The translated and culturally adapted FNPA-PT screening tool demonstrates strong face and content validity for assessing obesogenic family environments in Portuguese well-child visits.
The FNPA-PT was developed through a rigorous seven-stage translation and cross-cultural adaptation process, achieving high semantic equivalence (85% of items with satisfactory or perfect equivalence). 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 translated and culturally adapted 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 translated and culturally adapted 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 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 of the FNPA tool into Portuguese
- ▸Back translations and expert committee review to ensure semantic equivalence
- ▸Cognitive debriefing interviews with parents using Tourangeau's four-stage response model
- ▸Minor revisions to three items (milk consumption, screen time, sleep) to improve clarity and contextual relevance
Who Might Benefit
Evidence fit by population:
- ▸10 parents of 5-year-old children attending 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, limiting generalizability
- ▸No quantitative validation (e.g., test-retest reliability or criterion validity) was performed
Frequently Asked Questions
What is the FNPA-PT screening tool?▼
The FNPA-PT is a culturally adapted Portuguese version of the Family Nutrition and Physical Activity screening tool, designed to assess family environments that influence childhood obesity risk during well-child visits.
How was the FNPA-PT validated?▼
The tool underwent a seven-stage translation and cross-cultural adaptation process following Beaton and MAPI guidelines, and was evaluated through cognitive interviews with 10 parents to assess face and content validity.
What changes were made to the original FNPA for Portuguese use?▼
Minor linguistic and cultural adaptations were introduced to improve clarity and contextual relevance, including revisions to items about milk consumption, screen time, and sleep based on parent feedback.
Is the FNPA-PT ready for clinical use in Portugal?▼
The study indicates strong face and content validity and high acceptability, 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