Families, food and eating survey | Baseline | Endpoint | Adult | Child |
---|---|---|---|---|
Section 1: Cultural identity and background (7 items) | ||||
Country of origin and parents’ origin, language spoken at home. | X | X | X | |
Section 2: Lifestyle (current behavior determined from previous week)1 (13 items) | ||||
Smoking status | X | X | X | |
Vigorous Physical Activity: | ||||
• Days per week | X | X | X | X |
• Hours/Minutes per day | X | X | X | X |
Moderate Physical Activity: | ||||
• Days per week | X | X | X | X |
• Hours/Minutes per day | X | X | X | X |
Sedentary Behavior: | ||||
• Hours/Minutes per day on a weekday | X | X | X | X |
• Hours/Minutes per day on the weekend | X | X | X | X |
• Sedentary activities (Children only) – hours per day on a weekday | X | X | X | |
• Sedentary activities (Children only) – hours per day on a weekend | X | X | X | |
Family physical activity | ||||
• Days per week | X | X | X | X |
• Hours/Minutes per day | X | X | X | X |
Serves of fruit per day averaged over previous week | X | X | X | X |
Serves of vegetables per day averaged over previous week | X | X | X | X |
Number of visits to franchised fast food restaurants in the previous week | X | X | X | X |
Serves of high fat and/or high sugar “snacks” per day averaged over previous week | X | X | X | X |
Alcohol consumption | ||||
• Days on which alcohol consumed in past week | X | X | X | |
• Average number of standard drinks on drinking days | X | X | X | |
Section 3: Intended Lifestyle Changes (Minimum 1 item, Maximum 6 items)2 | ||||
Considering Lifestyle change (yes or no) | X | X | X | X |
Areas: Fruit and Vegetable consumption; Physical Activity; | X | X | X | X |
Additional areas: Fibre consumption; Alcohol consumption; Smoking | X | X | X | |
If yes, identified each area of change and confidence in capacity to change (Self efficacy for Behavior Change) on a 7 point rating scale where 1 is Not at all Confident, 4 is Moderately Confident and 7 is Very Confident. | X | X | X | X |
Indicate any areas where lifestyle changes have been made in the last 6 months | X | X | X | |
Section 4: Food Attitudes (21 items)# (some excluded for children; 16 items) | ||||
Food Life Questionnaire Short Form [53] rated on a 7 point rating scale where 1 is Strongly Disagree and 7 is Strongly Agree | X | X | X | X |
Section 5: Disease Risk (10 items) | ||||
Likelihood of talking to doctor about chronic diseases risk in the next 6 months | X | X | X | |
Likelihood of talking to family about chronic diseases risk in the next 6 months | X | X | X | |
Ratings of perceived lifetime risk for colorectal cancer, breast cancer, heart disease and diabetes | X | X | X | |
All rated on a 7 point rating scale where 1 is Not at all Likely and 7 is Extremely Likely. (Don’t Know and Not Applicable provided for each specific disease ratings) | ||||
Perceived contribution of lifestyle factors to disease risk (includes eating habits, alcohol consumption, physical inactivity, genetic factors) | X | X | X | |
All rated on a 7 point rating scale where 1 is Not at All and 7 is A Great Deal | ||||
Section 6: Cultural Identity (Italian and Vietnamese participants only) | ||||
Stephenson Multigroup Acculturation Scale (32 items) [54] | X | X | ||
Ratings of extent of agreement with a series of “I” statements | ||||
All rated on a 4 point rating scale where 1 is False and 4 is True. Not Applicable also provided. | ||||
Section 6 (or 7): Questions about your own health history (1 item; 4 diseases) | ||||
Categorical response for heart disease, diabetes, colorectal cancer and breast cancer (includes Don’t Know and Age at diagnosis) | X | X | ||
Section 7 (or 8): Questions about your family’s health history (9 items) (used to compile FHHA; adapted from CDC online Family Healthware Tool) | ||||
Categorical response for heart disease, diabetes, colorectal cancer and breast cancer (includes Don’t Know and Age at diagnosis) | X | X | ||
Section 8 (or 9): Demographics (12 items) | ||||
Age, gender, height, weight, number of people living in the home, number of children (adults) or siblings (children), adults only: marital status, income (Endpoint only), education (Endpoint only), health insurance (categorical) | X | X | X | X |
Social and Cultural Capital (6 items/domains) | ||||
Newspaper most often read (categorical) | X | X | ||
Television station watched most often (categorical) | X | X | X | |
Shops from which food is purchased and frequency, choice of 4 including “Other” | X | X | ||
All rated on a 5 point rating scale where 1 is Never and 5 is all the time | ||||
Recreational activities, choice of 6 | X | X | ||
All rated on a 5 point rating scale where 1 is Never and 5 is daily | ||||
Frequency of direct contact with three groups of people; friend, workmates and neighbors | X | X | ||
All rated on a 6 point rating scale where 1 is Almost every day and 6 is Don’t have any | ||||
Membership in any of 4 different organizations; religious, recreational, cultural or educational, and “other” community-based (categorical) | X | X | ||
Endpoint – Additional Measures | ||||
Section 4: Beliefs and Attitudes to Life (28 items) | ||||
Multidimensional Health Locus of Control Scale (18 items) [55] | X | X | ||
Life Orientation Test – Revised (10 items) [56] | X | X | ||
All rated on a 5 point rating scale where 1 is Strongly Disagree and 5 is Strongly Agree | ||||
Intervention group only – evaluation of the extent to which Families SHARE information was shared amongst family members | X | X | ||
Section 5: Disease Risk (15 items) | ||||
Conversations about chronic diseases in the past 6 months with doctor, family member, friends, others | X | X | X | |
Ratings of perceived lifetime risk for colorectal cancer, breast cancer, heart disease and diabetes of child | X | X | X | |
Rated on a 7 point rating scale where 1 is Not at all Likely and 7 is Extremely Likely. | ||||
(Don’t Know and Not Applicable provided for each specific disease ratings) | ||||
Participation in screening for each of the 4 chronic diseases | X | X | ||
Section 6: Your Family | ||||
Box providing scope for enumeration of people who are considered as family members | X | X | X | |
Section 7: Family Health History Evaluation INTERVENTION GROUP ONLY (3items; all categorical responding) | ||||
Ability to assess disease risk | X | X | ||
Sharing of FHHA information | X | X | ||
Was the FHHA updated after receipt? | X | X |