Psychometric Analysis of the Rapid Eating Assessment for Participants-Short Form to Evaluate Dietary Quality in a Pre-Surgical Bariatric Population
Abstract
:1. Introduction
2. Materials and Methods
2.1. Measures
2.2. Statistical Analyses
3. Results
Variable | Total Sample | Observed Range | Total Possible Range | Missing Data N (%) |
---|---|---|---|---|
Body Mass Index, Mean (SD) | 48.08 (8.93) | (35.12, 98.15) | 10 (1.70%) | |
Age, Mean (SD) | 42.97 (11.74) | (18, 72) | 2 (0.34%) | |
Sex, N (%) | 1 (0.17%) | |||
Male | 129 (22.01) | |||
Female | 457 (77.99) | |||
Race, N (%) | 5 (0.85%) | |||
White | 432 (74.23) | |||
Non-White | 150 (25.77) | |||
Education, N (%) | 12 (2.05%) | |||
HS or less | 287 (49.91) | |||
Some College | 114 (19.83) | |||
Bachelors | 113 (19.65) | |||
Graduate | 61 (10.61) | |||
Instrument Scores | ||||
REAP-S, Mean (SD) | 28.32 (4.02) | (16, 38) | (13, 39) | 2 (0.34%) |
MC-C, Mean (SD) | 9.37 (2.56) | (0, 13) | (0, 13) | 12 (2.05%) |
WBIS, Mean (SD) | 4.40 (1.40) | (1, 7) | (1, 7) | 4 (0.68%) |
BDI-II, Mean (SD) | 12.23 (9.91) | (0, 53) | (0, 63) | 5 (0.85%) |
BAI, Mean (SD) | 14.46 (14.31) | (0, 77) | (0, 99) | 6 (1.02%) |
AEBQ, Mean (SD) | ||||
Enjoyment of Food | 11.58 (2.17) | (4, 15) | (3, 15) | 11 (1.87%) |
Food Fussiness | 12.29 (4.41) | (5, 25) | (4, 20) | 11 (1.87%) |
Emotional Overeating | 13.69 (5.06) | (5, 25) | (5, 25) | 11 (1.87%) |
Hunger | 13.51 (3.64) | (5, 24) | (5, 25) | 11 (1.87%) |
Satiety Responsiveness | 10.81 (2.94) | (4, 20) | (4, 20) | 11 (1.87%) |
Food Responsiveness | 11.26 (3.21) | (4, 20) | (5, 25) | 11 (1.87%) |
Slow Eating | 10.64 (3.71) | (4, 20) | (4, 20) | 11 (1.87%) |
Emotional Undereating | 13.35 (4.53) | (5, 25) | (5, 25) | 11 (1.87%) |
4. Discussion
4.1. Strengths and Limitations
4.2. Clinical Implications
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
- Arterburn, D.E.; Telem, D.A.; Kushner, R.F.; Courcoulas, A.P. Benefits and Risks of Bariatric Surgery in Adults: A Review. JAMA 2020, 324, 879–887. [Google Scholar] [CrossRef] [PubMed]
- Rebibo, L.; Maréchal, V.; De Lameth, I.; Dhahri, A.; Escoffier, I.; Lalau, J.-D.; Regimbeau, J.-M. Compliance with a multidisciplinary team meeting’s decision prior to bariatric surgery protects against major postoperative complications. Surg. Obes. Relat. Dis. 2017, 13, 1537–1543. [Google Scholar] [CrossRef] [PubMed]
- Sherf-Dagan, S.; Sinai, T.; Goldenshluger, A.; Globus, I.; Kessler, Y.; Schweiger, C.; Ben-Porat, T. Nutritional Assessment and Preparation for Adult Bariatric Surgery Candidates: Clinical Practice. Adv. Nutr. Int. Rev. J. 2021, 12, 1020–1031. [Google Scholar] [CrossRef]
- Eisenberg, D.; Shikora, S.A.; Aarts, E.; Aminian, A.; Angrisani, L.; Cohen, R.V.; De Luca, M.; Faria, S.L.; Goodpaster, K.P.; Haddad, A.; et al. 2022 American Society for Metabolic and Bariatric Surgery (ASMBS) and International Federation for the Surgery of Obesity and Metabolic Disorders (IFSO): Indications for Metabolic and Bariatric Surgery. Surg. Obes. Relat. Dis. 2022, 18, 1345–1356. [Google Scholar] [CrossRef] [PubMed]
