Development and test-retest reliability of a nutrition knowledge questionnaire for primary-school children.

ABSTRACT

OBJECTIVE: To evaluate a web-based nutritional knowledge questionnaire for primary-school children. DESIGN: Children's nutritional knowledge was assessed in five domains healthy choices (twenty-seven items), estimated recommended portions/servings (eight items), nutrient content (five items), main food function (five items) and categorization of food items (eight items). SETTING: The questionnaires were completed in school. SUBJECTS: A convenience sample of 576 Belgian children (aged 7-12 years) from fourteen primary schools completed the questionnaire once, 386 completed the questionnaire twice. RESULTS: Healthy choices could be answered correctly by 73 % of the children, nutrients by 59 %, food categorization by 49 %, main function by 38 % and portion estimation by 36 %. Children's test-retest intra-class correlations were 0·75 for healthy choices, 0·33 for nutrients, 0·61 for food categorization, 0·44 for main function, 0·47 for portion estimation and 0·76 for the total scale. The intra-class correlation was lower in the youngest age group (grade 2 0·51, grade 4 0·65, grade 6 0·66). The total score was significantly lower in the retest. The instrument was in general positively evaluated by the children. CONCLUSIONS: The instrument is a promising, practical, inexpensive tool with acceptable test-retest reliability in fourth and sixth graders.