242406 Development, reliability, and validity of Nutrition Supports Scale for paid caregivers in community homes

Tuesday, November 1, 2011: 5:24 PM

Jasmina Sisirak, PhD, MPH , Disability and Human Development, University of Illinois at Chicago, Chicago, IL
Beth Marks, RN, PhD , Disability and Human Development, University of Illinois at Chicago, Chicago, IL
Yen-Ching Chang, PhD , Department of Disability and Human Development, University of Illinois at Chicago, Chicago, IL
Barth B. Riley, PhD , Chestnut Health Systems, Oak Park, IL
People with intellectual disabilities (ID) have a higher prevalence of overweight and obesity compared to general population with highest rates among people living in community settings. As paid caregivers, direct support professionals (DSPs) are key in promoting sound nutrition and informed choice for people with ID. A paucity of information and lack of validated instruments exist concerning meal planning, food purchase, and preparation among DSPs. A three-phase exploratory mixed-method design was used to develop a reliable and valid measurement scale to evaluate nutrition supports needed among DSPs. This design used qualitative methodologies, including focus groups (Phase 1), expert panel review and cognitive interviews (Phase 2) to inform a third phase, quantitative survey (Phase 3). Two hundred individuals (n=200) (DSPs, individuals with ID, family members, and management) from community-based organizations in Illinois and New Mexico participated in the study. The final Nutrition Supports Scale (NSS) consists of 45 items and six domains (Financial, Preparation and Storage, Knowledge, Cultural Values and Lifestyles, Organizational Culture, and Time). NSS meets psychometric criteria for reliability and construct validity using Factor Analysis and Rasch Analysis. Six domains had unidimensional psychometric properties and can be used independently. Understanding available nutrition supports among staff working in community homes can increase knowledge of how to improve diet and strategies for developing training and improving workforce development in order to decrease health disparities of people with ID.

Learning Areas:
Administration, management, leadership
Assessment of individual and community needs for health education
Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs
Program planning

Learning Objectives:
Describe the qualitative and quantitative approaches used to develop NSS. Explain the reliability and validity properties of NSS. Discuss the uses of NSS to improve nutrition of people with ID residing in community.

Keywords: Nutrition, Caregivers

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have conducted the study and have relevant expertise in the field.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.