Guidance for the assessment of the dietary intake and gastrointestinal or nutrition impact symptoms etiologic criterion of GLIM: A modified-Delphi study.

The Diagnostic and Statistical Manual of Mental Disorders' (5th ed.; DSM-5) official self-report instrument to assess personality disorders is the Personality Inventory for DSM-5 (PID-5). To screen for response bias, three validity scales have been constructed from the PID-5 item pool to assess, respectively, inconsistency, overreporting, and underreporting. Nonetheless, the prevalence and impact of PID-5 response bias on diverse psychometric properties are largely underdocumented. Thus, this study aims at: (a) identifying the rates of positive screening of each validity scale, (b) identifying the degree of overlap between validity scales, and (c) documenting the impact of each bias on scale scores, criterion validity (correlations with self- and informant-assessed personality pathology), and internal consistency. Preregistered analyses were conducted among a large population-representative sample (n = 2,505, 51.2% females) and an at-risk sample of young adults (n = 321, 48.3% females). For each sample, respectively, plausible estimates were obtained for inconsistency (4.7% and 7.2%) and overreporting (2.9% and 5.6%), whereas the underreporting scale likely led to an overestimation of the prevalence (38.6% and 32.4%). Screening positive on two PID-5 validity scales was rare (<2% of cases). Each bias had distinctive impacts on scores, correlates, and reliability. Screening for multiple biases is paramount to replicating research findings and ensuring sound clinical conclusions. Recalibrating or developing a new PID-5 validity scale to detect underreporting among populations with low to medium levels of psychopathology, as well as a scale for acquiescent/counteracquiescent bias, would be warranted. (PsycInfo Database Record (c) 2026 APA, all rights reserved).

The Gaylord Occupational Therapy Cognitive screen (GOT-Cog™) is a novel cognitive screening tool developed to support inpatient occupational therapy treatment planning. It has demonstrated excellent content, construct, and criterion validity, as well as good internal consistency. To assess GOT-Cog rater reliability and responsiveness. Repeated-measures design. GOT-Cog was administered to participants twice at admission and once at discharge. When different investigators collected the first two assessments, interrater reliability was tested; when collected by the same investigator, intrarater reliability was tested. The first and final GOT-Cog scores were used to assess responsiveness. Single long-term acute care hospital (LTACH). 192 participants, recruited from inpatients admitted with an order for occupational therapy services. GOT-Cog total score was the primary outcome measure. Rater reliability was evaluated using interclass correlation coefficients (ICCs); responsiveness was calculated using effect size and score change. Scale-level interrater reliability of GOT-Cog was moderate to good, ICC(2, 1) = .80 (95% confidence interval [CI] [.71, .87], r = .81, n = 87); intrarater reliability was good to excellent, ICC(2, 1) = .84 (95% CI [.76, .90], r = .86, n = 89). Domain-level rater reliability ranged from poor to excellent. A small effect size was demonstrated from admission to discharge (d = .37, n = 149) over a mean length of stay of 24.06 d (95% CI [20.70, 27.41]; n = 192). Previous findings are supported, which indicates that GOT-Cog has the validity and reliability needed to support its use in the LTACH setting with a mixed medically complex inpatient population. Plain-Language Summary: Conducted in the long-term care setting, this study explains how consistent the Gaylord Occupational Therapy Cognitive screen (GOT-Cog™) is when given to the same person, multiple times, and by the same or different people, as well as how sensitive it is to change over time. To test this, GOT-Cog was given to participants twice at inpatient admission and once at discharge. GOT-Cog was found to have moderate to good consistency when delivered by different people and good to excellent consistency when used by the same person. Over an average of 24 days, GOT-Cog showed a small level of change in participants who were tested admission and again at discharge.

This study aimed to develop and validate the Parental Mental Health Literacy (PMHL) Scale for caregivers of children aged 0-6 years. Initial items were developed based on established mental health literacy and health literacy frameworks and were piloted among 1074 caregivers of children aged 0-6 years in Shanghai, China. Exploratory factor analysis using principal axis factoring with oblique rotation identified a four-factor structure. Confirmatory factor analysis was subsequently conducted to examine the dimensionality of the scale and to compare alternative models, including one-factor, higher-order, and bifactor models. The bifactor model demonstrated the best fit to the data (RMSEA=.088, CFI=.931, TLI=.917). The final version consisted of 28 items across four dimensions: recognition, help-seeking, awareness of parenting and parent-child interaction. Criterion validity was examined using the Strengths and Difficulties Questionnaire (SDQ) and the Early Warning Signs Checklist (WSC). PMHL scores showed modest negative correlations with children's emotional and behavioral difficulties. Internal consistency was high (Cronbach's α=.98; ωh=.89). These findings suggest that the PMHL may serve as a useful instrument for assessing parental mental health literacy in early childhood, although further validation in more diverse samples is warranted.

