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Title: The nutrition literacy assessment instrument for Brazilians, NLit-Br : an exploratory cross-cultural validity study
Authors: Sarkis, Lívia Botelho da Silva
Camargo, Juliana Teruel
Gibbs, Heather Diane
Nakano, Eduardo Yoshio
Ginani, Verônica Cortez
Aguiar, Aline Silva de
Chaves, Camila dos Santos
Zandonadi, Renata Puppin
Bastos, Marcus Gomes
metadata.dc.contributor.email: mailto:juliana.camargo@nih.gov
metadata.dc.identifier.orcid: https://orcid.org/0000-0002-6274-7965
https://orcid.org/0000-0003-0288-7744
https://orcid.org/0000-0002-8751-3671
https://orcid.org/0000-0003-4903-2495
https://orcid.org/0000-0003-0370-3089
Assunto:: Educação alimentar e nutricional
Nutrição - Brasil - avaliação
Adaptação transcultural
Issue Date: 20-Nov-2022
Publisher: MDPI
Citation: SARKIS, Lívia Botelho da Silva et al. The nutrition literacy assessment instrument for Brazilians, NLit-Br: an exploratory cross-cultural validity study. Nutrients, Basel, v. 14, n. 22, art. 4914, 2022. DOI https://doi.org/10.3390/nu14224914. Disponível em: https://www.mdpi.com/2072-6643/14/22/4914. Acesso em: 22 ago. 2023.
Abstract: This study aimed to test the validity of the cross-cultural adapted Nutrition Literacy Assessment Instrument for Brazilians (NLit-Br). An observational cross-sectional study was performed in chronic disease clinics from the Brazilian Public Health System in two phases: (1) linguistic and cultural adaptation and (2) validity testing. Six registered dietitians and thirty adult patients diagnosed with at least one chronic disease participated in the study using the nutrition literacy assessment instrument (NLit-Br) and the short assessment of health literacy for Portuguese-speaking adults (SAHLPA-18). Sample descriptive variables: age, sex, race, income, education, and occupation. To adapt the instrument to the Brazilian Portuguese and Brazilian culture, we tested cognitive interviewing and the Scale Content Validity Index (S-CVI) with a group of dietitians and patients. To test the tool’s validity, health literacy (SAHLPA-18) was used as a construct that presents similarities and differences with nutrition literacy (NLit-Br). The correlation of NLit-Br and the SAHLPA-18 was tested (Spearman’s Rho). Internal consistency was measured by Kuder–Richardson Formula 20 (KR-20). The NLit-Br content validity (S-CVI = 0.85) and internal consistency (KR-20 = 0.868) were confirmed. Additionally, NLit-Br presented a significant and robust correlation with SAHLPA-18 (r = 0.665, p < 0.001). Therefore, the NLit-Br was considered a linguistic, cultural, and valid instrument to measure Brazilian’s nutrition literacy.
metadata.dc.description.unidade: Instituto de Ciências Exatas (IE)
Departamento de Estatística (IE EST)
Faculdade de Ciências da Saúde (FS)
Departamento de Nutrição (FS NUT)
Licença:: Nutrients © 2022 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). Fonte: https://www.mdpi.com/2072-6643/14/22/4914. Acesso em: 22 ago. 2023.
DOI: https://doi.org/10.3390/nu14224914
Agência financiadora: UnB - Edital DPI/DPGn.01/2022
Appears in Collections:Artigos publicados em periódicos e afins

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