14. Evaluating the validity and reliability of the NutriSTEP nutrition risk screening tool at Lac Trung Preschool-Hanoi
Main Article Content
Abstract
Unhealthy nutritional habits can cause nutritional abnormalities that have serious consequences for children’s health and well-being later in life. A cross-sectional descriptive study was conducted to evaluate the validity and reliability of the NutriSTEP toolkit for use in community-based nutritional risk screening. The study involved 205 preschool children aged 36 to 59 months attending Lac Trung Preschool in Hanoi, Vietnam. The research results demonstrated that the NutriSTEP toolkit has a Cronbach’s Alpha coefficient of 0.64, indicating acceptable internal consistency. Bartlett’s Test revealed a statistically significant correlation matrix (p-value = 0.00). The Kaiser-Meyer-Olkin (KMO) index was 0.701, and EFA analysis showed that Eigenvalues for factors 1 and 2 were both greater than 1, explaining a total of 90.55% of the variance. Conclusion: The 11-question NutriSTEP toolkit has the potential to be a valid and reliable tool for screening nutritional risks among preschool children in community settings.
Article Details
Keywords
NutriSTEP, Nutritional Screening, Preschool Children, Hanoi
References
1. Improving Early Childhood Development Policies and Practices | Urban Institute. https://www.urban.org/research/publication/improving-early-childhood-development-policies-and-practices. Published March 19, 2009. Accessed July 4, 2024.
2. Bộ Y tế công bố kết quả Tổng điểu tra Dinh dưỡng năm 2019-2020 - Tin nổi bật - Cổng thông tin Bộ Y tế. https://moh.gov.vn/tin-noi-bat/-/asset_publisher/3Yst7YhbkA5j/content/bo-y-te-cong-bo-ket-qua-tong-ieu-tra-dinh-duong-nam-2019-2020. Accessed July 4, 2024.
3. Maternal and child undernutrition: consequences for adult health and human capital - The Lancet. https://www.thelancet.com/article/S0140-6736(07)61692-4/fulltext. Accessed July 4, 2024.
4. Tandon PS, Tovar A, Jayasuriya AT, et al. The relationship between physical activity and diet and young children’s cognitive development: A systematic review. Prev Med Rep. 2016; 3:379-390. doi:10.1016/j.pmedr.2016.04.003.
5. Isaacs EB, Gadian DG, Sabatini S, et al. The effect of early human diet on caudate volumes and IQ. Pediatr Res. 2008; 63(3): 308-314. doi:10.1203/PDR.0b013e318163a271.
6. Skipper A, Ferguson M, Thompson K, Castellanos VH, Porcari J. Nutrition screening tools: an analysis of the evidence. JPEN J Parenter Enteral Nutr. 2012; 36(3):292-298. doi:10.1177/0148607111414023.
7. Randall Simpson JA, Keller HH, Rysdale LA, Beyers JE. Nutrition Screening Tool for Every Preschooler (NutriSTEP): validation and test-retest reliability of a parent-administered questionnaire assessing nutrition risk of preschoolers. Eur J Clin Nutr. 2008; 62(6): 770-780. doi:10.1038/sj.ejcn.1602780.
8. Omand JA, Janus M, Maguire JL, et al. Nutritional risk in early childhood and parent-reported school concerns. Public Health Nutr. 2021; 24(18): 6169-6177. doi:10.1017/S1368980021001725.
9. Pulat Demir H, Turgut S. Turkish version of the Preschool Children’s Nutrition Screening Tool (NutriSTEP®): a validity and reliability study. Eur J Clin Nutr. 2022; 76(8): 1193-1199. doi:10.1038/s41430-022-01092-8.
10. Mehdizadeh A, Vatanparast H, Khadem-Rezaiyan M, et al. Validity and Reliability of the Persian Version of Nutrition Screening Tool for Every Preschooler (NutriSTEP®) in Iranian Preschool Children. J Pediatr Nurs. 2020; 52:e90-e95. doi:10.1016/j.pedn.2020.01.011.
11. Randall Simpson J, Gumbley J, Whyte K, et al. Development, reliability, and validity testing of Toddler NutriSTEP: a nutrition risk screening questionnaire for children 18-35 months of age. Appl Physiol Nutr Metab. 2015; 40(9): 877-886. doi:10.1139/apnm-2015-0048.