- Gans, K.M.; Ross, E.; Barner, C.W.; Wylie-Rosett, J.; McMurray, J.; Eaton, C. REAP and WAVE: New Tools to Rapidly Assess/Discuss Nutrition with Patients. J. Nutr. 2003, 133, 556S–562S. [Google Scholar] [CrossRef] [Green Version]
- Segal-Isaacson, C.J.; Wylie-Rosett, J.; Gans, K.M. Validation of a Short Dietary Assessment Questionnaire: The Rapid Eating and Activity Assessment for Participants Short Version (REAP-S). Diabetes Educ. 2004, 30, 774–781. [Google Scholar] [CrossRef] [PubMed]
- Pierre, E.F.; Almaroof, N. Nutrition History Taking: A Practical Approach. Am. Fam. Physician 2022, 106, 427–438. [Google Scholar]
- Johnston, C.S.; Bliss, C.; Knurick, J.R.; Scholtz, C. Rapid Eating Assessment for Participants [shortened version] scores are associated with Healthy Eating Index-2010 scores and other indices of diet quality in healthy adult omnivores and vegetarians. Nutr. J. 2018, 17, 89. [Google Scholar] [CrossRef] [Green Version]
- Harris, P.A.; Taylor, R.; Thielke, R.; Payne, J.; Gonzalez, N.; Conde, J.G. Research electronic data capture (REDCap)—A metadata-driven methodology and workflow process for providing translational research informatics support. J. Biomed. Inform. 2009, 42, 377–381. [Google Scholar] [CrossRef] [Green Version]
- Durso, L.E.; Latner, J.D. Understanding Self-directed Stigma: Development of the Weight Bias Internalization Scale. Obesity 2008, 16, S80–S86. [Google Scholar] [CrossRef]
- Reynolds, W. Development of reliable and valid short forms of the Marlowe-Crowne Social Desirability Scale. J. Clin. Psychol. 1982, 38, 119–125. [Google Scholar] [CrossRef]
- Hunot, C.; Fildes, A.; Croker, H.; Llewellyn, C.H.; Wardle, J.; Beeken, R.J. Appetitive traits and relationships with BMI in adults: Development of the Adult Eating Behaviour Questionnaire. Appetite 2016, 105, 356–363. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Beck, A.; Steer, R.A.; Brown, G.K. Manual for The Beck Depression Inventory Second Edition (BDI-II); Psychological Corporation: San Antonio, TX, USA, 1996. [Google Scholar]
- Burns, D. Feeling Good Handbook; Plume: New York, NY, USA, 1999. [Google Scholar]
- Wagner, A.; Butt, M.; Rigby, A. Internalized weight bias in patients presenting for bariatric surgery. Eat. Behav. 2020, 39, 101429. [Google Scholar] [PubMed]
- Chang, S.; Koegel, K. Back to Basics: All About MyPlate Food Groups. J. Acad. Nutr. Diet. 2017, 117, 1351–1353. [Google Scholar] [CrossRef]
- Tavakol, M.; Dennick, R. Making sense of Cronbach’s alpha. Int. J. Med. Educ. 2011, 2, 53–55. [Google Scholar] [CrossRef]
- Cortina, J.M. What is coefficient alpha? An examination of theory and applications. J. Appl. Psychol. 1993, 78, 98–104. [Google Scholar] [CrossRef]
