Development and evaluation of the nutrition component of the rapid eating and activity assessment for patients (REAP): a new tool for primary care providers
Abstract
Objectives 1. To describe the development of a dietary assessment tool (Rapid Eating and Activity Assessment for Patients [REAP]) that quickly assesses a patient's diet and physical activity and facilitates brief counselling by a primary care provider, and 2. To describe the evaluation of the REAP in terms of its reliability, validity, and ease of use by primary care providers.Design, setting and participants The evaluation of REAP included: 1) an implementation feasibility study conducted with 61 medical students and practicing physicians in practice settings at various medical schools; 2) a calibration study with 44 Brown University Medical School students; 3) cognitive assessment testing with 31 consumers in Rhode Island; and 4) a reliability and calibration study of the revised tool with 94 consumers in Rhode Island and Massachusetts.Results The feasibility study revealed moderately high rankings on usefulness, ease, practicality, and helpfulness. The calibration studies demonstrated that REAP has excellent test-retest reliability (r = 0.86, P < .0001), is correlated with the Healthy Eating Index score (r = 0.49, P = .0007), and is significantly associated with intake of most nutrients studied.Conclusions and implications REAP has adequate reliability and validity to be used in primary care practices for nutrition assessment and counselling, and is also user-friendly for providers.
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Previous studies have indicated that the REAP has excellent reliability and is correlated with the Healthy Eating Index.
“Previous studies have indicated that the REAP has excellent reliability and is correlated with the Healthy Eating Index, a commonly used tool to evaluate the quality of individual dietary patterns (Gans, et al., 2006).”
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- Authors
- Gans, K. M., Risica, P. M., Wylie-Rosett, J., Ross, E. M., Strolla, L. O., McMurray, J., & Eaton, C. B.
- Affiliations
- Brown University (US)
- Tufts Medical Center (US)
- Corresponding author
- Gans, Kim M.
- Venue
- Journal of Nutrition Education and Behavior
- Publisher
- Elsevier BV
- Published
- 2006-09
- Volume
- 38
- Issue
- 5
- Pages
- 286-292
- ISSN
- 1499-4046 (ISSN-L)
- OpenAlex
- W2104953626
- Cited by
- 131
- References
- 41
- Citations by year
- 2026: 7 · 2025: 6 · 2024: 6 · 2023: 6 · 2022: 13 · 2021: 13 · 2020: 14 · 2019: 9 · 2018: 8 · 2017: 5 · 2016: 4 · 2015: 7 · 2014: 9 · 2013: 5 · 2012: 6
- FWCI
- 1.67
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Nutrition Education and Behavior (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Heart, Lung, and Blood Institute (HL03948)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Nutritional Studies and Diet
- Social Sciences › Education › Health Education and Validation
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Keywords
- dietary assessment tools, nutritional assessment, physical activity measurement, primary care, test-retest reliability, Healthy Eating Index, nutrient intake, tool development, implementation feasibility, calibration
- MeSH terms
- Cognition, Diet, Family Practice, Feasibility Studies, Humans, Massachusetts, Motor Activity, Rhode Island, Reproducibility of Results, Nutrition Assessment
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