SEARCHCOHORTsurgery, nutrition

cohort·surgery, nutrition, dietetics, clinical nutrition, research methods·PMC10420949

Psychometric Analysis of the Rapid Eating Assessment for Participants-Short Form to Evaluate Dietary Quality in a Pre-Surgical Bariatric Population

Nutrients · 5 authors, 4 centres

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TL;DR

This study evaluated the psychometric properties of the REAP-S dietary quality survey in 587 adult pre-surgical bariatric patients. It found the tool had moderate internal consistency and a three-factor structure that fits the data better than a single-factor model.

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The tool demonstrated moderate internal consistency with a Cronbach's alpha of 0.65. Confirmatory factor analysis revealed a three-factor model (meal practices, MyPlate quality, nonadherence to MyPlate) had a better fit (CFI = 0.91) than a single-factor model (CFI = 0.69). Multivariable analysis identified significant associations between the total REAP-S score and factors including food fussiness, food responsiveness, severe anxiety, and non-White race.

STUDY TYPE

cohort

SPECIALTY

surgery

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ORIGINAL PAPER

PMC10420949

Psychometric Analysis of the Rapid Eating Assessment for Participants-Short Form to Evaluate Dietary Quality in a Pre-Surgical Bariatric Population

Nutrients

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ABSTRACT

Dietary quality and eating behaviors are essential to evaluating bariatric surgery candidates. The Rapid Eating Assessment for Participants–Short Form (REAP-S) is a previously validated measure of dietary quality suited for use in primary care. This study aimed to evaluate the psychometric properties of the REAP-S in a pre-surgical bariatric population. This study included data from one academic medical center from August 2020 to August 2022. Variables included socio-demographics, the REAP-S, mental health, and assessments of appetitive traits. Statistical methods included Cronbach’s alpha, confirmatory factor analysis (CFA), and multivariable analyses. A total of 587 adult patients were included in this analysis. The mean score for the REAP-S was 28.32 (SD: 4.02), indicative of relatively moderate dietary quality. The internal consistency of the REAP-S was moderate, with a Cronbach’s alpha of 0.65. The three-factor CFA model resulted in a comparative fit index of 0.91. Race ( p = 0.01), body mass index ( p = 0.01), food fussiness ( p < 0.0001), food responsiveness ( p = 0.005), and socially desirable responses ( p = 0.003) were significantly associated with the total REAP-S score. Although the REAP-S’s original purpose was to assess dietary quality within a primary care population, it shows promise for application within a bariatric surgery-seeking population.

CITATION EXPORT

Daisuke Hayashi, Travis D. Masterson, Ann M. Rogers et al.. Psychometric Analysis of the Rapid Eating Assessment for Participants-Short Form to Evaluate Dietary Quality in a Pre-Surgical Bariatric Population. Nutrients. (2023). https://doi.org/10.3390/nu15153372

AUTHORS

5 · 4 CENTRES

Daisuke Hayashi, Travis D. Masterson, Ann M. Rogers, Andrea Rigby, Melissa Butt

1Department of Nutritional Sciences, The Pennsylvania State University, University Park, PA 16802, USA; [email protected] (D.H.); [email protected] (T.D.M.)
2Division of Minimally Invasive and Bariatric Surgery, Department of Surgery, Penn State Milton S. Hershey Medical Center, Hershey, PA 17033, USA; [email protected] (A.M.R.); [email protected] (A.R.)
3Department of Public Health Sciences, Penn State College of Medicine, Hershey, PA 17033, USA
4Department of Family and Community Medicine, Penn State College of Medicine, Hershey, PA 17033, USA

EDITOR / REVIEWER

Maria Izquierdo-Pulido