The Family Nutrition and Physical Activity screening tool was successfully translated and culturally adapted for Portuguese parents, demonstrating strong face and content validity.
The FNPA-PT was developed through a rigorous seven-stage translation and cross-cultural adaptation process, achieving 85% semantic equivalence between forward and back translations. Cognitive interviews with 10 parents of 5-year-old children showed the tool was well understood, acceptable, and feasible for use during well-child visits.
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The Family Nutrition and Physical Activity screening tool was successfully translated and culturally adapted for Portuguese parents, demonstrating strong face and content validity. The current body of evidence comprises 1 study. EvidenceHub rates the overall confidence at 32/100 (low).
The Claim
The Family Nutrition and Physical Activity screening tool was successfully translated and culturally adapted for Portuguese parents, demonstrating strong face and content validity.
This conclusion is most relevant to: 10 parents of 5-year-old children attending well-child visits at a public primary care centre in Lisbon, Portugal.
What the Research Shows
The conclusion draws on 1 linked study. Highlights from the cited literature:
- ▸Translation and Cross-Cultural Adaptation of the Family Nutrition and Physical Activity Screening Tool for Portuguese Well-Child Visits. (Child: care, health and development, 2026) —
How It Works
The proposed biological pathway:
- ▸Forward translations performed
- ▸Synthesis of translations
- ▸Back translations conducted
- ▸Expert committee review
- ▸Cognitive debriefing with parents
- ▸Final proofreading
- ▸Result: Culturally adapted tool with high validity
Who Might Benefit
Evidence fit by population:
- ▸10 parents of 5-year-old children attending well-child visits at a public primary care centre in Lisbon, Portugal
Recommended Dose
N/A
Limitations & Caveats
Important context when interpreting this evidence:
- ▸Small sample size of only 10 parents from a single primary care centre in Lisbon
- ▸Limited generalizability to other Portuguese regions or populations with different socioeconomic backgrounds
Frequently Asked Questions
What is the FNPA-PT screening tool?▼
The FNPA-PT is a culturally adapted version of the Family Nutrition and Physical Activity screening tool, designed to assess family environments influencing children's obesity risk in Portuguese primary care settings.
How was the FNPA-PT validated?▼
Validation involved cognitive interviews with 10 parents and expert committee review, focusing on face and content validity; no quantitative psychometric testing was conducted in this study.
What changes were made during cultural adaptation?▼
Minor linguistic and cultural adaptations were introduced to improve clarity and contextual relevance, particularly for items related to milk consumption, screen time, and sleep.
Is the FNPA-PT ready for clinical use?▼
The study suggests strong face and content validity and high acceptability, but further quantitative validation (e.g., reliability, predictive validity) is needed before widespread clinical implementation.
References
- 1.Rodrigues SB, Rodrigues RB, Saboga-Nunes L, Barros L, Salanterä S. “Translation and Cross-Cultural Adaptation of the Family Nutrition and Physical Activity Screening Tool for Portuguese Well-Child Visits..” Child: care, health and development, 2026. PMID: 42402421 DOI: 10.1111/cch.70316