Cao5Department of Gastroenterology, Children's Hospital of Nanjing Medical University, Nanjing, ChinaDepartment of Gastroenterology, Children's Hospital of Nanjing Medical University, Nanjing, ChinaDepartment of Gastroenterology, Children's Hospital of Nanjing Medical University, Nanjing, ChinaDepartment of Gastroenterology, Children's Hospital of Nanjing Medical University, Nanjing, ChinaDepartment of Gastroenterology, Children's Hospital of Nanjing Medical University, Nanjing, ChinaDepartment of Nursing, Nanjing BenQ Medical Center, The Affiliated BenQ Hospital of Nanjing Medical University, Nanjing, ChinaObjectivesChildhood functional constipation is a widespread condition with a global prevalence. Dietary interventions play a crucial role in the management of childhood constipation. Hence, the development and validation of a specialized food and nutrition literacy assessment tool for parents of school-aged children with functional constipation is of paramount significance.MethodsOn the basis of literature review, the first draft was formed, and the results of expert correspondence and pre survey were combined to delete and modify the first draft. In the second stage, 459 parents of school-age children with constipation were invited to fill out the questionnaire. Item analysis, exploratory factor analysis, and confirmatory factor analysis were then conducted to assess the questionnaire's reliability and validity.ResultsThe final scale comprises 4 dimensions and 25 items. Exploratory factor analysis extracted four common factors (nutrition knowledge, nutrition skills, nutrition interaction, nutrition evaluation), and the cumulative variance contribution rate was 64. 532%. The content validity index (I-CVI) of each item level is 0.86–1, the content validity index (S-CVI) at the scale level is 0.96. The overall Cronbach'sα coefficient was 0.85. Confirmatory factor analysis supported the four-factor structure derived from exploratory analysis, with all relevant fit indices meeting standard criteria.ConclusionsThe food and nutrition literacy questionnaire developed in our study had good validity and reliability, making it a useful tool for assessing the food and nutrition literacy among parents of school-aged children diagnosed with functional constipation.https://www.frontiersin.org/articles/10.3389/fnut.2025.1485366/fullfood and nutrition literacyquestionnaire developmentschool-agefunctional constipationvalidation
spellingShingle Jie Yang
Hui Wang
Yanchi Shen
Hui Yang
Yan Huang
Jinjin Cao
Development and validation of a food and nutrition literacy questionnaire for Chinese parents of children with functional constipation (FNLQ-p)
Frontiers in Nutrition
food and nutrition literacy
questionnaire development
school-age
functional constipation
validation
title Development and validation of a food and nutrition literacy questionnaire for Chinese parents of children with functional constipation (FNLQ-p)
title_full Development and validation of a food and nutrition literacy questionnaire for Chinese parents of children with functional constipation (FNLQ-p)
title_fullStr Development and validation of a food and nutrition literacy questionnaire for Chinese parents of children with functional constipation (FNLQ-p)
title_full_unstemmed Development and validation of a food and nutrition literacy questionnaire for Chinese parents of children with functional constipation (FNLQ-p)
title_short Development and validation of a food and nutrition literacy questionnaire for Chinese parents of children with functional constipation (FNLQ-p)
title_sort development and validation of a food and nutrition literacy questionnaire for chinese parents of children with functional constipation fnlq p
topic food and nutrition literacy
questionnaire development
school-age
functional constipation
validation
url https://www.frontiersin.org/articles/10.3389/fnut.2025.1485366/full
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