12. Rysdale L, Witchell E, Keller H, et al. Parent Perceptions of NutriSTEP and Nutrition Risk Screening in a Sample of Ontario Preschool Children. Ican: Infant, Child, & Adolescent Nutrition. 2011; 3:197-204. doi:10.1177/1941406411414292.
13. Preschool Nutrition Risk Screening Using NutriSTEP® Is Acceptable, Is Feasible, Increases Nutrition Knowledge, and Changes Nutrition Behavior in Ontario, Canada | Request PDF. https://www.researchgate.net/publication/257606074_Preschool_Nutrition_Risk_Screening_Using_NutriSTEPR_Is_Acceptable_Is_Feasible_Increases_Nutrition_Knowledge_and_Changes_Nutrition_Behavior_in_Ontario_Canada. Accessed July 4, 2024.
14. Tran N, Bellini S. Validating Food Security Measurement in a Pediatric Nutrition Screening Tool (Nutristep®). Journal of Hunger & Environmental Nutrition. 2022; 17:1-9. doi:10.1080/19320248.2022.2047863.
15. Omand JA, Janus M, Maguire JL, et al. Nutritional Risk in Early Childhood and School Readiness. J Nutr. 2021; 151(12): 3811-3819. doi:10.1093/jn/nxab307.
16. Büyüköztürk YDDŞ. Faktör Analizi: Temel Kavramlar ve Ölçek Geliştirmede Kullanımı. Kuram ve Uygulamada Eğitim Yönetimi. 2002; 32(32): 470-483.
17. Yurdugül H. Faktör Analizinde KMO ve Bartlett Testleri Neyi Ölçer?, yunus. hacettepe. edu. tr/~ yurdugul. Erişim Tarihi. 2012; 6:2012.
18. Tran N, Bellini SG. Validating Food Security Measurement in a Pediatric Nutrition Screening Tool (Nutristep®). Journal of Hunger & Environmental Nutrition. 2022; 17(6): 860-868. doi:10.1080/19320248.2022.2047863.
19. Edge BJ. An adaption of the NutriSTEP screening tool to be suitable for nutrition risk factor identification in New Zealand preschool children aged two to five years old; adaptation of NutriSTEP as a parent administered questionnaire : a thesis presented in partial fulfilment of requirements for the degree of Master of Science in Nutrition and Dietetics at Massey University, Albany, New Zealand. 2019. http://hdl.handle.net/10179/15626. Accessed June 10, 2024.
20. Simpson JR, Keller H, Rysdale L, Beyers J. Preschool Nutrition Risk Screening Using NutriSTEP® Is Acceptable, Is Feasible, Increases Nutrition Knowledge, and Changes Nutrition Behavior in Ontario, Canada. Journal of Nutrition Education and Behavior. 2010; 42(4):S86. doi:10.1016/j.jneb.2010.03.043.
2. Bộ Y tế công bố kết quả Tổng điểu tra Dinh dưỡng năm 2019-2020 - Tin nổi bật - Cổng thông tin Bộ Y tế. https://moh.gov.vn/tin-noi-bat/-/asset_publisher/3Yst7YhbkA5j/content/bo-y-te-cong-bo-ket-qua-tong-ieu-tra-dinh-duong-nam-2019-2020. Accessed July 4, 2024.
3. Maternal and child undernutrition: consequences for adult health and human capital - The Lancet. https://www.thelancet.com/article/S0140-6736(07)61692-4/fulltext. Accessed July 4, 2024.
4. Tandon PS, Tovar A, Jayasuriya AT, et al. The relationship between physical activity and diet and young children’s cognitive development: A systematic review. Prev Med Rep. 2016; 3:379-390. doi:10.1016/j.pmedr.2016.04.003.
5. Isaacs EB, Gadian DG, Sabatini S, et al. The effect of early human diet on caudate volumes and IQ. Pediatr Res. 2008; 63(3): 308-314. doi:10.1203/PDR.0b013e318163a271.
6. Skipper A, Ferguson M, Thompson K, Castellanos VH, Porcari J. Nutrition screening tools: an analysis of the evidence. JPEN J Parenter Enteral Nutr. 2012; 36(3):292-298. doi:10.1177/0148607111414023.