- Hiza, H.A.; Casavale, K.O.; Guenther, P.M.; Davis, C.A. Diet Quality of Americans Differs by Age, Sex, Race/Ethnicity, Income, and Education Level. J. Acad. Nutr. Diet. 2013, 113, 297–306. [Google Scholar] [CrossRef]
- McCullough, M.L.; Chantaprasopsuk, S.; Islami, F.; Rees-Punia, E.; Um, C.Y.; Wang, Y.; Leach, C.R.; Sullivan, K.R.; Patel, A.V. Association of Socioeconomic and Geographic Factors with Diet Quality in US Adults. JAMA Netw. Open 2022, 5, e2216406. [Google Scholar] [CrossRef]
- Asghari, G.; Mirmiran, P.; Yuzbashian, E.; Azizi, F. A systematic review of diet quality indices in relation to obesity. Br. J. Nutr. 2017, 117, 1055–1065. [Google Scholar] [CrossRef] [Green Version]
- Al-Nimr, R.I.; Wright, K.; Aquila, C.L.; Petersen, C.L.; Gooding, T.L.; Batsis, J.A. Intensive nutrition counseling as part of a multi-component weight loss intervention improves diet quality and anthropometrics in older adults with obesity. Clin. Nutr. ESPEN 2020, 40, 293–299. [Google Scholar] [CrossRef]
- Zickgraf, H.F.; Rigby, A. The Adult Eating Behaviour Questionnaire in a bariatric surgery-seeking sample: Factor structure, convergent validity, and associations with BMI. Eur. Eat. Disord. Rev. 2019, 27, 97–104. [Google Scholar] [CrossRef] [Green Version]
- Leehr, E.J.; Schag, K.; Brinkmann, A.; Ehlis, A.-C.; Fallgatter, A.J.; Zipfel, S.; Giel, K.E.; Dresler, T. Alleged Approach-Avoidance Conflict for Food Stimuli in Binge Eating Disorder. PLoS ONE 2016, 11, e0152271. [Google Scholar] [CrossRef]
- Lee, M.; Lee, J.-H. Ambivalent Food Craving and Psychobiological Characteristics in Individuals with Weight Suppression. Front. Psychol. 2021, 12, 619025. [Google Scholar] [CrossRef] [PubMed]
- Butt, M.; Wagner, A.; Rigby, A. Associations of Social Desirability on Psychological Assessment Outcomes for Surgical Weight Loss Patients. J. Clin. Psychol. Med. Settings 2020, 28, 384–393. [Google Scholar] [CrossRef]
- Ambwani, S.; Boeka, A.G.; Brown, J.D.; Byrne, T.K.; Budak, A.R.; Sarwer, D.B.; Fabricatore, A.N.; Morey, L.C.; O’Neil, P.M. Socially desirable responding by bariatric surgery candidates during psychological assessment. Surg. Obes. Relat. Dis. 2013, 9, 300–305. [Google Scholar] [CrossRef] [PubMed]
- Fabricatore, A.; Sarwer, D.; Wadden, T.; Combs, C.; Krasucki, J. Impression Management or Real Change? Reports of Depressive Symptoms Before and After the Preoperative Psychological Evaluation for Bariatric Surgery. Obes. Surg. 2007, 17, 1213–1219. [Google Scholar]
- Dagan, S.S.; Goldenshluger, A.; Globus, I.; Schweiger, C.; Kessler, Y.; Sandbank, G.K.; Ben-Porat, T.; Sinai, T. Nutritional Recommendations for Adult Bariatric Surgery Patients: Clinical Practice. Adv. Nutr. Int. Rev. J. 2017, 8, 382–394. [Google Scholar] [CrossRef] [Green Version]
- Bertoni, L.; Valentini, R.; Zattarin, A.; Belligoli, A.; Bettini, S.; Vettor, R.; Foletto, M.; Spinella, P.; Busetto, L. Assessment of Protein Intake in the First Three Months after Sleeve Gastrectomy in Patients with Severe Obesity. Nutrients 2021, 13, 771. [Google Scholar] [CrossRef]
