Establishing the Reliability and Validity of HeartSmartKids Cardiovascular Risk Assessment for Children 2-18 Years

2.50
Hdl Handle:
http://hdl.handle.net/10755/335507
Category:
Abstract
Type:
Presentation
Title:
Establishing the Reliability and Validity of HeartSmartKids Cardiovascular Risk Assessment for Children 2-18 Years
Author(s):
Gance-Cleveland, Bonnie
Lead Author STTI Affiliation:
Alpha Kappa-at-Large Chapter
Author Details:
Bonnie Gance-Cleveland, PhD, RNC, PNP, FAAN, bonnie.gance-cleveland@ucdenver.edu
Abstract:
Session presented on Saturday, July 26, 2014: Purpose: To describe the development of a computerized decision support technology to prevent pediatric obesity and report on reliability and validity of screening questions used in the screening tool. Background: Experts have developed guidelines for childhood obesity. Clinicians report difficulty incorporating the screening and counseling components into routine care. HeartSmartKidsTM (HSK) is a decision support tool for implementation of the obesity guidelines. HSK assesses family health behaviors and provides tailored guidance. Patients complete a bilingual screening interview on health behaviors using a touchscreen computer. Clinic staff add the clinical measurements and print the tailored guidance for families. The purpose of this study was to document the reliability and validity of the screening questions included in this technology for assessing eating, activity, and inactivity. Methods: This study was part of a larger intervention study. Children aged 11-14 years old were enrolled in a community-based healthy eating and activity after school program. Children in the control group (n=35) completed the HSK at two time points 8 weeks apart to establish test-retest reliability. Baseline reponses from children in the intervention and control groups (n=103) on the HSK and HABITS, a 19-item questionnaire with subscales for diet, activity, and sedentary behaviors, were used to establish concurrent validity. Statistical Analysis: A multitrait/multimethod correlation matrix (MTMM) was used to examine the reliability and validity of HSK relative to HABITS. Results: Reliability of HSK using the main diagonal elements in the monomethod blocks established that reliability coefficients were equal to or higher for HSK than for HABITS. Convergent validity using the main diagonal of the monotrait/heteromethod block was established. Convergent validity was good for all items (r values ranged from .33 to .62, all p’s <0.05) with the exception of milk consumption (r = .28, p < 0.05) and eats at restaurants (r = 0.16, n.s.) where questions differed considerably on the questionnaires. Conclusion: The questions used in the HSK are equivalent or superior to the HABITS questionnaire and are integrated into technology that is user friendly and generates a tailored patient education handout.
Keywords:
childhood obesity; computerized decision support
Repository Posting Date:
17-Nov-2014
Date of Publication:
17-Nov-2014
Conference Date:
2014
Conference Name:
25th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Hong Kong
Description:
International Nursing Research Congress, 2014 Theme: Engaging Colleagues: Improving Global Health Outcomes. Held at the Hong Kong Convention and Exhibition Centre, Wanchai, Hong Kong
Note:
This is an abstract-only submission. If the author has submitted a full-text item related to this abstract, you may find it by browsing the repository by author. If author contact information is availabe in this abstract, please feel free to contact him or her with your queries regarding this submission.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleEstablishing the Reliability and Validity of HeartSmartKids Cardiovascular Risk Assessment for Children 2-18 Yearsen_GB
dc.contributor.authorGance-Cleveland, Bonnieen_GB
dc.contributor.departmentAlpha Kappa-at-Large Chapteren_GB
dc.author.detailsBonnie Gance-Cleveland, PhD, RNC, PNP, FAAN, bonnie.gance-cleveland@ucdenver.eduen_GB
dc.identifier.urihttp://hdl.handle.net/10755/335507-
dc.description.abstractSession presented on Saturday, July 26, 2014: Purpose: To describe the development of a computerized decision support technology to prevent pediatric obesity and report on reliability and validity of screening questions used in the screening tool. Background: Experts have developed guidelines for childhood obesity. Clinicians report difficulty incorporating the screening and counseling components into routine care. HeartSmartKidsTM (HSK) is a decision support tool for implementation of the obesity guidelines. HSK assesses family health behaviors and provides tailored guidance. Patients complete a bilingual screening interview on health behaviors using a touchscreen computer. Clinic staff add the clinical measurements and print the tailored guidance for families. The purpose of this study was to document the reliability and validity of the screening questions included in this technology for assessing eating, activity, and inactivity. Methods: This study was part of a larger intervention study. Children aged 11-14 years old were enrolled in a community-based healthy eating and activity after school program. Children in the control group (n=35) completed the HSK at two time points 8 weeks apart to establish test-retest reliability. Baseline reponses from children in the intervention and control groups (n=103) on the HSK and HABITS, a 19-item questionnaire with subscales for diet, activity, and sedentary behaviors, were used to establish concurrent validity. Statistical Analysis: A multitrait/multimethod correlation matrix (MTMM) was used to examine the reliability and validity of HSK relative to HABITS. Results: Reliability of HSK using the main diagonal elements in the monomethod blocks established that reliability coefficients were equal to or higher for HSK than for HABITS. Convergent validity using the main diagonal of the monotrait/heteromethod block was established. Convergent validity was good for all items (r values ranged from .33 to .62, all p’s <0.05) with the exception of milk consumption (r = .28, p < 0.05) and eats at restaurants (r = 0.16, n.s.) where questions differed considerably on the questionnaires. Conclusion: The questions used in the HSK are equivalent or superior to the HABITS questionnaire and are integrated into technology that is user friendly and generates a tailored patient education handout.en_GB
dc.subjectchildhood obesityen_GB
dc.subjectcomputerized decision supporten_GB
dc.date.available2014-11-17T13:54:03Z-
dc.date.issued2014-11-17-
dc.date.accessioned2014-11-17T13:54:03Z-
dc.conference.date2014en_GB
dc.conference.name25th International Nursing Research Congressen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationHong Kongen_GB
dc.descriptionInternational Nursing Research Congress, 2014 Theme: Engaging Colleagues: Improving Global Health Outcomes. Held at the Hong Kong Convention and Exhibition Centre, Wanchai, Hong Kongen_GB
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item related to this abstract, you may find it by browsing the repository by author. If author contact information is availabe in this abstract, please feel free to contact him or her with your queries regarding this submission.en_GB
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