Evidence mapPaperPMID 40433481Full record

ArticleFrontiers in public health2025

Development and preliminary validation of the nutrition literacy scale for type 2 diabetes mellitus in China-a mixed methods study.

Wenjuan Zhang, Yan Wu, Yibao Zhang, Ziyu Sun, Jiaqi Wang, Yuhong Wu

Abstract readValidation Study
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Article in Frontiers in public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Wenjuan ZhangSchool of Public Health and Nursing, Hangzhou Normal University, Hangzhou, China.
Yan WuDepartment of Endocrinology, Zhejiang Greentown Cardiovascular Disease Hospital, Hangzhou, China.
Yibao ZhangSchool of Public Health and Nursing, Hangzhou Normal University, Hangzhou, China.
Ziyu SunSchool of Public Health and Nursing, Hangzhou Normal University, Hangzhou, China.
Jiaqi WangSchool of Public Health and Nursing, Hangzhou Normal University, Hangzhou, China.
Yuhong WuSchool of Public Health and Nursing, Hangzhou Normal University, Hangzhou, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Nutrition literacy is an important predictor of eating behavior in patients with type 2 diabetes. However, current methods lack rigorously validated tools to assess nutrient literacy in this group. Therefore, the aim of this study was to develop and validate the Nutrition Literacy Scale for patients with type 2 diabetes mellitus. Methods: This study was divided into two phases, including the generation of the items and the validation of the scales. The generation of the items was developed through a literature study, semi-structured interviews, a Delphi expert consultation, and a small-sample pre-survey. Convenience sampling method was used to select a large sample of 576 patients in Hangzhou for item analysis, reliability and validity tests. Results: The formal scale covered 4 dimensions with 31 items. The exploratory factor analysis extracted four common factors with a cumulative variance contribution of 62.725%; the results of the confirmatory factor analysis showed that the model fit was good, the content validity of the scale was 0.957. The calibration correlation validity of the newly developed scale with the Adult Nutrition Literacy Measurement Scale was 0.760. Cronbach's Conclusion: The nutrition literacy scale for people with type 2 diabetes has good reliability and validity and is suitable for assessing the level of nutrition literacy in relevant populations.

Indexed as

Diabetes Mellitus, Type 2Health LiteracyAdultAgedChinaFactor Analysis, StatisticalFemaleHumansMaleMiddle AgedPsychometricsReproducibility of ResultsSurveys and Questionnairesdiabetes mellitusliteracynutrition statusscalevalidation

Identifiers

PMID40433481
PMCPMC12106305

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.