- Bettini, S.; Belligoli, A.; Fabris, R.; Busetto, L. Diet approach before and after bariatric surgery. Rev. Endocr. Metab. Disord. 2020, 21, 297–306. [Google Scholar] [CrossRef]
- Westerink, F.; Beijderwellen, H.; Huibregtse, I.L.; De Hoog, M.L.A.; De Brauw, L.M.; Brandjes, D.P.M.; A Gerdes, V.E. Lactose after Roux-en-Y gastric bypass for morbid obesity, is it a problem? Scand. J. Gastroenterol. 2020, 55, 1398–1404. [Google Scholar] [CrossRef]
Response Frequency N (%) | Single-Factor | ||||
---|---|---|---|---|---|
Usually | Sometimes | Never/NA | Item-Total Correlation | Alpha If Removed | |
Item 1. Skip Breakfast | 159 (27.18) | 219 (37.44) | 207 (35.38) | 0.23 | 0.64 |
Item 2. Eat 4+ meals out | 44 (7.52) | 158 (27.01) | 383 (65.47) | 0.24 | 0.64 |
Item 3. <2 servings of whole grains | 130 (22.22) | 306 (52.31) | 149 (25.47) | 0.02 | 0.67 |
Item 4. <2 servings of fruit | 150 (25.64) | 295 (50.43) | 140 (23.93) | 0.34 | 0.62 |
Item 5. <2 servings of vegetables | 112 (19.15) | 292 (46.91) | 181 (30.94) | 0.33 | 0.62 |
Item 6. <2 servings of dairy | 152 (25.98) | 249 (42.56) | 184 (31.45) | 0.18 | 0.65 |
Item 7. >8 oz of animal protein | 191 (32.65) | 254 (43.42) | 140 (23.93) | 0.21 | 0.64 |
Item 8. Use regular processed meats | 79 (13.50) | 251 (42.91) | 255 (43.59) | 0.39 | 0.61 |
Item 9. Eat fried foods | 77 (13.16) | 297 (50.77) | 211 (36.07) | 0.41 | 0.61 |
Item 10. Eat regular snack foods > low-fat | 105 (17.95) | 279 (47.69) | 201 (34.36) | 0.39 | 0.61 |
Item 11. Add butter, margarine, or oil | 191 (32.65) | 257 (43.93) | 137 (23.42) | 0.33 | 0.62 |
Item 12. Eat sweets | 69 (11.79) | 233 (39.83) | 283 (48.38) | 0.33 | 0.62 |
Item 13. >16 oz of non-diet soda or juice | 64 (10.94) | 111 (18.97) | 410 (70.09) | 0.28 | 0.63 |
Cronbach’s Alpha | 0.65 |
Univariable Associations | Multivariate Associations | ||||
---|---|---|---|---|---|
Independent Variables | Spearman Correlation Coefficient (95%CL) | Total REAP-S | Factor 1: Meal Practices | Factor 2: MyPlate Quality | Factor 3: Nonadherence to MyPlate |
Age | 0.08 [−0.01, 0.16] | 0.30 (0.17); 0.07 | 0.11 (0.04); 0.01 ** | 0.16 (0.09); 0.08 | −0.03 (0.11); 0.81 |
Sex (Ref: Female) | 0.02 [−0.06, 0.10] | −0.19 (0.39); 0.64 | −0.05 (0.11); 0.64 | −0.18 (0.22); 0.42 | 0.04 (0.26); 0.87 |
Race (Ref: White) | 0.09 [0.01, 0.17] * | −0.78 (0.40); 0.05 | −0.25 (0.11); 0.02 * | −0.12 (0.22); 0.59 | −0.41 (0.26); 0.12 |
BMI | −0.14 [−0.22, −0.06] * | −0.40 (0.16); 0.01 * | −0.08 (0.04); 0.07 | −0.17 (0.09); 0.06 | −0.15 (0.11); 0.17 |
MC-C | 0.23 [0.15, 0.31] * | 0.42 (0.18); 0.02 * | 0.03 (0.05); 0.54 | 0.02 (0.10); 0.82 | 0.37 (0.12); 0.003 ** |
WBIS | −0.14 [−0.22, −0.06] * | 0.10 (0.21); 0.62 | 0.03 (0.06); 0.60 | −0.02 (0.12); 0.90 | 0.09 (0.14); 0.51 |
AEBQ | |||||
