Compilation and reliability and validity test of nutrition belief-appetite-function scale for cancer patients

Zhao Wenzhi; Ji Linlin; Yu Kaiying; Zhang Xiaowei; Zhang Bingdong; Wang Xin; Zhang Zhanzhi; Shi Hanping

doi:10.16689/j.cnki.cn11-9349/r.2020.04.009

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Electronic Journal of Metabolism and Nutrition of Cancer ›› 2020, Vol. 7 ›› Issue (4) : 421-427. DOI: 10.16689/j.cnki.cn11-9349/r.2020.04.009

Compilation and reliability and validity test of nutrition belief-appetite-function scale for cancer patients

Zhao Wenzhi1, Ji Linlin1, Yu Kaiying2, Zhang Xiaowei2, Zhang Bingdong2, Wang Xin2, Zhang Zhanzhi2, Shi Hanping1,2

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Abstract

ObjectiveTo develop a nutritional risk screening scale of cancer patients containing assessments of nutrition belief, appetite, and physical function, and to test its reliability and validity. MethodsThe evaluation dimensions were determined on the basis of literature review, patients interview, and research group discussion, and then the items pool was formed. The initial scale was developed by Delphi expert advisory. A total of 104 cancer patients in Beijing Shijitan Hospital were selected as subjects. The reliability and validity of the scale were tested. ResultsThe final nutrition belief-appetite-function (BAF) scale included the following 3 dimensions: nutritional belief, appetite, and physical functions, and 13 items. In the item analysis, the correlation coefficients with the total points of the scale and the Critical ratio (CR) of every item met the preset standards, without deleting any items. The split-half reliability of the BAF scale was 0.750, from 0.590 to 0.847 of each dimension. The Cronbachs α coefficient of the BAF scale was 0.806, from 0.631 to 0.866 of each dimension. The retest reliability coefficient was 0.784, from 0.588 to 0.721 of each dimension. The correlation coefficients of each dimension with the total points of the scale were from 0.539 to 0.890, and all were significant. Exploratory factor analysis (EFA) extracted 2 factors, whose cumulative contribution of variance accounted for 56.36%, and 2 items were deleted. The total points of the scale and the points of each dimension were all positively correlated with Nutritional risk screening 2002 (NRS 2002). ConclusionThe BAF scale has good reliability and validity. The scale can be used as a screening tool for evaluating the nutritional risk of cancer patients.

Key words

Cancer / Nutrition belief / Appetite / Function；Scale / Reliability / Validity

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Zhao Wenzhi, Ji Linlin, Yu Kaiying, Zhang Xiaowei, Zhang Bingdong, Wang Xin, Zhang Zhanzhi, Shi Hanping. Compilation and reliability and validity test of nutrition belief-appetite-function scale for cancer patients[J]. Electronic Journal of Metabolism and Nutrition of Cancer. 2020, 7(4): 421-427 https://doi.org/10.16689/j.cnki.cn11-9349/r.2020.04.009

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