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Agreement between a brief mailed screener and an in-depth telephone survey: observations from the Fresh Start study.

Publication ,  Journal Article
Snyder, DC; Sloane, R; Lobach, D; Lipkus, I; Clipp, E; Kraus, WE; Demark-Wahnefried, W; Fresh Start study,
Published in: J Am Diet Assoc
October 2004

Brief screening instruments can roughly characterize individual behavior and target those most in need of change. However, the level of agreement between abbreviated and full-scale instruments is often unknown. We determined agreement between a brief screener and an in-depth survey for assessing eligibility into a randomized controlled trial to improve lifestyle behaviors among cancer survivors who consumed diets with >or=30% total energy from fat or fewer than five servings of fruits and vegetables per day, and/or who exercised <150 min/wk. Responses of 203 subjects to mailed screeners, which included scales from the National Cancer Institute (NCI)Percent Energy from Fat Screener and 5-A-Day trials, and one item on exercise, were compared with data from telephone interviews using the Diet History Questionnaire and the 7-Day Physical Activity Recall. Moderate correlations and fair agreement existed between screener and survey for intakes of fat [ r =0.54 ( P <.0001)/kappa statistic (ks)=0.35] and fruits and vegetables [ r =0.50 ( P <.0001)/ks=0.32], whereas agreement was low for exercise (ks=0.15). NCI and 5-A-Day screening instruments perform relatively well in targeting cancer survivors most in need of dietary change. Decisions to use brief screening instruments should be based on available resources and tolerance for misclassification.

Duke Scholars

Published In

J Am Diet Assoc

DOI

ISSN

0002-8223

Publication Date

October 2004

Volume

104

Issue

10

Start / End Page

1593 / 1596

Location

United States

Related Subject Headings

  • Vegetables
  • Surveys and Questionnaires
  • Sensitivity and Specificity
  • Reproducibility of Results
  • Prostatic Neoplasms
  • Patient Selection
  • Nutrition & Dietetics
  • Middle Aged
  • Mental Recall
  • Mass Screening
 

Citation

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Snyder, D. C., Sloane, R., Lobach, D., Lipkus, I., Clipp, E., Kraus, W. E., … Fresh Start study, . (2004). Agreement between a brief mailed screener and an in-depth telephone survey: observations from the Fresh Start study. J Am Diet Assoc, 104(10), 1593–1596. https://doi.org/10.1016/j.jada.2004.07.024
Snyder, Denise Clutter, Richard Sloane, David Lobach, Isaac Lipkus, Elizabeth Clipp, William E. Kraus, Wendy Demark-Wahnefried, and Wendy Fresh Start study. “Agreement between a brief mailed screener and an in-depth telephone survey: observations from the Fresh Start study.J Am Diet Assoc 104, no. 10 (October 2004): 1593–96. https://doi.org/10.1016/j.jada.2004.07.024.
Snyder DC, Sloane R, Lobach D, Lipkus I, Clipp E, Kraus WE, et al. Agreement between a brief mailed screener and an in-depth telephone survey: observations from the Fresh Start study. J Am Diet Assoc. 2004 Oct;104(10):1593–6.
Snyder, Denise Clutter, et al. “Agreement between a brief mailed screener and an in-depth telephone survey: observations from the Fresh Start study.J Am Diet Assoc, vol. 104, no. 10, Oct. 2004, pp. 1593–96. Pubmed, doi:10.1016/j.jada.2004.07.024.
Snyder DC, Sloane R, Lobach D, Lipkus I, Clipp E, Kraus WE, Demark-Wahnefried W, Fresh Start study. Agreement between a brief mailed screener and an in-depth telephone survey: observations from the Fresh Start study. J Am Diet Assoc. 2004 Oct;104(10):1593–1596.

Published In

J Am Diet Assoc

DOI

ISSN

0002-8223

Publication Date

October 2004

Volume

104

Issue

10

Start / End Page

1593 / 1596

Location

United States

Related Subject Headings

  • Vegetables
  • Surveys and Questionnaires
  • Sensitivity and Specificity
  • Reproducibility of Results
  • Prostatic Neoplasms
  • Patient Selection
  • Nutrition & Dietetics
  • Middle Aged
  • Mental Recall
  • Mass Screening