Enjoyment of Food | −0.18 [−0.26, −0.10] * | −0.17 (0.19); 0.38 | −0.05 (0.05); 0.34 | 0.06 (0.11); 0.56 | −0.19 (0.13); 0.15 |
Food Fussiness | −0.19 [−0.27, −0.11] * | −0.67 (0.16); <0.0001 ** | −0.03 (0.04); 0.54 | −0.15 (0.09); 0.10 | −0.49 (0.11); <0.0001 ** |
Emotional Overeating | −0.19 [−0.27, −0.11] * | −0.32 (0.21); 0.14 | −0.06 (0.06); 0.29 | 0.06 (0.12); 0.64 | −0.31 (0.14); 0.03 * |
Hunger | −0.10 [−0.18, −0.02] * | 0.44 (0.21); 0.03 * | 0.18 (0.06); 0.001 ** | 0.18 (0.12); 0.12 | 0.08 (0.14); 0.54 |
Satiety Responsiveness | 0.14 [0.06, 0.22] * | 0.08 (0.20); 0.67 | −0.08 (0.05); 0.13 | 0.06 (0.11); 0.61 | 0.11 (0.13); 0.41 |
Food Responsiveness | −0.20 [−0.28, −0.12] * | −0.68 (0.24); 0.005 ** | −0.10 (0.06); 0.13 | −0.32 (0.14); 0.02 * | −0.26 (0.16); 0.10 |
Slow Eating | 0.12 [0.04, 0.20] * | 0.20 (0.18); 0.27 | 0.08 (0.05); 0.08 | −0.01 (0.10); 0.93 | 0.12 (0.12); 0.30 |
Emotional Undereating | 0.02 [−0.07, 0.10] | −0.09 (0.17); 0.60 | −0.03 (0.05); 0.55 | 0.03 (0.10); 0.76 | −0.09 (0.11); 0.41 |
BDI-II | −0.20 [−0.27, −0.12] * | p = 0.86 | p = 0.19 | p = 0.35 | p = 0.50 |
Mild vs. None | −0.29 (0.50); 0.56 | −0.17 (0.13); 0.20 | 0.18 (0.28); 0.52 | −0.30 (0.33); 0.36 | |
Moderate vs. None | 0.19 (0.62); 0.75 | −0.23 (0.17); 0.17 | 0.63 (0.35); 0.07 | −0.21 (0.41); 0.61 | |
Severe vs. None | 0.29 (0.89); 0.75 | −0.48 (0.24); 0.04 * | 0.35 (0.50); 0.49 | 0.43 (0.59); 0.47 | |
BAI | −0.22 [−0.29, −0.14] * | p = 0.15 | p = 0.63 | p = 0.18 | p = 0.24 |
Minimal vs. None | −0.40 (0.46); 0.38 | −0.10 (0.12); 0.42 | −0.32 (0.26); 0.22 | 0.01 (0.30); 0.97 | |
Mild vs. None | −0.62 (0.50); 0.22 | −0.18 (0.13); 0.17 | −0.56 (0.28); 0.05 * | 0.12 (0.33); 0.72 | |
Moderate vs. None | −0.39 (0.66); 0.56 | −0.24 (0.18); 0.18 | −0.67 (0.37); 0.07 | 0.52 (0.44); 0.23 | |
Severe vs. None | −1.97 (0.78); 0.01 ** | −0.31 (0.21); 0.14 | −1.06 (0.44); 0.02 * | −0.61 (0.51); 0.24 | |
Extreme vs. None | −2.39 (1.20); 0.05 * | −0.07 (0.32); 0.83 | −1.29 (0.67); 0.06 | −1.04 (0.79); 0.19 |
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Hayashi, D.; Masterson, T.D.; Rogers, A.M.; Rigby, A.; Butt, M. Psychometric Analysis of the Rapid Eating Assessment for Participants-Short Form to Evaluate Dietary Quality in a Pre-Surgical Bariatric Population. Nutrients 2023, 15, 3372. https://doi.org/10.3390/nu15153372
Hayashi D, Masterson TD, Rogers AM, Rigby A, Butt M. Psychometric Analysis of the Rapid Eating Assessment for Participants-Short Form to Evaluate Dietary Quality in a Pre-Surgical Bariatric Population. Nutrients. 2023; 15(15):3372. https://doi.org/10.3390/nu15153372
Chicago/Turabian StyleHayashi, Daisuke, Travis D. Masterson, Ann M. Rogers, Andrea Rigby, and Melissa Butt. 2023. "Psychometric Analysis of the Rapid Eating Assessment for Participants-Short Form to Evaluate Dietary Quality in a Pre-Surgical Bariatric Population" Nutrients 15, no. 15: 3372. https://doi.org/10.3390/nu15153372