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The purpose of this study was to examine appropriate measures of knowledge, attitudes, and behavior for assessment/evaluation for nutrition education for young adults. The conceptual framework was developed based on two models: one is the Precede-Proceed model by Green and the other is the framework of nutrition ecology by Adachi. Firstly, based on the review of the recent studies and 16 focus group interviews for young adults conducted at worksite and community, several measures were selected; such as self-efficacy, stage of change, and the scale for positive dietary behavior and attitude developed by the author. Secondly, a cross-sectional survey was conducted with questionnaires including those measures, for 397 young adults at 3 worksites. The correlations among health, nutritional status and those measures were examined. Thirdly, participatory nutrition education intervention was implemented at 2 worksites in order to examine the appropriate measures for evaluation of the participants' changes of attitudes and behaviors. Finally, worksite health professionals and dietitians examined the selected measures, from the viewpoints of those applications into worksite health and nutrition promotion. Conclusively, self-efficacy, dietary stage of change, and dietary skill were suggested to be appropriate and valid measures for assessment and evaluation for nutrition education for young adults.

Assessment and Evaluation Measures for Nutrition Education for Young Adults: Skill, Attitude, and Behavior Related to Food and Nutrition.