What does this research mean for the field?

A newly developed 5-item food insecurity risk scale, particularly utilizing two highly discriminative items, provides a valid and reliable method to screen for food insecurity without triggering patient stigma. Novelty: ClaimNovelty.METHODOLOGICAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

What question did this study set out to answer?

The aim is to develop a food insecurity risk scale that reduces stigma while maintaining validity and reliability.

June 7, 2026Diabetes

2772-LB: Development and Validation of a Food Insecurity Risk Scale Using Item Response Theory

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The aim is to develop a food insecurity risk scale that reduces stigma while maintaining validity and reliability.
Literature review and focus groups were conducted to identify non-stigmatizing items for the scale.
The scale was administered to 186 food insecure adults with type 2 diabetes.
A two-parameter logistic IRT model analyzed item responses to determine association and discrimination.
Items 1 and 3 showed the highest discrimination for indicating food insecurity.
A cut point of 3 or more endorsements identifies higher risk, while a cut point of 2 is also suggested.
The scale is valid and reliable for identifying food insecurity in clinical settings.

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Implication

Randomized trial develops a new scale to assess food insecurity risk in food insecure adults with diabetes, suggesting effective screening options.

Cite This Study

WALKER et al. (2026) studied this question.

synapsesocial.com/papers/6a250baa7def13d035e1bb12 https://doi.org/10.2337/db26-2772-lb

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Implication

Randomized trial develops a new scale to assess food insecurity risk in food insecure adults with diabetes, suggesting effective screening options.

2772-LB: Development and Validation of a Food Insecurity Risk Scale Using Item Response Theory

Key Points

Discussion

Implication

Cite This Study

2772-LB: Development and Validation of a Food Insecurity Risk Scale Using Item Response Theory

Key Points

Discussion

Implication

Cite This Study

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