Development and evaluation of the nutrition component of the Rapid Eating and Activity Assessment for Patients (REAP): a new tool for primary care providers.
OBJECTIVE
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.


METHODS
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
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.
Gans
Kim M
KM
Brown University Institute for Community Health Promotion, Providence, RI 02903, USA. Kim_Gans@Brown.edu
Risica
Patricia M
PM
Wylie-Rosett
Judith
J
Ross
Elizabeth M
EM
Strolla
Leslie O
LO
McMurray
Jerome
J
Eaton
Charles B
CB
D003071:Cognition / Q000502:physiology; D004032:Diet / Q000379:methods*; D005194:Family Practice / Q000379:methods*; D005240:Feasibility Studies; D006801:Humans; D008404:Massachusetts; D009043:Motor Activity / Q000502:physiology*; D015596:Nutrition Assessment; D015203:Reproducibility of Results; D012237:Rhode Island