Validation of a self-administered version of the Mediterranean diet scale (MDS) for cardiac rehabilitation patients in Canada

Ghisi, Gabriela Lima de Melo; Mahajan, Anisha; Chaves, Gabriela; Rouse, Veronica; Brum, Margaret; Ajwani, Fatim; Aultman, Crystal; Ricupero, Maria; Oh, Paul; Colella, Tracey J.F.

doi:10.1080/09637486.2018.1486392

Cited by 14 publications

(29 citation statements)

References 49 publications

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“…Food intake was assessed by the Mediterranean Diet Score (MDS) tool [ 30 ], which consists of 13 questions on food consumption frequency and food intake habits considered characteristic of the Mediterranean diet. The total score ranges from 0 to 13; scores ≤ 5 are interpreted as low adherence to a MD and to ≥ 10 a high adherence to MD.…”

Section: Methodsmentioning

confidence: 99%

Translation and evaluation of a comprehensive educational program for cardiac rehabilitation patients in Latin America: A multi-national, longitudinal study

Ghisi

Grace

Anchique³

et al. 2021

Patient Education and Counseling

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Highlights Patient education is a core component of CR but not standardized in Latin American countries. This study presents an evidence-based comprehensive educational program for CR in Latin America. Results support its use in different Spanish-speaking settings. It also shows how adaptable and effective these materials can be in three different countries. Spanish-speaking CR can benefit from this intervention, which is available online for free.

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Section: Methodsmentioning

confidence: 99%

Translation and evaluation of a comprehensive educational program for cardiac rehabilitation patients in Latin America: A multi-national, longitudinal study

Ghisi

Grace

Anchique³

et al. 2021

Patient Education and Counseling

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“…Food intake was assessed by the self-administered version of the Mediterranean Diet Score tool, which consists of 13 questions on food consumption frequency and food intake habits considered characteristic of the Mediterranean diet. 26 The final score ranges from 0 to 13, and the scoring categories range from ≤ 5 (low adherence to Mediterranean diet) to ≥ 10 (high adherence to Mediterranean diet).…”

Section: Methodsmentioning

confidence: 99%

Effectiveness of an Education Intervention Among Cardiac Rehabilitation Patients in Canada: A Multi-Site Study

et al. 2020

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Background: Although patient education is considered a core component of cardiac rehabilitation (CR) programs, to our knowledge, no educational program designed for CR has been standardized in Canada. This absence of standardization may be due to a lack of reliable resources to educate these patients. The objective of this study was to assess the effectiveness of an education intervention in Material and Methods Design and procedureThis study was a prospective longitudinal study in design, with assessments undertaken pre-and post-CR. Ethics approval CJC Open -(2020) 1e8Ethics Statement: The research reported has adhered to the relevant ethical guidelines.

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“…The MD is supported by evidence as being the healthiest diet worldwide to reduce the risk of CVD ( 41 , 42 ). The self-administered version of the MDS is a practical and useful screening tool, and it has been widely used internationally ( 21 , 23 ). This study aimed to translate and assess the validity of a newly created MDS-Chinese version with those in the general population with CVD or with risk of CVD.…”

Section: Discussionmentioning

confidence: 99%

“…The mean total score for the MDS-Chinese was 7.7 ± 2.4, which was lower than that for Canadians with CVD or risk of CVD (10.2 ± 1.9) ( 21 ), but the mean total score for the MDS-Chinese with diabetes mellitus (DM) (7.6 ± 2.3) was slightly higher than that found in Brazilian adults with DM (6.9 ± 2.0) ( 23 ). It may be because of the sampling difference, since the Canadian adult post CR may have improved adherence to healthy diet behaviors ( 43 ).…”

Section: Discussionmentioning

confidence: 99%

“…Ghisi et al developed the Mediterranean Diet Scale (MDS) and psychometrically validated it in Canadians with CVD or CVD risk. The MDS is a low cost and quick application tool, which has widespread application and reduces clinician time ( 21 ). The MDS includes four factors (Factor 1 reflects items related to meats and processed foods, Factor 2—olive oil and sauce items, Factor 3—fruits, vegetable, nuts, and legumes, and Factor 4—fish and seafood) with a total of 13 questions with “yes” or “no” responses.…”

Section: Introductionmentioning

confidence: 99%

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Translation, Cultural Adaptation, Reliability, and Validity Testing of a Chinese Version of the Self-Administered Mediterranean Diet Scale

Ding

Wang

et al. 2022

Front. Nutr.

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Mediterranean Diet management for people with cardiovascular disease (CVD) or CVD risk is supported by evidence. However, there is no valid Chinese language instrument for the measurement of adherence to this diet. The objective of this study was to generate a Chinese version of the Mediterranean Diet Scale (MDS-Chinese) and to validate a self-administered version with Chinese participants with CVD or CVD risk. The MDS-Chinese was created by translation and cultural adaptation and tested for psychometric properties. A panel of 10 experts in the field, who evaluated the MDS-Chinese content, showed that the content validity index ranged from 0.88 to 1.00. Sixteen native Chinese speakers with CVD or CVD risk evaluated the clarity of the MDS-Chinese, and the resulting instruction and items clarity scores ranged from 9.2 to 10.0. A total of 326 participants completed the MDS-Chinese and a Chinese version of the Coronary Artery Disease Education Questionnaire–Short Version (CADE-Q SV). Analysis indicated that the MDS-Chinese has 4 factors, and the Pearson's correlation between the MDS-Chinese and CADE-Q SV was 0.73. Fifty randomly selected participants completed the MDS-Chinese again with a 1-week interval to assess reliability. Internal consistency was acceptable (Cronbach's α was 0.62) and the inter-class correlation reliability coefficients (ICC) for each item ranged from 0.73 to 0.88. This study showed that the MDS-Chinese has acceptable reliability and validity for use among those in the Chinese population with CVD or CVD risk. Given that diet is one of the key secondary prevention strategies for management in cardiac rehabilitation, the MDS-Chinese instrument may be a useful and convenient tool for use with those in the Chinese population with CVD or with high risk of CVD, to monitor the level of Mediterranean diet (MD) adherence, information which is important for clinical practice. In addition, the establishment of the MDS-Chinese gives a fundamental tool for diet-related CVD research in the Chinese population. Moreover, employment of the MDS-Chinese in the Chinese community may improve awareness of the importance of a healthy diet in CVD prevention and management.Clinical Trial Registration:http://www.chictr.org.cn/enIndex.aspx, identifier: ChiCTR2000032810.

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Validation of a self-administered version of the Mediterranean diet scale (MDS) for cardiac rehabilitation patients in Canada

Cited by 14 publications

References 49 publications

Translation and evaluation of a comprehensive educational program for cardiac rehabilitation patients in Latin America: A multi-national, longitudinal study

Translation and evaluation of a comprehensive educational program for cardiac rehabilitation patients in Latin America: A multi-national, longitudinal study

Effectiveness of an Education Intervention Among Cardiac Rehabilitation Patients in Canada: A Multi-Site Study

Translation, Cultural Adaptation, Reliability, and Validity Testing of a Chinese Version of the Self-Administered Mediterranean Diet Scale

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