(P11-011-24) The FIA-Q10, Development of the 10-Question Household Foodwork Interactional Assessment Questionnaire

Objectives: Household foodwork is defined as the physical and mental tasks required for eating at home. Even though almost everyone eats at least some of their meals at home, no tool exists in clinical and research settings to assess how much time people spend on household foodwork and the foodwork challenges they experience. Therefore, our objective was to develop the first stand-alone household foodwork assessment tool.

Methods: Through informal interviews with partners with lived experience, clinicians and researchers, a literature review, a partners' meeting, and a two-round eDelphi process including face/content validation by experts (n=21), we developed the 10-question household foodwork interactional assessment questionnaire (FIA-Q10). An optional accompanying module was developed to collect self-identified demographic data to provide context and explore how social-structural position factors may interact to influence household foodwork.

Results: The FIA-Q10 measures time use by individuals and their households acoss four parts of foodwork: (1) planning, (2) getting, (3) preparing/cooking, and (4) cleaning up food. The FIA-Q10 identifies special diets, frequency of eating at home, household composition, foodwork-related stress, challenges, and desired supports related to household foodwork. In the second eDelphi round, the FIA-Q10 scored 95% for language appropriateness, 67% for visual appropriateness, 95% for relevance, 95% for representativeness, and 95% for distribution. Suggested improvements were incorporated. 100% of e-Delphi participants reported they would consider using the FIA-Q10.

Conclusions: The development of the FIA-Q10 is a step towards assessing and identifying foodwork inequities and challenges that may impact an individual's or families' nutrition and health status. Future research will focus on FIA-Q10 validation in multiple populations, including use in  prospective cohort studies and clinical trials, and as a clinical assessment tool.

Funding Sources: This work was funded by the Canadian Institutes of Health Research.