1.Validity and reliability of online questionnaire on awareness, knowledge, attitude and self-efficacy (AKAS) on healthy eating for nutrition education and promotion
Milflor S. Gonzales ; Idelia G. Glorioso ; Celina Ann J. Navarro ; Theresa Krista B. Jolejole
Malaysian Journal of Nutrition 2023;29(No.1):115-135
Introduction: This study entailed the process of developing an online questionnaire
to determine awareness, knowledge, attitude and self-efficacy (AKAS) on healthy
eating for nutrition education. Currently, there is no local validated questionnaire
that can be used to assess AKAS on healthy eating among Filipino adults. Methods:
The study developed the questionnaire based on theoretical frameworks and
literature review. The draft questionnaire underwent three stages of development: (1)
online modified Delphi technique composing of seven subject matter experts (SME)
for content validity; (2) online cognitive debriefing with 32 participants (14 nutrition
experts and 18 general public) for construct validity; and (3) online pre-testing
with 35 participants (non-nutritionists) using test-retest method. Results: For first
stage, the questionnaire contained 16 questions for awareness, 17 questions for
knowledge, 17 questions for attitude, and 15 questions for self-efficacy. For second
stage, significantly different scores (p-value<0.00) between nutritionist experts and
general public were observed, showing good construct validity. For third stage,
Spearman’s correlation of test-retest method was 0.640. The questionnaire yielded
Cronbach’s alpha of 0.467 to 0.923 (round 1) and 0.435 to 0.923 (round 2). A
second analysis was done to improve the internal consistency of the questionnaire.
By combining two question categories (awareness and knowledge), the Cronbach’s
alpha increased to 0.659 (round 2), and by deleting three questions in attitude
category, the Cronbach’s alpha improved to 0.626 (round 2). Conclusion: The
process used ensured the questionnaire’s validity and reliability. Hence, this online
questionnaire may be adopted by parties interested in developing and assessing
nutrition education.
2.Developing and pre-testing of nutrition cartoon video to promote healthy eating among hearing and deaf and mute children
Idelia G. Glorioso ; Shannen Faye Q. Arevalo ; Maja Bethzaida S. Decena ; Theresa Krista B. Jolejole ; Milflor S. Gonzales
Malaysian Journal of Nutrition 2022;28(No.3):409-422
Introduction: A six-minute nutrition cartoon video “The Magical Pinggang Pinoy in
Nutrilandia” was developed and pre-tested to encourage hearing and deaf and mute
children to eat a variety of foods by following the Pinggang Pinoy® (Healthy Plate).
This study described the development process of the nutrition cartoon video and
explored the participants’ acceptance towards it. Methods: The video underwent two
levels of pre-testing to ensure comprehensibility, attractiveness, acceptability, and
self-involvement. The first level was conducted among three DOST-FNRI experts,
while the second level was among six deaf-mute school teachers and 30 mothers/
caregivers of 6-9 years old hearing children. Data were collected through an online
self-administered questionnaire. Open-ended questions allowed participants
to express themselves freely on the given subjects. Data analysis used thematic
analysis. Results: The video conveyed clear information on the Pinggang Pinoy®,
and the inclusion of animation, subtitles, visuals, and voice-over made the video
easier to understand. Participants stated that the message of the video was directed
to children, teens, adults, malnourished people, and everyone in general. Pre-testing
the nutrition cartoon video before final production identified terminologies and
concepts that participants found unfamiliar, confusing and unacceptable; offered
suggestions for improvement and made pre-tested video appropriate for hearing and
deaf-mute children. Conclusion: Overall, the participants had positive perceptions
on the nutrition cartoon video. The video can be used in nutrition education classes
among hearing and deaf and mute children, and serves as a tool to measure
children’s nutrition knowledge on healthy eating.


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