title: NutriSTEP® is Reliable for Internet and Onscreen Use.
abstract: OBJECTIVE
  NutriSTEP(®) screens for nutritional risk in preschoolers (3-5 years of age). Availability has been limited to paper versions. The objective is to test reliability for Internet and Onscreen use.
  
  
  METHODS
  Two studies were conducted with parents in several Ontario Early Years Centres (Internet (n = 63)) and in the community and schools in Timmons, Guelph, and Ottawa, Ontario (Onscreen (n = 64)). Parents completed NutriSTEP(®) either on paper or using Internet or Onscreen versions. Two weeks later, the alternate mode was completed. Reliability was assessed using Intraclass Correlations (ICC) and Pearson Correlations (PC) on total and attribute scores, Kappa coefficients (κ) for risk, and Wilcoxon Signed Rank Test for responses on individual questions.
  
  
  RESULTS
  For total scores, Internet and Onscreen ICCs were 0.94 and 0.91, respectively, with PCs of 0.89 and 0.84, respectively. Attribute scores were 0.69-0.91 (ICC) and 0.70-0.84 (PC) for Internet, and 0.81-0.92 (ICC) and 0.68-0.85 (PC) for Onscreen. κ amongst risk categories was 0.58 (P = 0.000) for Internet and 0.50 (P = 0.000) for Onscreen. For individual dichotomized questions, 5 of 17 (Onscreen and Internet) were excellent (κ > 0.75); 11 of 17 (Internet) and 9 of 17 (Onscreen) were adequate (0.40 < κ > 0.75); 0 of 17 (Internet) and 2 of 17 (Onscreen) questions were poor (κ < 0.4) in agreement between modes.
  
  
  CONCLUSIONS
  Internet and Onscreen versions of NutriSTEP(®) are reliable.
authors.affiliation: a Human Health and Nutritional Sciences, University of Guelph, Guelph, ON.
authors.forename: Bianca
authors.initials: B
authors.lastname: Carducci
authors.affiliation: b Family Relations and Applied Nutrition, University of Guelph, Guelph, ON.
authors.forename: Maria
authors.initials: M
authors.lastname: Reesor
authors.affiliation: c Dietitians of Canada, Toronto, ON.
authors.forename: Helen
authors.initials: H
authors.lastname: Haresign
authors.affiliation: b Family Relations and Applied Nutrition, University of Guelph, Guelph, ON.
authors.forename: Lee
authors.initials: L
authors.lastname: Rysdale
authors.affiliation: d Kinesiology, University of Waterloo, Waterloo, ON.
authors.forename: Heather
authors.initials: H
authors.lastname: Keller
authors.affiliation: e Sudbury & District Health Unit, Sudbury, ON.
authors.forename: Joanne
authors.initials: J
authors.lastname: Beyers
authors.affiliation: f West Nipissing Community Health Centre, Sturgeon Falls, ON.
authors.forename: Stéphanie
authors.initials: S
authors.lastname: Paquette-Duhaime
authors.affiliation: g Medical and Radiation Oncology, Sunnybrook Health Sciences Centre, Toronto, ON.
authors.forename: Amy
authors.initials: A
authors.lastname: O'Connor
authors.affiliation: b Family Relations and Applied Nutrition, University of Guelph, Guelph, ON.
authors.forename: Janis Randall
authors.initials: JR
authors.lastname: Simpson
mesh_terms: D000328:Adult; D002675:Child, Preschool; D005260:Female; D006801:Humans; D020407:Internet; D008297:Male; D008403:Mass Screening / Q000379:methods; D015596:Nutrition Assessment; D009749:Nutrition Surveys / Q000379:methods; D009752:Nutritional Status; D009864:Ontario; D015203:Reproducibility of Results; D012307:Risk Factors