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Development and Testing of the Toronto Nutrition Environment Measures Survey-Store (ToNEMS-S)
Brian K Lo1, Leia M Minaker2, Catherine L Mah3
1Division of Nutritional Sciences, Cornell University, Ithaca, NY.
Objective:
To describe the adaptation and inter-rater reliability assessment of the Toronto Nutrition Environment Measures Survey-Store.
Methods:
A total of 55 food stores (2 bakeries, 2 dollar stores, 19 gas/convenience stores, 18 grocery stores, 4 pharmacies, 8 specialty stores, and 2 superstores) were assessed in 2014. Cohen's kappa and intra-class correlation coefficients (ICC) were assessed for inter-rater reliability for product availability, price, quality, ethno-cultural accessibility scores, and overall store scores.
Results:
Inter-rater reliability was high for availability (average kappa = 0.91), price (average ICC = 0.964), ethno-cultural accessibility score (ICC = 0.981), and overall store scores (ICC = 0.991).
Conclusions And Implications:
Measures in the Toronto Nutrition Environment Measures Survey-Store demonstrated excellent inter-rater agreement. Limited access to fruits and vegetables and ethno-cultural foods are related to diet-related chronic diseases, particularly among immigrants. Findings of the study may be useful in guiding public health programming.