7. Randall Simpson JA, Keller HH, Rysdale LA, Beyers JE. Nutrition Screening Tool for Every Preschooler (NutriSTEP): validation and test-retest reliability of a parent-administered questionnaire assessing nutrition risk of preschoolers. Eur J Clin Nutr. 2008; 62(6): 770-780. doi:10.1038/sj.ejcn.1602780.
8. Omand JA, Janus M, Maguire JL, et al. Nutritional risk in early childhood and parent-reported school concerns. Public Health Nutr. 2021; 24(18): 6169-6177. doi:10.1017/S1368980021001725.
9. Pulat Demir H, Turgut S. Turkish version of the Preschool Children’s Nutrition Screening Tool (NutriSTEP®): a validity and reliability study. Eur J Clin Nutr. 2022; 76(8): 1193-1199. doi:10.1038/s41430-022-01092-8.
10. Mehdizadeh A, Vatanparast H, Khadem-Rezaiyan M, et al. Validity and Reliability of the Persian Version of Nutrition Screening Tool for Every Preschooler (NutriSTEP®) in Iranian Preschool Children. J Pediatr Nurs. 2020; 52:e90-e95. doi:10.1016/j.pedn.2020.01.011.
11. Randall Simpson J, Gumbley J, Whyte K, et al. Development, reliability, and validity testing of Toddler NutriSTEP: a nutrition risk screening questionnaire for children 18-35 months of age. Appl Physiol Nutr Metab. 2015; 40(9): 877-886. doi:10.1139/apnm-2015-0048.
12. Rysdale L, Witchell E, Keller H, et al. Parent Perceptions of NutriSTEP and Nutrition Risk Screening in a Sample of Ontario Preschool Children. Ican: Infant, Child, & Adolescent Nutrition. 2011; 3:197-204. doi:10.1177/1941406411414292.
13. Preschool Nutrition Risk Screening Using NutriSTEP® Is Acceptable, Is Feasible, Increases Nutrition Knowledge, and Changes Nutrition Behavior in Ontario, Canada | Request PDF. https://www.researchgate.net/publication/257606074_Preschool_Nutrition_Risk_Screening_Using_NutriSTEPR_Is_Acceptable_Is_Feasible_Increases_Nutrition_Knowledge_and_Changes_Nutrition_Behavior_in_Ontario_Canada. Accessed July 4, 2024.
14. Tran N, Bellini S. Validating Food Security Measurement in a Pediatric Nutrition Screening Tool (Nutristep®). Journal of Hunger & Environmental Nutrition. 2022; 17:1-9. doi:10.1080/19320248.2022.2047863.
15. Omand JA, Janus M, Maguire JL, et al. Nutritional Risk in Early Childhood and School Readiness. J Nutr. 2021; 151(12): 3811-3819. doi:10.1093/jn/nxab307.
16. Büyüköztürk YDDŞ. Faktör Analizi: Temel Kavramlar ve Ölçek Geliştirmede Kullanımı. Kuram ve Uygulamada Eğitim Yönetimi. 2002; 32(32): 470-483.
17. Yurdugül H. Faktör Analizinde KMO ve Bartlett Testleri Neyi Ölçer?, yunus. hacettepe. edu. tr/~ yurdugul. Erişim Tarihi. 2012; 6:2012.
18. Tran N, Bellini SG. Validating Food Security Measurement in a Pediatric Nutrition Screening Tool (Nutristep®). Journal of Hunger & Environmental Nutrition. 2022; 17(6): 860-868. doi:10.1080/19320248.2022.2047863.
19. Edge BJ. An adaption of the NutriSTEP screening tool to be suitable for nutrition risk factor identification in New Zealand preschool children aged two to five years old; adaptation of NutriSTEP as a parent administered questionnaire : a thesis presented in partial fulfilment of requirements for the degree of Master of Science in Nutrition and Dietetics at Massey University, Albany, New Zealand. 2019. http://hdl.handle.net/10179/15626. Accessed June 10, 2024.
20. Simpson JR, Keller H, Rysdale L, Beyers J. Preschool Nutrition Risk Screening Using NutriSTEP® Is Acceptable, Is Feasible, Increases Nutrition Knowledge, and Changes Nutrition Behavior in Ontario, Canada. Journal of Nutrition Education and Behavior. 2010; 42(4):S86. doi:10.1016/j.jneb.2010.03.043.