The FNPA-PT screening tool demonstrates strong face and content validity for assessing obesogenic family environments in Portuguese well-child visits
The study translated and culturally adapted the Family Nutrition and Physical Activity (FNPA) screening tool for Portugal (FNPA-PT). Cognitive interviews with 10 parents of 5-year-old children showed 85% semantic equivalence and high acceptability, with minor revisions to three items.
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The FNPA-PT screening tool demonstrates strong face and content validity for assessing obesogenic family environments in Portuguese well-child visits The current body of evidence comprises 1 study. EvidenceHub rates the overall confidence at 32/100 (low).
The Claim
The FNPA-PT screening tool demonstrates strong face and content validity for assessing obesogenic family environments in Portuguese well-child visits
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 and synthesis
- ▸Back translations and expert committee review
- ▸Cognitive debriefing with parents using Tourangeau's response model
- ▸Result: FNPA-PT shows strong face and content 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 centre in Lisbon
- ▸No quantitative validation (e.g., test-retest reliability or criterion validity) reported
Frequently Asked Questions
What is the FNPA-PT tool used for?▼
It is a culturally adapted screening tool for Portuguese primary care to assess family environments related to children's nutrition, physical activity, and obesity risk.
How was the FNPA-PT validated?▼
Through a seven-stage translation and adaptation process, followed by cognitive interviews with 10 parents to evaluate face and content validity.
What changes were made to the original FNPA for Portugal?▼
Minor linguistic and cultural adaptations were introduced, with revisions to three items concerning milk consumption, screen time, and sleep.
Is the FNPA-PT ready for clinical use?▼
The study supports its face and content validity, but further quantitative validation (e.g., reliability and 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