title: Parental versus child reporting of fruit and vegetable consumption.
abstract: BACKGROUND
  The purpose of this study was to (1) compare parental and child recording of children's fruit and vegetable (F&V) consumption, including family-related factors, and (2) investigate the potential differences in the relation of children's and parents' perceptions of family-related factors.
  
  
  METHODS
  Children were recruited from Dutch seventh and eighth grade classrooms. Each child and one of their parents completed parallel questionnaires. A total of 371 matched child-parent surveys were included in the analyses. To compare parental and child reports of consumption and family-related factors regarding F&V intake several techniques were used such as paired sample t-test, chi-square tests, Pearson's correlations and Cohens's kappa as measurement of agreement. To investigate potential differences between the parent's and children's perceptions of family-related factors, linear regression analyses were conducted.
  
  
  RESULTS
  The results indicated weak agreement for F&V consumption (Cohen's kappa coefficients of .31 and .20, respectively) but no differences in mean consumption of fruit at the group level. Regarding the family-environmental factors related to fruit consumption, significant differences were found between the perceptions of subjective norm, and the availability and accessibility of fruit. Perceptions of subjective norm, parental modelling and exposure regarding vegetable consumption were also viewed differently by the two groups. The family-environmental factors reported by the children were similarly associated with F&V consumption compared to those reported by their respective parents. However, parents rated these factors more favourably than their children did.
  
  
  CONCLUSIONS
  The results indicated a low level of agreement between parental and child reporting of F&V intake and their assessment of family-environmental factors on individual level. This has important implications for the development and evaluation of interventions and we recommend that researchers clearly indicate which source of information they use in their studies as it remains unclear which source is more valid.However, when the effects of interventions are studied at the group level, our results suggest that it makes no difference whether children or parents report the child's fruit consumption. The same holds for determinant studies; both parental and child reports can be used. However, perceptions of these factors differ significantly.
authors: Nutrition and Toxicology Research Institute Maastricht (NUTRIM), Department of Health Promotion and Health Education, Universiteit Maastricht, PO Box 616, 6200 MD, Maastricht, The Netherlands. Evelien.reinaerts@gvo.unimaas.nl
authors: Evelien
authors: E
authors: Reinaerts
authors: Jascha
authors: J
authors: de Nooijer
authors: Nanne K
authors: NK
authors: de Vries
references: J Am Diet Assoc. 1991 Jun;91(6):669-74
references: 2040780
references: Eur J Clin Nutr. 2003 Feb;57(2):341-8
references: 12571670
references: Int J Behav Nutr Phys Act. 2006 Aug 11;3:22
references: 16904006
references: Ann Nutr Metab. 2005 Jul-Aug;49(4):209-11
references: 16088083
references: Appetite. 2007 Mar;48(2):248-58
references: 17109996
references: Appetite. 2003 Apr;40(2):155-62
references: 12781165
references: J Appl Psychol. 1997 Apr;82(2):247-52
references: 9109282
references: Ann Nutr Metab. 2005 Jul-Aug;49(4):221-7
references: 16088085
references: Health Educ Behav. 2003 Aug;30(4):503-18
references: 12929900
references: Nutr Health. 2002;16(2):85-106
references: 12102370
references: Am Psychol. 1992 Jan;47(1):6-22
references: 1539925
references: Public Health Nutr. 2004 Dec;7(8):991-8
references: 15548337
references: Proc Nutr Soc. 2000 May;59(2):279-93
references: 10946797
references: J Hum Nutr Diet. 2003 Jun;16(3):181-8
references: 12753111
references: Int J Behav Nutr Phys Act. 2006 Oct 25;3:37
references: 17064409
references: J Nutr Educ Behav. 2007 Mar-Apr;39(2):84-9
references: 17346656
references: BMJ. 2000 May 6;320(7244):1240-3
references: 10797032
references: Public Health Nutr. 2007 Sep;10(9):939-47
references: 17381944
references: J Hum Nutr Diet. 2006 Aug;19(4):275-85
references: 16911240
references: Appetite. 2003 Aug;41(1):43-50
references: 12880620
references: Nutr Rev. 2001 Jul;59(7):224-35
references: 11475448
references: Br J Nutr. 2004 Oct;92 Suppl 2:S213-22
references: 15522159
references: J Hum Nutr Diet. 2005 Dec;18(6):431-43
references: 16351702
references: Prev Med. 2001 Sep;33(3):217-26
references: 11522162
references: Prev Med. 2006 Feb;42(2):85-95
references: 16375956
references: Am J Public Health. 1994 Jul;84(7):1121-6
references: 8017536
references: Nutr Rev. 2004 Jan;62(1):39-50
references: 14995056