SupplementsExercise

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.

Last updated: Jul 7, 2026•0 RCTs•📖 Read as article →

Evidence Score

Evidence Score32/100
Human RCT☆☆☆☆☆
Meta-analysis☆☆☆☆☆
Mechanism★★★★★
Safety★★★★☆
Confidencelow

Study Evidence

Study 1. Translation and Cross-Cultural Adaptation of the Family Nutrition and Physical Activity Screening Tool for Portuguese Well-Child Visits.

observational

Rodrigues SB, Rodrigues RB, Saboga-Nunes L, Barros L, Salanterä S · Child: care, health and development (2026)

Participants: N/A
Duration: N/A
Intervention: Translation and cross-cultural adaptation of the FNPA screening tool (FNPA-PT) with cognitive debriefing
Outcome: Face validity, content validity, semantic equivalence, acceptability, and feasibility
Effect Size: N/A
Population: 10 parents of 5-year-old children attending well-child visits at a public primary care centre in Lisbon, Portugal

Result:

PubMed: 42402421DOI: 10.1111/cch.70316

Mechanism Graph

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

Limitations

  • ⚠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.

Products

Affiliate links coming soon. We only recommend products that match the doses and forms used in the cited research.

References

  1. 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
Disclaimer: This content is for educational purposes only and is not medical advice. Evidence scores reflect the quality and quantity of available research, not clinical recommendations. Always consult a healthcare professional before starting any supplement or intervention.