Browse > Article

Response Experiences with a Semi-Quantitative Food Frequency Questionnaire : A Qualitative Study using Cognitive Interview  

Lee, Gyeong-Sil (Department of Food and Nutrition, College of Human Ecology, Seoul National University)
Yi, Myung-Sun (College of Nursing, Seoul National University)
Joung, Hyo-Jee (Graduate School of Public Health, Seoul National University)
Paik, Hee-Young (Department of Food and Nutrition, College of Human Ecology, Seoul National University)
Publication Information
Journal of Nutrition and Health / v.40, no.6, 2007 , pp. 566-575 More about this Journal
Abstract
The purpose of this research was to understand how individuals reflect on the frequency and quantity of foods that they consume. Participants selected 5 males and 15 females aged 30 years or older were first interviewed on the frequency of their food consumption. Then based on this data, they were given a cognitive interview using the method of verbal proving. The individual cognitive interviews were recorded with consent while being conducted after complete approval by the Seoul National University Institution Review Board. The recorded material was evaluated using a thematic analysis after transcribing them into text. By analyzing stages of reflection, the major barriers to make the device difficult are revealed: 1) More difficulty in remembering events over the course of a full year due to diversification in the types of food that people consume 2) difficulty calculating the average for seasonal foods 3) difficulty estimating the amount of consumption from the photos presented 4) difficulty estimating amount of consumption from the quantity presented 5) difficulty processing foods that people think are healthy and foods are unhealthy simultaneously 6) difficulty having to consider foods where target food goes in as an ingredient; 7) difficulties arising from having to increase frequency when the amount consumed is higher than the quantity that is presented 8) difficulty having to combine the frequency and quantity of each food item when numerous foods are clustered into one category. These findings show that the less participants were involved in cooking, the more diverse their eating habits were, and the more they tried to adhere to rules of filling out the questionnaire, the more it was difficult for them to come up with an answer to the question being asked. It therefore seems necessary to construct a Food Frequency questionnaire that is attentive to these problems that arise from the recall stages.
Keywords
food frequency questionnaire; cognitive interviewing; verbal probing; thematic analysis;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Block G. A review of validations of dietary assessment methods. Am J Epidemiol 1992; 115: 492-505
2 Bingham SA. Limitations of the various methods for collecting dietary intake data. Annals of nutrition & metabolism 1991; 35 (3): 117-27   DOI   ScienceOn
3 Thompson F, Subar A. Cognitive research enhances accuracy of food frequency questionnaire reports: Results of an experimental validation study. J Am Diet Assoc 2002; 102(2): 212-218   DOI   ScienceOn
4 Campos CJ. Content analysis: a qualitative data analysis tool in health care. Revista brasileira de enfermagem 2004; 57(5): 611- 614   DOI
5 Wynder EL, Cohen LA, Winters BL. The challenges of assessing fat intake in cancer research investigations. J Am Diet Assoc 1997; 97(7 Suppl): S5-8   DOI   ScienceOn
6 Bingham SA, Luben R, Welch A, Wareham N, Khaw KT, Day N. Are imprecise methods obscuring a relation between fat and breast cancer? Lancet 2003; 19: 212-214
7 Kipnis V, Subar AF, Midthune D, Freedman LS, Ballard-Barash R, Troiano RP, Bingham S, Schoeller DA, Schatzkin A, Carroll RJ. Structure of dietary measurement error: results of the OPEN biomarker study. Am J Epidemiol 2003; 158(1): 14-21   DOI   ScienceOn
8 Willett W. Nutritional Epidemiology, Oxford University ; 1998
9 Johnson RK, Soultanakis RP, Matthews DE. Literacy and body fatness are associated with underreporting of energy intake in US low-income women using the multiple-pass 24-hour recall: a doubly labeled water study. J Am Diet Assoc 1998; 98(10): 1136- 1140   DOI   ScienceOn
10 Matt GE, Rock CL, Johnson-Kozlow M. Using recall cues to improve measurement of dietary intakes with a food frequency questionnaire in an ethnically diverse population: An exploratory study. J Am Diet Assoc 2006; 106(8): 1209-1217   DOI   ScienceOn
11 Cchatzkin A, Kipnis V, Carroll RJ, Midthune D, Subar AF, Bingam S, Schoeller DA, Troiano RP, Freedman LS. A comparison of a food frequency questionnaire with a 24-hour recall for use in an epidemiological cohort study: results from the biomarker-based Observing Protein and Energy Nutrition (OPEN) study. Int J Epidemiol 2003; 32(6): 1054-1062   DOI   ScienceOn
12 Willett WC. Nutritional epidemiology issues in chronic disease at the turn of the century. Epidemiologic reviews 2000; 22(1): 82-86   DOI
13 Kvale S. Interviews: an introduction to qualitative research interviewing. SAGE; 1996
14 Chu S, Kolonel L, Hankin J, Lee J. A comparison of frequency and quantitiative dietary methods for epidemiologic studies of diet ans disease. Am J Epidemiol 1984; 119: 323-4   DOI
15 Collins D. Pretesting survey instruments: An overview of cognitive methods. Quality of life Research 2003; 12: 229-238   DOI   ScienceOn
16 Chambers Et, Godwin SL, Vecchio FA. Cognitive strategies for reporting portion sizes using dietary recall procedures. J Am Diet Assoc 2000; 100(8): 891-897   DOI   ScienceOn
17 Gordis L. Epidemiology. SAGE ; 2004
18 Willis G. Cognitive interviewing: A tool for improving questionnaire design SAGE ; 2005
19 Subar AF, Thompson FE, Smith AF, Jobe JB, Ziegler RG, Potischman N, Schatzkin A, Hartman A, Swanson C, Kruse L. Improving food frequency questionnaires: a qualitiative approach using cognitive interviewing. J Am Diet Assoc 1995; 95(7): 781-788   DOI   ScienceOn
20 Subar AF, Kipnis V, Sunshine J, Schatzkin A, Troiano RP, Midhune D, Schoeller DA, Bingham S, Sharbaugh CO, Trabulsi J, Runswick S, Ballard-Barbash R. Using intake biomarkers to evaluate the extentof dietary misreporting in a large sample of adults: the OPEN study. Am J Epidemiol 2003; 158(1): 1-13   DOI   ScienceOn
21 Willis G. Cognitive Interviewing: A 'how to' guide. In 1999 Meeting of the American Statistical Association, Research Triangle Institute ; 1999