Development and evaluation of the nutrition component of the Rapid Eating and Activity Assessment for Patients (REAP): a new tool for primary care providers

J Nutr Educ Behav. 2006 Sep-Oct;38(5):286-92. doi: 10.1016/j.jneb.2005.12.002.


Objectives: 1. To describe the development of a dietary assessment tool (Rapid Eating and Activity Assessment for Patients [REAP]) that quickly assesses a patient's diet and physical activity and facilitates brief counselling by a primary care provider, and 2. To describe the evaluation of the REAP in terms of its reliability, validity, and ease of use by primary care providers.

Design, setting and participants: The evaluation of REAP included: 1) an implementation feasibility study conducted with 61 medical students and practicing physicians in practice settings at various medical schools; 2) a calibration study with 44 Brown University Medical School students; 3) cognitive assessment testing with 31 consumers in Rhode Island; and 4) a reliability and calibration study of the revised tool with 94 consumers in Rhode Island and Massachusetts.

Results: The feasibility study revealed moderately high rankings on usefulness, ease, practicality, and helpfulness. The calibration studies demonstrated that REAP has excellent test-retest reliability (r = 0.86, P < .0001), is correlated with the Healthy Eating Index score (r = 0.49, P = .0007), and is significantly associated with intake of most nutrients studied.

Conclusions and implications: REAP has adequate reliability and validity to be used in primary care practices for nutrition assessment and counselling, and is also user-friendly for providers.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Cognition / physiology
  • Diet / methods*
  • Family Practice / methods*
  • Feasibility Studies
  • Humans
  • Massachusetts
  • Motor Activity / physiology*
  • Nutrition Assessment*
  • Reproducibility of Results
  • Rhode Island