This study explores the process of adopting and maintaining breast self-examination (BSE), a key method for early breast cancer detection in women, using the Transtheoretical Model (TTM) as a theoretical framework. Conducted between February and April 2021 via digital platforms, the study recruited participants through WhatsApp, Instagram, and e-mail. Custom-designed TTM-based scales targeting BSE behavior were administered. Data were analyzed using IBM SPSS 22 and AMOS 22. Validity analyses included content, criterion, and construct validity, employing both exploratory and confirmatory factor analyses. Reliability was assessed through Cronbach's alpha, split-half method, Hotelling's T², item-total correlations, intra-class correlation coefficients, and standard error calculations. The results demonstrated that the developed scales are valid and reliable tools for measuring behavioral change related to BSE. This study underscores the utility of the Transtheoretical Model in understanding women's health behavior and provides a solid basis for future BSE-focused health education and intervention programs.

Ultrasound model of depression in rodents: A comprehensive analysis of validity, pathogenic mechanisms, and potential for translation to humans.

351 Background: Cancer survivors receiving treatment or on follow-up face substantial burden of managing their symptoms. Many cancer survivors experience fatigue, pain, nausea/vomit and other symptoms of mild to moderate grade for which they visit hospitals. This increased burden already overburden healthcare facilities. We developed a Symptom Management Toolkit (SMT) to be used by cancer survivors or caregivers to manage symptoms by themselves. This study evaluates the validity and feasibility of SMT among survivors of solid carcinoma. Methods: a validation study was conducted among cancer survivors with diagnosis of solid malignancy who were currently receiving treatment or are on follow up. Participants aged 18-65 years with Eastern Cooperative Oncology Group (ECOG) Performance Score of 2 or less were included in the study. The socio-demographic data was collected through a structured questionnaire which include education, residence, work, medical, family history, smoking, and alcohol history was taken. A 13 symptoms-based SMT was provided to manage the symptoms at home. The symptoms were graded and their management instructions were provided. The content validity was assessed through review by expert. The construct validity was evaluated through group comparison and symptoms correlations. Results: A total of 65 participants were included in this study with 58.5% females and 41.5% being male. 43.1% of participants reported history of tobacco use while alcohol intake was reported in only 29.2% participants. 27.7% patients have hypertension, 23.1% diabetes mellitus as comorbidity. 10.8% participants reported family history of cancer. The study inculded 27.7% breast cancer, 18.5% oral cancer, 16.9% gynaecological cancer, 10.8% lung cancer and 26.2% other solid cancer cases. 63.1% survivors were receiving chemotherapy including targeted therapy, 18.5% chemoradiotherapy, 10.8% radiation therapy and 7.7% was on follow-up. The most common symptoms reported were fatigue (63.1%), pain (56.9%), nausea or vomiting (44.6%), and dry mouth (40%). The content validity shows strong expert agreement with calculation of content validity indices (item-level CVI 0.85–1.00; scale-level CVI 0.92). The criterion validity showed agreement between SMT-based patient self-grading and clinician assessment (κ = 0.70). the feasibility of SMT was high among survivors. Around 86.2% of survivors and their caregivers were able to understand easily the instruction provided. The adherence to the SMT was also higher (73.4%). 64.6% of survivors reported improved symptom management through use of SMT. There were 13.8% decrease in hospital visit after SMT use (24/65 vs 15/65 visit before and during SMT use). Conclusions: The feasibility and high acceptability of SMT can improve symptom management and reduce hospital visits. The SMT can be used as self-management tool to reduce the unscheduled visits to the hospitals.

