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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 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.

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 and synthesis of the FNPA tool into Portuguese
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Back translations and expert committee review to ensure semantic equivalence
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Cognitive debriefing interviews with parents using Tourangeau's four-stage response model
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Minor revisions to three items (milk consumption, screen time, sleep) to improve clarity and contextual relevance

Limitations

  • ⚠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.

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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.