Adaptation and evaluation of the willtry tool among children in Guam

Introduction: Fruit and vegetable consumption may reduce risk for chronic disease and obesity. Children's fruit and vegetable intake is mediated by a preference or willingness to try them. This study's primary objective was to adapt the previously validated WillTry tool and to evaluate the...

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Main Authors: Aflague, T., Leon Guerrero, R., Boushey, Carol
Format: Journal Article
Published: U.S. Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion 2014
Online Access:http://hdl.handle.net/20.500.11937/49886
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author Aflague, T.
Leon Guerrero, R.
Boushey, Carol
author_facet Aflague, T.
Leon Guerrero, R.
Boushey, Carol
author_sort Aflague, T.
building Curtin Institutional Repository
collection Online Access
description Introduction: Fruit and vegetable consumption may reduce risk for chronic disease and obesity. Children's fruit and vegetable intake is mediated by a preference or willingness to try them. This study's primary objective was to adapt the previously validated WillTry tool and to evaluate the adapted version among children in Guam. Methods: Adaptations to the WillTry tool included both novel fruits and vegetables unique to Guam and common ones. Children aged 3 to 11 years who attended 2 community-based summer day camps in 2013 were shown images matching 14 food questions in an initial interview and in a second interview conducted 3 to 72 hours later. Responses were "no," "maybe," or "yes" and were coded as 1, 2, or 3, respectively. A higher score indicated more willingness to try fruits and vegetables. Factor analyses determined components of willingness. Psychometric properties and reliability were analyzed. Results: Sixty-five children completed the first interview, and 64 completed the second. Factor analyses revealed 3 components (scales):1) local novel (guava, breadfruit, eggplant, sweet sop, star apple, taro leaves), 2) local common (carrot, papaya, long beans, salad greens), and 3) imported (apple, canned peaches, canned corn). All but the imported scale had sufficient internal consistency (Cronbach's a > 0.69). Each scale had substantial reliability (ICC > 0.76). We found no significant differences by age, sex, or type of camp for any scale. Mean scores were 2.1 (local novel), 2.4 (local common), and 2.7 (imported), and all were significantly different. Conclusion: The adapted WillTry was culturally relevant and had psychometric properties similar to those of the original. An unexpected finding was the tool's potential for documenting the nutrition transition.
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spelling curtin-20.500.11937-498862018-03-29T09:07:08Z Adaptation and evaluation of the willtry tool among children in Guam Aflague, T. Leon Guerrero, R. Boushey, Carol Introduction: Fruit and vegetable consumption may reduce risk for chronic disease and obesity. Children's fruit and vegetable intake is mediated by a preference or willingness to try them. This study's primary objective was to adapt the previously validated WillTry tool and to evaluate the adapted version among children in Guam. Methods: Adaptations to the WillTry tool included both novel fruits and vegetables unique to Guam and common ones. Children aged 3 to 11 years who attended 2 community-based summer day camps in 2013 were shown images matching 14 food questions in an initial interview and in a second interview conducted 3 to 72 hours later. Responses were "no," "maybe," or "yes" and were coded as 1, 2, or 3, respectively. A higher score indicated more willingness to try fruits and vegetables. Factor analyses determined components of willingness. Psychometric properties and reliability were analyzed. Results: Sixty-five children completed the first interview, and 64 completed the second. Factor analyses revealed 3 components (scales):1) local novel (guava, breadfruit, eggplant, sweet sop, star apple, taro leaves), 2) local common (carrot, papaya, long beans, salad greens), and 3) imported (apple, canned peaches, canned corn). All but the imported scale had sufficient internal consistency (Cronbach's a > 0.69). Each scale had substantial reliability (ICC > 0.76). We found no significant differences by age, sex, or type of camp for any scale. Mean scores were 2.1 (local novel), 2.4 (local common), and 2.7 (imported), and all were significantly different. Conclusion: The adapted WillTry was culturally relevant and had psychometric properties similar to those of the original. An unexpected finding was the tool's potential for documenting the nutrition transition. 2014 Journal Article http://hdl.handle.net/20.500.11937/49886 10.5888/PCD11.140032 U.S. Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion restricted
spellingShingle Aflague, T.
Leon Guerrero, R.
Boushey, Carol
Adaptation and evaluation of the willtry tool among children in Guam
title Adaptation and evaluation of the willtry tool among children in Guam
title_full Adaptation and evaluation of the willtry tool among children in Guam
title_fullStr Adaptation and evaluation of the willtry tool among children in Guam
title_full_unstemmed Adaptation and evaluation of the willtry tool among children in Guam
title_short Adaptation and evaluation of the willtry tool among children in Guam
title_sort adaptation and evaluation of the willtry tool among children in guam
url http://hdl.handle.net/20.500.11937/49886