ABSTRACT Gender-based public harassment (GBPH) encompasses a wide variety of behaviors (e.g. commenting, touching, following) enacted by strangers in public places and is likely motivated by targets’ perceived gender, sexual orientation, and/or gender expression. Previous research has suggested that rates of GBPH in the United States (US) are elevated among women; those who are lesbian, gay, bisexual, transgender, queer, or of other marginalized genders/sexual orientations (LGBTQ+); and/or people of color (POC). Attempts to estimate the prevalence and effects of GBPH have been limited, however, as few efforts have been made to validate a measure of the construct and to ensure that item content fully reflects the experiences of different marginalized groups. Thus, the purpose of this study was to develop a new measure of GBPH that was inclusive of the forms of harassment experienced by those who are LGBTQ+ and/or POC in the US. Analyses of data from a scoping review and five samples of participants (N = 1,511 total) produced a 31-item measure that assessed sexist, cisheterosexist, and gendered racist forms of harassment. Scores on the measure exhibited a high degree of internal and temporal response consistency. Additionally, evidence was found for the content, construct, and criterion validity of the measure.

Flexibility is a foundational motor skill in rhythmic gymnastics and is crucial for successful performance. While existing flexibility assessments, such as the frontal splits on an elevated surface, have been used in the field for years, psychometric properties have been underexamined. Preliminary reliability of the frontal splits on an elevated surface has been established only recently, while validity remains underexplored. The current study aimed to examine the construct validity (convergent and discriminant validity) and concurrent criterion validity of the frontal split on an elevated surface test in rhythmic gymnasts. Fifty-six rhythmic gymnasts aged between 13.63±2.25 years were included in the study. The flexibility of gymnasts was assessed using three tests: a frontal split on an elevated surface, both with a tape measure and a goniometer; a forward bend on a bench; and a frontal split with hand support in standing. Gymnasts (Participant Classification Framework (PCF) Tier 3-4 - highly trained/national to elite/international) were tested for correlations with related/unrelated constructs, in addition to standards, and for group differences (preferred limb, competition tiers). The preferred limb demonstrated superior frontal split performance (p &lt; 0.05), while Tier 3-4 groups showed no significant differences (p &gt; 0.05), likely reflecting ceiling effects at elite levels. The frontal split on an elevated surface test, measured with a tape measure at maximum foot height, demonstrated good construct validity (both convergent and discriminant) and concurrent criterion validity in rhythmic gymnasts, whereas the goniometer assessment of the same test failed due to unreliability in the hypersplit positions. The frontal split on an elevated surface test with a tape measure provides a practical, International Gymnastics Federation (FIG)-aligned tool.

Thus far, published systematic reviews have centered exclusively on evidence-based practice (EBP) assessment instruments for registered nurses and healthcare professionals. However, there remains a notable absence of comprehensive reviews focusing specifically on nursing students. To systematically evaluate the psychometric properties of instruments for assessing EBP ability in nursing students. This systematic review was conducted in accordance with the Consensus-based Standards for the selection of health Measurement Instruments (COSMIN) and Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guidelines. We systematically searched five databases (CNKI, PubMed, Embase, Web of Science, and CINAHL Complete) for studies on EBP ability assessment instruments for nursing students published up to April 1, 2025. The methodological quality and psychometric properties of the included instruments were evaluated using COSMIN standards, and final recommendations were formulated. The content validity of the articles reviewed is questionable. The structural validity of most studies was very good, with most authors reporting measures of internal consistency. A few studies addressed reliability, criterion validity, measurement error, and hypothesis testing; however, the methodological quality of these assessments raised concerns. Crucially, psychometric properties such as cross‑cultural validity and responsiveness were not evaluated. The quality of instrumental psychometric properties for assessing the EBP ability of nursing students needs to be improved. the S-EBPQ and EBP-COQ appear to be the most promising instruments, but the limitations of their content validity and structural validity still need to be considered. In the future, nursing educators should further develop/validate the EBP ability assessment instrument for nursing students accordance with the COSMIN guidelines and combined with the specific situation of nursing students.

