BRIEF RESEARCH REPORT article

Front. Nutr.

Sec. Nutrition Methodology

Volume 12 - 2025 | doi: 10.3389/fnut.2025.1572181

Development and Validation of the Nutrition Care Process Assessment of Brief Level of Expertise (NCP-ABLE) Screening Tool

Provisionally accepted
  • 1East Carolina University, Greenville, United States
  • 2University of North Florida, Jacksonville, Florida, United States
  • 3Academy of Nutrition and Dietetics, Chicago, United States
  • 4James A. Haley Veterans' Hospital Primary Care Annex, Tampa, Florida, United States

The final, formatted version of the article will be published soon.

Objective: To develop and validate an abbreviated screening tool to screen Nutrition Care Process (NCP) proficiency.The questionnaire was developed using existing literature. All iterations were reviewed by subject matter experts. The questionnaire underwent several methods of testing, including content validity, face validity, internal consistency reliability, and test-retest reliability. Questions were scored based on answer selection, and participants were categorized by observed levels of proficiency.Results: Internal consistency reliability testing indicated removal of two items, creating a 3-item questionnaire (the NCP Assessment of Brief Level of Expertise, or NCP-ABLE). All items met content (S-CVI = .94) and face (S-FVI = .94) validity and internal consistency (α = .75) and testretest (r = .8, p = .009, 95% CI: .274, .962) reliability thresholds. Six (85.7%) of the subject matter experts reported higher degrees of proficiency with scores of 3 (highest quartile placement), whereas one expert demonstrated lower levels of proficiency through the score of 1 (second quartile placement).The NCP-ABLE met the established validity and reliability thresholds. This supports its utilization as a screen for NCP proficiency, particularly to identify individuals demonstrating lower levels of NCP knowledge proficiency. The NCP-ABLE may be effective for the screening of clinicians, educators, preceptors, and students for educational intervention or quality improvement initiatives. Future investigations may aim to validate the NCP-ABLE in other languages. Further research is needed to determine the relationship between NCP-ABLE scores and NCP implementation, possibly by comparing NCP-ABLE results and scores from robust assessments of NCP practice.

Keywords: Nutrition Care Process1, validation2, Proficiency3, Nutrition Education4, Questionnaire Development5, screening

Received: 06 Feb 2025; Accepted: 09 Apr 2025.

Copyright: © 2025 LaBonte, Papoutsakis, Lewis and Colin. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: Luc Rene LaBonte, East Carolina University, Greenville, United States

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