{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T06:06:52Z","timestamp":1784700412939,"version":"3.55.0"},"reference-count":51,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T00:00:00Z","timestamp":1784678400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:p>There are no community-based surveys for the development or assessment of public policies with an ecobiopsychosocial approach for autistic children. This article reports the development of an instrument assessing characteristics of Chilean autistic children, in order to understand how autism manifests in different environments. This study consisted of two stages: Firstly, after a comprehensive literature review, an instrument was designed by health and education professionals alongside autistic individuals and primary caregivers. Secondly, content validation was performed using the Content Validity Index, through the calculation of the Lawshe Content Validity Ratio. Sixty questions were validated, distributed across six subscales: \u201cGeneral Health Profile\u201d obtained a Content Validity of 0.94; The subscales \u201cSex and Gender,\u201d \u201cAutism Diagnosis and Concomitant Pathologies,\u201d \u201cFamily Income and the Impact of Autism on Socioeconomic Status,\u201d \u201cDiet of the Autistic Person,\u201d and \u201cTherapies and Schooling\u201d obtained Content Validity Indexes of 0.89; 0.98; 1.0; 0.96; and 1.0, respectively. The Content Validity Index for the full instrument was 0.96. The survey presented demonstrated initial evidence of content validity and may serve as a basis for future psychometric validation. It allows for the assessment of this population in various life aspects, and offers great potential for creating public care policies regarding this community. As this study represents an initial content validation phase, future research should assess construct validity, criterion-related validity, reliability, and cross-cultural applicability.<\/jats:p>","DOI":"10.3389\/fpubh.2026.1768438","type":"journal-article","created":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T05:54:07Z","timestamp":1784699647000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Design and content validation of AUTIVA: an ecobiopsychosocial instrument for childhood autism"],"prefix":"10.3389","volume":"14","author":[{"given":"Ruben","family":"Castillo-Ortega","sequence":"first","affiliation":[{"name":"Facultad de Cs. Para la Rehabilitaci\u00f3n y Calidad de Vida, Universidad San Sebasti\u00e1n","place":["Sede Valdivia, Chile"]},{"name":"Vicerrector\u00eda de Vinculaci\u00f3n con el Medio, Universidad San Sebasti\u00e1n","place":["Sede Valdivia, Chile"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carol","family":"Hewstone-Garc\u00eda","sequence":"additional","affiliation":[{"name":"Facultad de Educaci\u00f3n, Universidad San Sebasti\u00e1n","place":["Sede Valdivia, Chile"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gladys","family":"Belmar-Riquelme","sequence":"additional","affiliation":[{"name":"Facultad de Cs. Para la Rehabilitaci\u00f3n y Calidad de Vida, Universidad San Sebasti\u00e1n","place":["Sede Valdivia, Chile"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vannia","family":"Jara-Mella","sequence":"additional","affiliation":[{"name":"Facultad de Cs. Para la Rehabilitaci\u00f3n y Calidad de Vida, Universidad San Sebasti\u00e1n","place":["Sede Valdivia, Chile"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,7,22]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"7","DOI":"10.22201\/fm.24484865e.2022.65.1.02","article-title":"Trastorno del espectro autista (TEA)","volume":"65","author":"Alcala","year":"2022","journal-title":"Rev Fac Med (M\u00e9x)"},{"key":"ref2","volume-title":"Autism","year":"2025"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"1915","DOI":"10.1007\/s12187-018-9617-5","article-title":"Family, school, and neighbourhood microsystems influence on children\u2019s life satisfaction in Chile","volume":"12","author":"Oyarz\u00fan G\u00f3mez","year":"2019","journal-title":"Child Indic Res"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"18","DOI":"10.1093\/oso\/9780197675144.003.0002","volume-title":"Family and Contexts of Development: Challenges in Latin America","author":"Carrillo","year":"2025"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1007\/978-3-030-83700-6","volume-title":"Child and Adolescent Development in Risky Adverse Contexts: a Latin American Perspective","author":"Barcelata Eguiarte","year":"2021"},{"key":"ref6","volume-title":"Preguntas frecuentes Ley TEA 21.545","year":"2025"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"519","DOI":"10.32641\/andespediatr.v92i4.2503","article-title":"Prevalence estimation of autism spectrum disorders in Chilean urban population","volume":"92","author":"Y\u00e1\u00f1ez","year":"2021","journal-title":"Andes Pediatr"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"129","DOI":"10.1126\/science.847460","article-title":"The need for a new medical model: a challenge for biomedicine","volume":"196","author":"Engel","year":"1977","journal-title":"Science"},{"key":"ref9","volume-title":"Manual de calificaci\u00f3n y certificaci\u00f3n de discapacidad","year":"2022"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"143","DOI":"10.1146\/annurev.publhealth.22.1.143","article-title":"The social ecology of child health and well-being","volume":"22","author":"Earls","year":"2001","journal-title":"Annu Rev Public Health"},{"key":"ref11","year":"2025"},{"key":"ref12","volume-title":"Ley 21545: establece la promoci\u00f3n de la inclusi\u00f3n, la atenci\u00f3n integral, y la protecci\u00f3n de los derechos de las personas con trastorno del espectro autista en el \u00e1mbito social, de salud y educaci\u00f3n","year":"2023"},{"key":"ref13","first-page":"50","volume-title":"Educaci\u00f3n inclusiva: el sue\u00f1o de una noche de verano","author":"Echeita-Sarrionandia","year":"2019"},{"key":"ref14","doi-asserted-by":"publisher","first-page":"3","DOI":"10.5944\/ap.10.2.11820","article-title":"Evidencias sobre la validez de contenido: avances te\u00f3ricos y m\u00e9todos para su estimaci\u00f3n","volume":"10","author":"Pedrosa","year":"2013","journal-title":"Accion Psicol"},{"key":"ref15","doi-asserted-by":"publisher","first-page":"530","DOI":"10.1016\/j.ecns.2016.08.002","article-title":"Making sense of methods and measurement: Lawshe\u2019s content validity index","volume":"12","author":"Gilbert","year":"2016","journal-title":"Clin Simul Nurs"},{"key":"ref16","first-page":"17","volume-title":"ADOS-2. 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