Reliable tools to quantify nutrition knowledge are crucial for planning education and prevention. We developed the Questionario delle Conoscenze Alimentari Italiano (QCAI) for Italian adults and assessed its reliability. A convenience sample of 165 participants (18-89 years; 70.9% women) completed a self-administered, 69-item questionnaire organized into four content sections (experts' recommendations; nutrient content of foods; healthy choices; meal frequency and labels) plus demographics. Participants completed the questionnaire at baseline (T0) and again after seven days (T1) under identical conditions. Internal consistency was evaluated with Cronbach's alpha (and KR-20 for dichotomous items). Temporal stability was assessed with intraclass correlation coefficients (ICC<inf>(2,1)</inf>) for section and total scores, Cohen's kappa (κ) for items, and Bland-Altman analysis. Total-scale internal consistency was acceptable (Cronbach's α=0.757 for available items), but domain-level α values were heterogeneous and in some sections low (α: 0.307-0.638), indicating limited coherence of some subscales. Test-retest stability for the total score was moderate (ICC<inf>(2,1)</inf>=0.62), and 64.29% of items showed at least moderate agreement (κ≥0.40). Age-stratified analyses showed no linear trend in the total score across groups (18-39, 40-59, ≥60; P<inf>trend</inf>=0.26). QCAI is a low-cost instrument that shows moderate temporal stability and acceptable reliability for the total score in Italian adults. However, the low internal consistency observed in some domains limits the interpretability of section scores and highlights the need for item refinement and formal validation (content, construct, and criterion validity) against established measures before routine clinical or public-health use.

The existing research on the number of options in the Likert-type response format has focused primarily on reliability and descriptive statistics, often overlooking validity or examining it with limitations. This study addressed this gap through a within-subject experiment (N = 846, 69% women), manipulating response options (two, six, and 10) in two Likert-type scales: the Height Inventory and the autonomy subscale of the Basic Needs Satisfaction in General Scale. Two-point variants significantly differed in means and reliability compared to six- and 10-point versions. While the magnitudes of differences were small in Height Inventory, it did not follow for the autonomy subscale. On the other hand, validity (criterion, measurement model, and trait criterion validity) remained unaffected. Thus, the increased reliability may be spurious, stemming from systematic but construct-irrelevant variance related to response format (i.e., method variance). These findings suggest that response formats with fewer options can be viable, particularly in scales with more items. Future research should explore differences in cognitive processes across response formats.

ABSTRACTIn this study, we test the theory of strong‐ties and weak‐ties rationalities (STWTR) (Sundararajan 2020) and the criterion validity of its measures using strong‐ties rationality and weak‐ties rationality scales to predict COVID‐19 related perceptions and behaviours. These include public stigma, help‐seeking networks, and health behaviours across four societies (Han‐Chinese, Chinese‐Malaysians, Malay‐Malaysians, and White‐Australians, n = 918). The standardized coefficient results indicate that strong‐ties rationality, compared with weak‐ties rationality, has a stronger positive association with public stigma, help‐seeking from strong ties, and personal care behaviours. In contrast, weak‐ties rationality, compared with strong‐ties rationality, has a stronger positive association with public health behaviours. Between the Han‐Chinese and White‐Australians samples, the impact of strong‐ties rationality on public stigma is weaker among the Han Chinese, while the impact of weak‐ties rationality on public health behaviour is stronger among the White Australians. We attribute our nuanced analysis of these results to the explanatory power of STWTR theory, which decomposes culture into three units of analysis—rationality, ecological niche, and behaviour, enabling an examination of the match or mismatch among these cultural components characterizing any society. Indigenous features of a cultural system can then be more fully represented in cross‐cultural psychological research.

Objective.To evaluate the criterion validity of a new wearable device (DOFIT PRO) for heart rate (HR), step count, and energy expenditure (EE), and to compare accuracy across four wrist placements in laboratory and simulated free-living protocols.Approach.Thirty-two healthy adults wore four devices (right/left; proximal/distal) during a treadmill protocol (rest, 3.2 and 6.4 km h-1walking, 9.7 km h-1jogging, recovery) and ten standardized simulated free-living protocols. Criterion measures were chest-strap HR, video-verified steps, and indirect calorimetry (laboratory EE) and ActiGraph accelerometry (simulated free-living EE). Agreement was assessed using mean difference and mean absolute percentage error (MAPE).Main results.HR MAPE was excellent at rest/recovery (0.61%-5.18%) but deteriorated during brisk walking (20.69%-27.63%) and jogging (32.96%-41.77%), with substantial underestimation. Step-count accuracy was excellent-good for walking (1.94%-7.30%) and good-acceptable for stair climbing (6.05%-11.66%), but running showed strong placement effects (treadmill jogging MAPE: right wrist 38.84%-50.35% vs left wrist 7.97%-13.47%). Arm-dominant tasks produced marked step overestimation (e.g. shopping MAPE 83%-95%). EE showed the lowest validity overall, with the most consistent performance during simulated free-living protocols (MAPE 6.98%-10.93%) and improved accuracy on the left wrist during vigorous tasks.Significance.DOFIT PRO appears suitable for resting HR monitoring and step-based assessment of locomotor activity in controlled contexts, whereas vigorous-exercise HR and EE estimates should be interpreted cautiously with attention to activity type and wear location. These findings align with broader evidence that wearable validity is activity- and context-dependent and support the need for device- and placement-specific validation.

