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Feel4Diabetes healthy diet score: development and evaluation of clinical validity.

ABSTRACT: BACKGROUND:The aim of this paper is to present the development of the Feel4Diabetes Healthy Diet Score and to evaluate its clinical validity. METHODS:Study population consisted of 3268 adults (63% women) from high diabetes risk families living in 6 European countries. Participants filled in questionnaires at baseline and after 1?year, reflecting the dietary goals of the Feel4Diabetes intervention. Based on these questions the Healthy Diet Score was constructed, consisting of the following components: breakfast, vegetables, fruit and berries, sugary drinks, whole-grain cereals, nuts and seeds, low-fat dairy products, oils and fats, red meat, sweet snacks, salty snacks, and family meals. Maximum score for each component was set based on its estimated relative importance regarding T2DM risk, higher score indicating better quality of diet. Clinical measurements included height, weight, waist circumference, heart rate, blood pressure, and fasting blood sampling, with analyses of glucose, total cholesterol, HDL-cholesterol, LDL-cholesterol, and triglycerides. Analysis of (co) variance was used to compare the Healthy Diet Score and its components between countries and sexes using baseline data, and to test differences in clinical characteristics between score categories, adjusted for age, sex and country. Pearson's correlations were used to study the association between changes from baseline to year 1 in the Healthy Diet Score and clinical markers. To estimate reproducibility, Pearson's correlations were studied between baseline and 1?year score, within the control group only. RESULTS:The mean total score was 52.8?±?12.8 among women and 46.6?±?12.8 among men (p?

SUBMITTER: Virtanen E

PROVIDER: S-EPMC7201941 | biostudies-literature | 2020 May

REPOSITORIES: biostudies-literature

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Feel4Diabetes healthy diet score: development and evaluation of clinical validity.

Virtanen Eeva E Kivelä Jemina J Wikström Katja K Lambrinou Christina-Paulina CP De Miguel-Etayo Pilar P Huys Nele N Vraukó-Tóth Katalin K Moreno Luis A LA Usheva Natalya N Chakarova Nevena N Rado Sándorné A SA Iotova Violeta V Makrilakis Konstantinos K Cardon Greet G Liatis Stavros S Manios Yannis Y Lindström Jaana J

BMC endocrine disorders 20200506 Suppl 2

<h4>Background</h4>The aim of this paper is to present the development of the Feel4Diabetes Healthy Diet Score and to evaluate its clinical validity.<h4>Methods</h4>Study population consisted of 3268 adults (63% women) from high diabetes risk families living in 6 European countries. Participants filled in questionnaires at baseline and after 1 year, reflecting the dietary goals of the Feel4Diabetes intervention. Based on these questions the Healthy Diet Score was constructed, consisting of the f ...[more]

PMID: 32370805

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Project description:BACKGROUND: Teaching and learning of clinical skills for undergraduate medical students usually takes place during the clinical clerkship. Therefore, it is of vital importance to ensure the effectiveness of the rotations within this clerkship. The aims of this study were to develop an instrument that measures the effectiveness of the clinical learning environment, to determine its factor structure, and to find first evidence for the reliability and validity of the total scale and the different factors. METHODS: The Clinical Learning Evaluation Questionnaire (CLEQ) is an instrument, consisting of 40 items, which have been developed after consideration of the results of a qualitative study that investigated the important factors influencing clinical learning, both from the perspective of students, as well as teachers. Results of relevant literature that investigated this issue were also incorporated in the CLEQ. This instrument was administered to a sample of students (N = 182) from three medical colleges in Riyadh city, the capital of Saudi Arabia. The factor structure of the CLEQ (Principal component analysis, Oblimin rotation) and reliability of the factor scales (Cronbach's ?) were determined. Hypotheses concerning the correlations between the different factors were tested to investigate their convergent and divergent validity. RESULTS: One hundred and nine questionnaires were returned. The factor analysis yielded six factors: F1 Cases (8 items), F2 Authenticity of clinical experience (8 items), F3 Supervision (8 items), F4 Organization of the doctor-patient encounter (4 items), F5 Motivation to learn (5 items), and F6 Self awareness (4 items). The overall internal consistency (?) of the CLEQ was 0.88, and the reliabilities (Cronbach's ?) of the six factors varied from .60 to .86. Hypotheses concerning the correlations between the different factors were partly confirmed, which supported the convergent validity of the factors, but not their divergent validity. Significant differences were found between the scores of the students of the three different schools on the factors Supervision and Organization of patient-doctor encounter. CONCLUSIONS: The results of this study demonstrated that CLEQ is a multidimensional and reliable instrument. It can be utilized as an evaluation tool for clinical teaching activities, both by educators as well as students. Further research is needed into the validity of the CLEQ.

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Feel4Diabetes healthy diet score: development and evaluation of clinical validity.

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Feel4Diabetes healthy diet score: development and evaluation of clinical validity.

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