Online Program

Comparison of dietary intake estimates from nci's automated self-administered 24 hour recall (ASA24) to interviewer-administered automated multiple pass method recall

Monday, November 4, 2013

Frances Thompson, Ph.D. MPH, Applied Research Program, Division of Cancer Control and Population Sciences, National Cancer Institute, Bethesda, MD
Sujata Dixit-Joshi, PhD, MPH, Health Studies, Westat, Rockville, MD
Nancy Potischman, PhD, Applied Research Program, Division of Cancer Control and Population Sciences, National Cancer Insitute, Bethesda, MD
Sharon Kirkpatrick, PhD, RD, Applied Research Program, National Cancer Institute, Bethesda, MD
Gwen L. Alexander, PhD, MPH, Public Health Sciences Research, Henry Ford Health System, Detroit, MI
Laura Coleman, PhD, Abbott Nutrition, Columbus, OH
Lawrence Kushi, ScD, Division of Research, Kaiser Permanente, Oakland, CA
Michelle Groesbeck, MPH, Henry Ford Health System, Detroit, MI
Maria Sundaram, MSPH, Marshfield Clinic Research Foundation, Marshfield, WI
Heather Clancy, MPH, Division of Research, Kaiser Permanente, Oakland, CA
Thea Zimmerman, MS, RD, Westat, Inc.
Deirdre Douglass, MS, Westat, Inc.
Beth Mittl, BA, Westat, Inc.
Lisa Kahle, BA, IMS Calverton Office, Information Management Services, Inc., Calverton, MD
Amy Subar, PhD, MPH, RD, Division of Cancer Control and Population Sciences, National Cancer Institute, Rockville, MD
Background: The National Cancer Institute developed the Automated Self-Administered 24-hour Recall (ASA24) to facilitate the collection of 24-hour dietary recalls (24HR) in large-scale studies. The Food Reporting Comparison Study (FORCS) assessed the feasibility and quality of data collected using ASA24 compared to the USDA's interviewer-administered Automated Multiple Pass Method (AMPM) recall. Methods: About 1200 men and women were recruited from three integrated health systems - Marshfield Clinic (WI), Henry Ford Health System (MI), and Kaiser Permanente Northern California (CA) - using quota sampling to ensure representation of a range of ages and race/ethnicity groups. Participants were asked to complete two 24HRs, 4-7 weeks apart, and were offered financial incentives; they were randomized into four study groups: 1) two ASA24s; 2) two AMPMs; 3) one ASA24 and one AMPM; and 4) one AMPM and one ASA24. Results: 95% of enrolled participants completed at least one 24HR; 80% completed two. Mean reported intakes on the ASA24 were similar to those on the AMPM for the dietary components examined thus far: energy (2132 vs. 2126 kcal), fat (84.9 vs. 82.8 g), saturated fatty acids (27.9 vs. 26.9 g), fiber (18.4 vs. 18.4 g), and fruits and vegetables (3.0 vs. 3.1 cup equivalents). Agreement by site and by sex was similarly high. Discussion: In this large field study with diverse participants, mean reported dietary intake between the self-administered online ASA24 and the interviewer-administered AMPM were similar. The ability to obtain high quality dietary data using a web-based instrument is significant to public health nutritionists.

Learning Areas:

Conduct evaluation related to programs, research, and other areas of practice

Learning Objectives:
Compare the performance of the web-based ASA24 to the telephone-administered AMPM in geographically and demographically diverse adult study samples.

Keyword(s): Dietary Assessment, Epidemiology

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have a Ph.D. in Epidemiology from University of Michigan School of Public Health and have worked in the area of dietary assessment for 30 years. I am Project Director of FORCS.
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.