Digital transformation in public services has encouraged the adoption of chatbots as effective and efficient tools for communication and information delivery. The Central Lombok Regency Environmental Agency developed the Semeton LH chatbot to improve public access to environmental service information. This study aims to analyze user satisfaction with the Semeton LH chatbot by integrating the Technology Acceptance Model (TAM) and the DeLone and McLean Information Systems Success Model. A quantitative approach was employed using Partial Least Squares Structural Equation Modeling (PLS-SEM) with SmartPLS, based on data collected from 96 respondents. The measurement model evaluation indicates that several indicators met validity and reliability criteria; however, some constructs still showed limitations in convergent and discriminant validity, particularly in the Average Variance Extracted (AVE) and Heterotrait-Monotrait Ratio (HTMT) values. Therefore, the structural findings should be interpreted cautiously. The results show that Attitude Toward Using (ATU) has a positive and significant effect on Behavioral Intention to Use (BI) and User Satisfaction (US). In addition, Perceived Ease of Use (PEOU) and Perceived Usefulness (PU) significantly influence ATU. Overall, user satisfaction is primarily shaped by positive attitudes formed through perceived ease of use and perceived usefulness.

Holistic assessment of student well-being is essential for developing safe, compassionate, and competent health professionals. Existing instruments often focus narrowly on emotional distress, neglecting other critical domains of wellness. This study aimed to validate a comprehensive well-being questionnaire for dental students. A questionnaire assessing emotional, physical, social, and intellectual well-being was administered to 271 dental students at the University of Hong Kong. Exploratory factor analysis (EFA) and internal consistency measures were performed to evaluate construct validity and reliability. The analysis identified six distinct domains: social connectedness and support, academic confidence, physical well-being and lifestyle balance, optimism, learning engagement, and pressure to skip meals for class. After the EFA, one item was removed due to weak loading and measurement ambiguity. This resulted in a 22-item questionnaire with stable factor loading and satisfactory overall internal consistency (Cronbach's alpha = 0.795), although some subscales showed low reliability and two items exhibited cross-loadings, indicating areas for future refinement. This study provides preliminary evidence for the construct validity and reliability of a multidimensional wellness instrument for dental students. While promising for supporting targeted wellness initiatives and student self-awareness, further validation including assessments of convergent, discriminant, and criterion validity is necessary. Future research should explore its applicability across diverse populations, as well as its sensitivity to changes in student well-being over time and in response to interventions.

Introduction: TikTok has become the primary digital entertainment platform among adolescents. However, existing identity status measurement instruments have not been specifically evaluated within the context of algorithmic digital recreation. Objective: This study aims to evaluate the psychometric properties of the Identity Status Scale among TikTok-using adolescents in Indonesia within the framework of digital recreation. Methods: A quantitative study was conducted among 550 active TikTok users aged 15–19 years. Data were analyzed using Confirmatory Factor Analysis (CFA) with the Maximum Likelihood method via JASP software. After removing three problematic items (IF4, IM4, and IM6), the four-factor model was evaluated for model fit, convergent validity, discriminant validity, and reliability. Results: The CFA results indicate good model fit (CFI = 0.957; TLI = 0.952; RMSEA = 0.054 [90% CI: 0.050–0.059]; SRMR = 0.041). All Composite Reliability (CR) values were &gt; 0.70 and Average Variance Extracted (AVE) values were &gt; 0.50, thus meeting the criteria for convergent validity. Discriminant validity is met with HTMT values below 0.95 (highest = 0.948). High inter-factor correlations (0.693–0.95) reflect the dynamic nature of the identity process in the digital environment. Conclusion: The Identity Status Scale demonstrates robust psychometric properties, offering a reliable tool for assessing identity development related to digital leisure habits. These findings assist psychologists, educators, and health practitioners in understanding adolescent identity dynamics and promoting a balanced lifestyle within the social media ecosystem.

