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Peer-reviewedCC BY 4.0Nutrients

Development and Psychometric Evaluation of the Perceived Diet Quality Questionnaire

  1. 1Delta Human Nutrition Research Program, USDA Agricultural Research Service, 5832 I-49 N Service Road Suite 1, Opelousas, LA 70570, USA
  2. 2School of Kinesiology and Nutrition, The University of Southern Mississippi, 118 College Drive, Hattiesburg, MS 39406, USA

Abstract

Background/Objectives: Perceived diet quality (PDQ), measured with a single question, has been linked to better cardiometabolic health indicators. However, no published comprehensive tool to measure PDQ exists. Therefore, the objective of this study was to describe the development and initial psychometric evaluation of a novel tool to measure perceived diet quality (PDQ). Methods: Development included focus groups (n = 27) and thematic analysis. Psychometric evaluation included expert reviews (n = 3), cognitive interviews (n = 13), and online cross-sectional nonexperimental survey (n = 605). Eleven items—with 3 addressing perceived diet quality based on qualitative, graded, and numeric ratings, and satisfaction with diet healthfulness, balanced meals, meal planning/preparation, nutrition knowledge, home cooking vs. eating out/takeout, food label use, difficulty eating healthy, and guilt/regret about food choices comprising the other items. Analysis included exploratory factor analysis, concurrent and convergent validity, and construct reliability. Results: Seven of the 11 variables were retained for final factor solution. Mean (SD) of PDQ Scale, possible score range 6.5–35 points, was 22.6 (5.4). Construct reliability was demonstrated by McDonald’s omega of 0.91. Concurrent validity was demonstrated by correlation of 0.74 between single qualitative PDQ item (current assessment method) and PDQ Scale. Weak to moderate convergent validity was demonstrated by correlations of 0.31 and 0.51 between the PDQ Scale and diet quality scores measured using the Healthy Eating Index and Global Dietary Recommendations, respectively. Correlations were generally significantly higher than correlations with single qualitative PDQ item. Conclusions: The PDQ Scale may be better measure of self-assessed diet quality than the current single qualitative item.

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BibTeX
@article{thomson2026development,
  title = {{Development and Psychometric Evaluation of the Perceived Diet Quality Questionnaire}},
  author = {Jessica Thomson and Alicia Landry and Tameka Walls},
  journal = {Nutrients},
  year = {2026},
  month = oct,
  doi = {10.3390/nu18203323},
  url = {https://www.mdpi.com/2072-6643/18/20/3323},
  note = {CC BY 4.0},
}
RIS
TY  - JOUR
TI  - Development and Psychometric Evaluation of the Perceived Diet Quality Questionnaire
AU  - Jessica Thomson
AU  - Alicia Landry
AU  - Tameka Walls
PY  - 2026
DA  - 2026/10/01
JO  - Nutrients
DO  - 10.3390/nu18203323
UR  - https://www.mdpi.com/2072-6643/18/20/3323
AB  - Background/Objectives: Perceived diet quality (PDQ), measured with a single question, has been linked to better cardiometabolic health indicators. However, no published comprehensive tool to measure PDQ exists. Therefore, the objective of this study was to describe the development and initial psychometric evaluation of a novel tool to measure perceived diet quality (PDQ). Methods: Development included focus groups (n = 27) and thematic analysis. Psychometric evaluation included expert reviews (n = 3), cognitive interviews (n = 13), and online cross-sectional nonexperimental survey (n = 605). Eleven items—with 3 addressing perceived diet quality based on qualitative, graded, and numeric ratings, and satisfaction with diet healthfulness, balanced meals, meal planning/preparation, nutrition knowledge, home cooking vs. eating out/takeout, food label use, difficulty eating healthy, and guilt/regret about food choices comprising the other items. Analysis included exploratory factor analysis, concurrent and convergent validity, and construct reliability. Results: Seven of the 11 variables were retained for final factor solution. Mean (SD) of PDQ Scale, possible score range 6.5–35 points, was 22.6 (5.4). Construct reliability was demonstrated by McDonald’s omega of 0.91. Concurrent validity was demonstrated by correlation of 0.74 between single qualitative PDQ item (current assessment method) and PDQ Scale. Weak to moderate convergent validity was demonstrated by correlations of 0.31 and 0.51 between the PDQ Scale and diet quality scores measured using the Healthy Eating Index and Global Dietary Recommendations, respectively. Correlations were generally significantly higher than correlations with single qualitative PDQ item. Conclusions: The PDQ Scale may be better measure of self-assessed diet quality than the current single qualitative item.
SN  - 2072-6643
ER  -