{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T13:14:23Z","timestamp":1788268463210,"version":"build-2803163510"},"reference-count":43,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,7,5]],"date-time":"2026-07-05T00:00:00Z","timestamp":1783209600000},"content-version":"vor","delay-in-days":4,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Child"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Family environments play a critical role in shaping children's lifestyle behaviours that influence obesity risk. However, culturally validated instruments to assess these behaviours are lacking in Portuguese primary care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>This study aims to translate and culturally adapt the Family Nutrition and Physical Activity (FNPA) screening tool for use in Portugal (FNPA\u2010PT) and to evaluate its face and content validity through cognitive interviews with parents attending well\u2010child visits.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design and Methods<\/jats:title>\n                    <jats:p>\n                      An exploratory, descriptive study followed internationally endorsed guidelines (Beaton; MAPI) for translation and cross\u2010cultural adaptation. The process comprised seven stages:\n                      <jats:italic>forward translations<\/jats:italic>\n                      ,\n                      <jats:italic>synthesis<\/jats:italic>\n                      ,\n                      <jats:italic>back translations<\/jats:italic>\n                      ,\n                      <jats:italic>comparisons of back translations<\/jats:italic>\n                      ,\n                      <jats:italic>expert committee review<\/jats:italic>\n                      ,\n                      <jats:italic>cognitive debriefing<\/jats:italic>\n                      and\n                      <jats:italic>final proofreading<\/jats:italic>\n                      . Ten parents of five\u2010year\u2010old children attending a public primary care centre in Lisbon completed the FNPA\u2010PT while participating in individual cognitive interviews. Data were analysed using Content Analysis, guided by Tourangeau's four\u2010stage response model.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Semantic equivalence between forward and back translations was high (85% of items with satisfactory or perfect equivalence). Minor linguistic and cultural adaptations were introduced to improve clarity and contextual relevance. Cognitive interviews indicated that the FNPA\u2010PT was well understood, acceptable to parents, and feasible to complete during well\u2010child visits. Parents valued the questionnaire's comprehensiveness and its potential to enhance awareness and stimulate discussion about family health behaviours. Minor revisions addressed comprehension issues in three items related to milk consumption, screen time and sleep.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The FNPA\u2010PT demonstrated strong face and content validity and high acceptability among Portuguese parents. It provides a culturally appropriate, family\u2010centred tool for health professionals to support early identification of obesogenic environments and to guide preventive counselling in primary care. The study also offers a transparent methodological pathway for translating and adapting behavioural measures across languages and settings.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/cch.70316","type":"journal-article","created":{"date-parts":[[2026,7,6]],"date-time":"2026-07-06T01:53:39Z","timestamp":1783302819000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Translation and Cross\u2010Cultural Adaptation of the Family Nutrition and Physical Activity Screening Tool for Portuguese Well\u2010Child Visits"],"prefix":"10.1111","volume":"52","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9453-4876","authenticated-orcid":false,"given":"S\u00f3nia Borges","family":"Rodrigues","sequence":"first","affiliation":[{"name":"Nursing Research, Innovation and Development Centre of Lisbon (CIDNUR), School of Nursing Universidade de Lisboa  Lisbon Portugal"},{"name":"Department of Child and Adolescent Nursing, School of Nursing Universidade de Lisboa  Lisbon Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6720-2905","authenticated-orcid":false,"given":"Ricardo Borges","family":"Rodrigues","sequence":"additional","affiliation":[{"name":"Department of Psychology Instituto Universit\u00e1rio de Lisboa (Iscte\u2010IUL)  Lisbon Portugal"},{"name":"Centro de Investiga\u00e7\u00e3o e Interven\u00e7\u00e3o Social (CIS\u2010Iscte)  Lisbon Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luis","family":"Saboga\u2010Nunes","sequence":"additional","affiliation":[{"name":"Department of Public Health, Institute of Sociology University of Education Freiburg  Freiburg Germany"},{"name":"UNESCO Chair and WHO Collaborating Center in Global Health &amp; Education  Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lu\u00edsa","family":"Barros","sequence":"additional","affiliation":[{"name":"Faculty of Psychology University of Lisbon  Lisbon Portugal"},{"name":"CICPsi, Center for Research in Psychological Science University of Lisbon  Lisbon Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2529-6699","authenticated-orcid":false,"given":"Sanna","family":"Salanter\u00e4","sequence":"additional","affiliation":[{"name":"Department of Nursing Science, Faculty of Medicine University of Turku  Turku Finland"},{"name":"Turku University Hospital  Turku Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,5]]},"reference":[{"key":"e_1_2_12_2_1","volume-title":"Linguistic