Psychometric validation of the Angioedema Quality of Life Questionnaire (AE-QoL) was conducted to determine its suitability for assessing health-related quality of life (HRQoL) in patients with hereditary angioedema (HAE). Data were analyzed from 90 participants with HAE in OASIS-HAE (NCT05139810), a randomized, double-blind, placebo-controlled phase 3 study of donidalorsen (DAWNZERA™). Psychometric validation, assessed by post hoc analyses on scores at Baseline and Week 24 visits, included internal consistency reliability, structural and construct validity (convergent, criterion, and known-groups validity), and responsiveness. Confirmatory factor analysis supported the 17-item AE-QoL measurement model (comparative fit index [CFI], Tucker-Lewis index [TLI], and standardized root mean square residual [SRMR] met thresholds). Internal consistency reliability was strong for the total, functioning, fatigue/mood, and fears/shame domains (Cronbach's ⍺: 0.81-0.97; McDonald's ⍵: 0.86-0.98), but weaker for the 2-item nutrition domain (Cronbach's ⍺: 0.65-0.75; McDonald's ⍵: 0.64-0.75). At Week 24, AE-QoL total, functioning, and fears/shame scores showed convergent validity with the 28-day Angioedema Activity Score (AAS-28) (nr = 0.51, 0.73, and 0.51, respectively) and with the Angioedema Control Test (AECT) (r=-0.77, -0.89, and - 0.70, respectively). Criterion validity was supported by moderate-to-strong correlations with HAE attack rate at Week 24 (total: r = 0.65; domains: r = 0.55-0.78, excluding fatigue/mood). Known-groups validity was demonstrated by significant differences in AE-QoL scores between patients with poor- versus well-controlled disease based on AECT score at Baseline and Week 24 (all p < 0.05, Cohen's d effect size [ES] range: 0.63-3.65). AE-QoL total, functioning, and fears/shame scores were sensitive to changes in disease activity, with correlations' absolute values for changes in score from Baseline to Week 24 exceeding 0.30 for AAS-28 and 0.39 for AECT, excluding fatigue/mood and nutrition domains. AE-QoL change scores for total, functioning, fears/shame, and nutrition domains effectively differentiated between subgroups with varying reductions in HAE attack frequency (all p < 0.02, ES range: 0.34-1.42). The AE-QoL demonstrated strong reliability, validity, and ability to detect change, supporting its use as an important patient-reported outcome measure for evaluating HRQoL in patients with HAE.

This article offers an analytical synthesis of a doctoral dissertation focused on the development of teachers' research skills through Authentic Problem-Based Learning (APBL) in primary education at the Antonio de la Torre y Miranda Educational Institution in Santa Cruz de Lorica, Cordoba, Colombia. The purpose is not to compress the dissertation mechanically, nor to add an intervention proposal that the study did not carry out. Rather, the article reconstructs its central argument: teachers' research competence is not an isolated set of technical abilities, but a situated practice shaped by pedagogical decisions, school criteria of validity, institutional time, available resources, and the concrete ways classroom life is organized. The study followed a qualitative-interpretive approach and combined semi-structured interviews with teachers, non-participant classroom observations with field journals, and documentary analysis of the PEI, PMI, SIEE and subject-area plans. The corpus was processed through open, axial and selective coding, supported by Atlas.ti, and through triangulation among documents, interviews and observations. Findings show a persistent tension between the declared curriculum and the enacted curriculum: institutional documents promote active, critical and competency-based learning, while observed classroom practices frequently rely on board work, worksheets, time control and validation by procedure, textual literalness or classification. APBL is recognized as legitimate, but its implementation remains uneven: sometimes it appears as a brief contextual example; in other moments, it becomes closer to inquiry, evidence production and shared discussion. The article concludes that strengthening teachers' research competence requires careful attention to school conditions before prescribing methods. That kind of attention may look less spectacular than an intervention, but it offers a fairer understanding of what actually happens in the classroom.

Construct and Criterion Validity of the Comprehensive Food Skills Questionnaire (CFSQ).