Brief Psychosocial Fruit and Vegetable Tool is Sensitive for the US Department of Agriculture's Nutrition Education Programs

The usefulness of an evaluation instrument is dependent on its reliability, validity, and ability to capture change. The latter psychometric characteristic is particularly important, yet is often neglected. The purpose of this study was to assess the sensitivity of a psychosocial fruit and vegetable evaluation tool for use by two US Department of Agriculture community-based programs. As part of a prospective randomized controlled trial, a sample of limited-resource women (n=93), recruited from eight counties, provided dietary recalls, behavioral assessments, and psychosocial assessments. A randomly selected subsample was used for venipuncture (n=55). Sensitivity of the tool was estimated using serum carotenoids, selected micronutrients, fruit/vegetable servings, and fruit/vegetable behaviors. Controlling for energy intake at baseline and change in energy intake, the change scores for the tool were correlated with reported changes in fruit and vegetable behaviors (r=0.28, P=0.01), vitamin C (r=0.25, P=0.02), and the biomarker serum carotenoids (r=0.31, P=0.02). This systematic process yielded a moderately sensitive evaluation tool useful with a limited-resource audience participating in two US Department of Agriculture programs. This is the first study to estimate sensitivity of a psychosocial tool for a fruit and vegetable intervention.