Validation Manual for Health Outcomes Assessment","author":"Acquadro C.","year":"2012"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/osp4.339"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/00007632\u2010200012150\u201000014"},{"key":"e_1_2_12_5_1","volume-title":"Programa Nacional Sa\u00fade Infantil e Juvenil [National Child and Youth Health Program]","author":"Dire\u00e7\u00e3o\u2010Geral da Sa\u00fade (DGS)","year":"2013"},{"key":"e_1_2_12_6_1","volume-title":"Alimenta\u00e7\u00e3o saud\u00e1vel dos 0 aos 6 anos. Linhas de orienta\u00e7\u00e3o para profissionais e educadores [Healthy eating from 0 to 6 years: Guidelines for Professionals and Educators]","author":"Dire\u00e7\u00e3o\u2010Geral da Sa\u00fade (DGS)","year":"2019"},{"key":"e_1_2_12_7_1","volume-title":"Roteiro de A\u00e7\u00e3o para Acelerar a Preven\u00e7\u00e3o e Controlo da Obesidade em Portugal 2025\u20132027. [Action Plan to Accelerate the Prevention and Control of Obesity in Portugal 2025\u20132027]","author":"Dire\u00e7\u00e3o\u2010Geral da Sa\u00fade (DGS)","year":"2025"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1089\/chi.2018.0222"},{"key":"e_1_2_12_9_1","volume-title":"Ethnologue: Languages of the World","author":"Eberhard D. M.","year":"2024"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pmedr.2021.101440"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140\u20106736(25)00397\u20106"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12961\u2010018\u20100380\u20103"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10995\u2010017\u20102386\u20109"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1080\/14992027.2017.1393565"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10803\u2010021\u201005415\u20109"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1177\/1059840517714852"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1186\/1479\u20105868\u20106\u201014"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12160\u2010009\u20109126\u20103"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.1177\/1090198116684757"},{"key":"e_1_2_12_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2213\u20108587(22)00047\u2010X"},{"key":"e_1_2_12_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.lanwpc.2025.101553"},{"key":"e_1_2_12_22_1","doi-asserted-by":"publisher","DOI":"10.3390\/nu14091706"},{"key":"e_1_2_12_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajmo.2023.100042"},{"key":"e_1_2_12_24_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1368980016002883"},{"key":"e_1_2_12_25_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10389\u2010021\u201001540\u2010y"},{"key":"e_1_2_12_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pedn.2017.04.014"},{"key":"e_1_2_12_27_1","doi-asserted-by":"publisher","DOI":"10.1177\/1524839920922486"},{"key":"e_1_2_12_28_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph14040419"},{"key":"e_1_2_12_29_1","volume-title":"FNPA Screening Tool\u2014Physical Activity and Health Promotion Lab","author":"Physical Activity and Health Promotion Lab"},{"key":"e_1_2_12_30_1","doi-asserted-by":"publisher","DOI":"10.1111\/obr.13135"},{"key":"e_1_2_12_31_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1748\u2010720X.2007.00111.x"},{"key":"e_1_2_12_32_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.appet.2022.106320"},{"key":"e_1_2_12_33_1","doi-asserted-by":"publisher","DOI":"10.7334\/psicothema2018.33"},{"key":"e_1_2_12_34_1","first-page":"73","volume-title":"Cognitive Aspects of Survey Methodology: Building a Bridge Between Disciplines","author":"Tourangeau R.","year":"1984"},{"key":"e_1_2_12_35_1","doi-asserted-by":"publisher","DOI":"10.1017\/CBO9780511819322"},{"key":"e_1_2_12_36_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.orcp.2016.09.007"},{"key":"e_1_2_12_37_1","doi-asserted-by":"publisher","DOI":"10.1093\/ajcn\/nqz276"},{"key":"e_1_2_12_38_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.appet.2017.02.01Xu"},{"key":"e_1_2_12_39_1","doi-asserted-by":"publisher","DOI":"10.4135\/9781412983655"},{"key":"e_1_2_12_40_1","volume-title":"World Obesity Atlas 2024","author":"World Obesity Federation","year":"2024"},{"key":"e_1_2_12_41_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12966\u2010025\u201001733\u20108"},{"key":"e_1_2_12_42_1","doi-asserted-by":"publisher","DOI":"10.1155\/2015\/546925"},{"key":"e_1_2_12_43_1","doi-asserted-by":"publisher","DOI":"10.3109\/17477166.2011.590198"},{"key":"e_1_2_12_44_1","doi-asserted-by":"publisher","DOI":"10.18865\/ed.25.4.399"}],"container-title":["Child: Care, Health and Development"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/cch.70316","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/cch.70316","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/cch.70316","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T12:21:36Z","timestamp":1788265296000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/cch.70316"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7]]},"references-count":43,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,7]]}},"alternative-id":["10.1111\/cch.70316"],"URL":"https:\/\/doi.org\/10.1111\/cch.70316","archive":["Portico"],"relation":{},"ISSN":["0305-1862","1365-2214"],"issn-type":[{"value":"0305-1862","type":"print"},{"value":"1365-2214","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7]]},"assertion":[{"value":"2025-11-07","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-06-13","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-07-05","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70316"}}