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Dietary advice is fundamental in the prevention and management of type 2 diabetes (T2DM). Advice is improved by individual assessment but existing methods are time-consuming and require expertise. We developed a twenty-five-item questionnaire, the UK Diabetes and Diet Questionnaire (UKDDQ), for quick assessment of an individual’s diet. The present study examined the UKDDQ’s repeatability and relative validity compared with 4 d food diaries.
The UKDDQ was completed twice with a median 3 d gap (interquartile range=1–7 d) between tests. A 4 d food diary was completed after the second UKDDQ. Diaries were analysed and food groups were mapped on to the UKDDQ. Absolute agreement between total scores was examined using intra-class correlation (ICC). Agreement for individual items was tested with Cohen’s weighted kappa (κw).
South West of England.
Adults (n 177, 50·3 % women) with, or at high risk for, T2DM; mean age 55·8 (sd 8·6) years, mean BMI 34·4 (sd 7·3) kg/m2; participants were 91 % White British.
The UKDDQ showed excellent repeatability (ICC=0·90 (0·82, 0·94)). For individual items, κw ranged from 0·43 (‘savoury pastries’) to 0·87 (‘vegetables’). Total scores from the UKDDQ and food diaries compared well (ICC=0·54 (0·27, 0·70)). Agreement for individual items varied and was good for ‘alcohol’ (κw=0·71) and ‘breakfast cereals’ (κw=0·70), with no agreement for ‘vegetables’ (κw=0·08) or ‘savoury pastries’ (κw=0·09).
The UKDDQ is a new British dietary questionnaire with excellent repeatability. Comparisons with food diaries found agreements similar to those for international dietary questionnaires currently in use. It targets foods and habits important in diabetes prevention and management.
Today's youth face unprecedented global challenges to their well-being and cognitive development. Many live in poverty without access to proper nutrition, health care, or education. This chapter describes challenges associated with the assessment of children's mental health and functioning, and identifies risk and protective factors, best practices for prevention, and promising interventions that can be utilized in resource-poor settings. The development of mental health disorders in youth is multifactorial; risk and protective factors for mental health cross biological, psychological, and social domains. Substantive research and resources have been dedicated to understanding and ameliorating mental health service provision among children and adolescents in high-income countries, and thus effective evidence-based treatments for most mental health disorders exist. The tenets of the interventions framework of SAFE (Safety and security, Access to health care, Family and others support, and Education) have useful application to all children facing adverse and difficult life situations.
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