A multi-perspective focus-group approach to revise items in a dietary self-efficacy scale for older Taiwanese adults

Jung Hua Shao, Yeu Hui Chuang, Su Hui Chen

Research output: Contribution to journalArticle

1 Citation (Scopus)


Aim: To revise items in the Cardiac Diet Self-Efficacy Scale, Chinese version (CDSE-C) using focus groups. Background: There is limited literature on using focus groups with older adults as well as nursing and nutrition professionals to revise a questionnaire. Methods: A qualitative research with multi-perspective focus-group approach was used from February through June 2009. Four serial focus groups were conducted including two focus groups of older adults from Taipei County (n= 6) and Yilan County (n= 6), one group of 5 nursing professionals, and one group of 4 nutritionists. Results: Serial focus group discussions added one category to the CDSE-C (reducing salt) and 3 items, resulting in an 18-item scale with six categories: healthy eating behaviors, reducing fat and cholesterol, resisting relapse, increasing fiber and vegetable, reducing sugar, and reducing salt. Conclusions: This revised measure can serve as a reliable tool for assessing older Chinese adults' healthy eating self-efficacy to evaluate and improve nutritional status in this population.

Original languageEnglish
Pages (from-to)83-90
Number of pages8
JournalCollegian (Royal College of Nursing, Australia)
Issue number1
Publication statusPublished - Mar 1 2015



  • Focus group
  • Nutrition self-efficacy
  • Older Taiwanese adults
  • Questionnaire revision

ASJC Scopus subject areas

  • Nursing(all)
  • Medicine(all)

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