Assessing the social validity of a brief dietary survey for Sri Lankan adults with a focus on gender: a qualitative study

Abstract Background As the World Health Organization urges countries to strengthen their noncommunicable disease monitoring and surveillance activities, setting-specific innovations are emerging. Diet – a key, modifiable risk factor for chronic diseases – is particularly challenging to capture relia...

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Autores principales: Jessica Renzella, Santhushya Fernando, Buwaneka Kalupahana, Mike Rayner, Peter Scarborough, Nick Townsend
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Publicado: BMC 2021
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Acceso en línea:https://doaj.org/article/3d42383bcf0f49018eac8793e29a727c
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spelling oai:doaj.org-article:3d42383bcf0f49018eac8793e29a727c2021-11-28T12:13:52ZAssessing the social validity of a brief dietary survey for Sri Lankan adults with a focus on gender: a qualitative study10.1186/s40795-021-00481-92055-0928https://doaj.org/article/3d42383bcf0f49018eac8793e29a727c2021-11-01T00:00:00Zhttps://doi.org/10.1186/s40795-021-00481-9https://doaj.org/toc/2055-0928Abstract Background As the World Health Organization urges countries to strengthen their noncommunicable disease monitoring and surveillance activities, setting-specific innovations are emerging. Diet – a key, modifiable risk factor for chronic diseases – is particularly challenging to capture reliably. By socially validating self-report dietary survey tools, we may be able to increase the accuracy and representativeness of data for improved population health outcomes. The purpose of this study was to explore the factors that impact Sri Lankan Brief Dietary Survey (a newly developed tool) and 24-h Dietary Recall participation, engagement, and social validity among Sri Lankan adults. Methods We conducted semi-structured interviews with 93 participants (61 women and 32 men) in three Sri Lankan districts (Colombo, Kalutara, and Trincomalee). Interview data were analysed thematically and are presented as non-hierarchical thematic networks. Results Participants identified a number of factors that influenced their survey participation and engagement. These included the time of day interviews occur, recall ease, level of commitment required, perceived survey value, emotional response to surveys, and interviewer positionality. Many of these factors were gendered, however, both female and male participants expressed a preference for engaging with socially valid research that they felt justified their personal investment in data collection. When explicitly asked to share ideas about how to improve the surveys, many participants opted not to provide suggestions as they felt they lacked the appropriate expertise. Conclusions Our findings have implications for the accuracy and equity of dietary surveillance activities, and ultimately the appropriateness and effectiveness of programmes and policies informed by these data. Only through understanding how and why the target population engages with dietary research can we develop socially valid methods that assess and address the dietary risks of individuals and groups that are underrepresented by current conventions.Jessica RenzellaSanthushya FernandoBuwaneka KalupahanaMike RaynerPeter ScarboroughNick TownsendBMCarticleDietSurveyNoncommunicable diseasesAdultsSri LankaQualitativeNutrition. Foods and food supplyTX341-641Food processing and manufactureTP368-456Medicine (General)R5-920ENBMC Nutrition, Vol 7, Iss 1, Pp 1-13 (2021)
institution DOAJ
collection DOAJ
language EN
topic Diet
Survey
Noncommunicable diseases
Adults
Sri Lanka
Qualitative
Nutrition. Foods and food supply
TX341-641
Food processing and manufacture
TP368-456
Medicine (General)
R5-920
spellingShingle Diet
Survey
Noncommunicable diseases
Adults
Sri Lanka
Qualitative
Nutrition. Foods and food supply
TX341-641
Food processing and manufacture
TP368-456
Medicine (General)
R5-920
Jessica Renzella
Santhushya Fernando
Buwaneka Kalupahana
Mike Rayner
Peter Scarborough
Nick Townsend
Assessing the social validity of a brief dietary survey for Sri Lankan adults with a focus on gender: a qualitative study
description Abstract Background As the World Health Organization urges countries to strengthen their noncommunicable disease monitoring and surveillance activities, setting-specific innovations are emerging. Diet – a key, modifiable risk factor for chronic diseases – is particularly challenging to capture reliably. By socially validating self-report dietary survey tools, we may be able to increase the accuracy and representativeness of data for improved population health outcomes. The purpose of this study was to explore the factors that impact Sri Lankan Brief Dietary Survey (a newly developed tool) and 24-h Dietary Recall participation, engagement, and social validity among Sri Lankan adults. Methods We conducted semi-structured interviews with 93 participants (61 women and 32 men) in three Sri Lankan districts (Colombo, Kalutara, and Trincomalee). Interview data were analysed thematically and are presented as non-hierarchical thematic networks. Results Participants identified a number of factors that influenced their survey participation and engagement. These included the time of day interviews occur, recall ease, level of commitment required, perceived survey value, emotional response to surveys, and interviewer positionality. Many of these factors were gendered, however, both female and male participants expressed a preference for engaging with socially valid research that they felt justified their personal investment in data collection. When explicitly asked to share ideas about how to improve the surveys, many participants opted not to provide suggestions as they felt they lacked the appropriate expertise. Conclusions Our findings have implications for the accuracy and equity of dietary surveillance activities, and ultimately the appropriateness and effectiveness of programmes and policies informed by these data. Only through understanding how and why the target population engages with dietary research can we develop socially valid methods that assess and address the dietary risks of individuals and groups that are underrepresented by current conventions.
format article
author Jessica Renzella
Santhushya Fernando
Buwaneka Kalupahana
Mike Rayner
Peter Scarborough
Nick Townsend
author_facet Jessica Renzella
Santhushya Fernando
Buwaneka Kalupahana
Mike Rayner
Peter Scarborough
Nick Townsend
author_sort Jessica Renzella
title Assessing the social validity of a brief dietary survey for Sri Lankan adults with a focus on gender: a qualitative study
title_short Assessing the social validity of a brief dietary survey for Sri Lankan adults with a focus on gender: a qualitative study
title_full Assessing the social validity of a brief dietary survey for Sri Lankan adults with a focus on gender: a qualitative study
title_fullStr Assessing the social validity of a brief dietary survey for Sri Lankan adults with a focus on gender: a qualitative study
title_full_unstemmed Assessing the social validity of a brief dietary survey for Sri Lankan adults with a focus on gender: a qualitative study
title_sort assessing the social validity of a brief dietary survey for sri lankan adults with a focus on gender: a qualitative study
publisher BMC
publishDate 2021
url https://doaj.org/article/3d42383bcf0f49018eac8793e29a727c
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