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Turkish version of the Preschool Children's Nutrition Screening Tool (NutriSTEP®): a validity and reliability study
Halime Pulat Demir1, Simay Turgut2
1Department of Nutrition and Dietetics, Istanbul Gelişim University, Istanbul, Turkey. hpulatdemir@gelisim.edu.tr.
Insights
The Turkish version of the Preschool Children's Nutrition Screening Tool (NutriSTEP®) is validated and reliable for assessing nutrition risk in preschool children. This screening tool is suitable for the Turkish population.
Area of Science:
- Pediatric Nutrition
- Public Health Screening
- Cross-cultural Adaptation of Health Tools
Background:
- Early identification of nutritional status in preschool children is crucial for timely intervention.
- Existing screening tools require validation for specific cultural contexts.
- The NutriSTEP® tool is designed to assess nutrition risk in young children.
Purpose of the Study:
- To evaluate the Turkish validity and reliability of the Preschool Children's Nutrition Screening Tool (NutriSTEP®).
- To adapt the NutriSTEP® for use with preschool-aged children in Turkey.
- To establish a culturally relevant instrument for preschool nutrition screening.
Main Methods:
- The study involved 333 parents of children aged 3-5 years in Turkey.
- Language adaptation used forward-backward translation; content validity was assessed by expert opinion.
- Construct validity was determined through factor analyses, and reliability was evaluated using test-retest methods.
Main Results:
- Content Validity Index was 0.97.
- Exploratory factor analysis identified five sub-dimensions, with one item removed.
- Confirmatory factor analysis confirmed the scale's suitability for the Turkish population, showing high test-retest reliability.
Conclusions:
- The Turkish NutriSTEP® questionnaire demonstrates strong validity and reliability.
- The tool is appropriate for screening nutrition risk among preschool children in Turkey.
- This validated tool can aid in identifying and managing nutritional issues in early childhood.
Objective:
In this study, it was aimed to evaluate the Turkish validity and reliability of the Preschool Children's Nutrition Screening Tool (NutriSTEP®), which is used to determine the nutritional status of children in the preschool period.
Subject/Methods:
The sample of the study consists of 333 parents with children aged 3-5 years old living in Turkey, who voluntarily agreed to participate in the study and answered the Turkish NutriSTEP® form online. The forward and backward translation method was applied for the language validity of the Turkish form. Expert opinion was sought for content validity. Factor analyzes were applied to determine the construct validity of the Turkish form. Original NutriSTEP® and Iran NutriSTEP® were evaluated to assess cut-points. To evaluate the reliability of the Turkish version, the test-retest method was used.
Results:
As a result of expert opinion, the Content Validity Index was found to be 0.97. According to exploratory factor analysis, unlike the original NutriSTEP®, five sub-dimensions were obtained and the 13th question with a factor load of less than 0.30 was removed. According to the confirmatory factor analysis, it was shown that the scale was suitable for Turkish society. There were positive, high and statistically significant correlations between the NutriSTEP® scale test-retest scores (p < 0.01).
Conclusion:
The Turkish NutriSTEP® questionnaire is both valid and reliable for the screening of nutrition risk in preschool children of the Turkish population.
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