{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T01:39:30Z","timestamp":1760060370219,"version":"build-2065373602"},"reference-count":41,"publisher":"MDPI AG","issue":"16","license":[{"start":{"date-parts":[[2025,8,21]],"date-time":"2025-08-21T00:00:00Z","timestamp":1755734400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Funda\u00e7\u00e3o De Apoio \u00e0 Pesquisa do Distrito Federal\u2014FAP\/DF","award":["00193-00001084\/2025-17","001"],"award-info":[{"award-number":["00193-00001084\/2025-17","001"]}]},{"name":"Coordena\u00e7\u00e3o de Aperfei\u00e7oamento de Pessoal de N\u00edvel Superior\u2014Basil (CAPES)","award":["00193-00001084\/2025-17","001"],"award-info":[{"award-number":["00193-00001084\/2025-17","001"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nutrients"],"abstract":"<jats:p>Background\/Objectives: This study aimed to translate the Child Coeliac Disease Food Attitudes and Behaviours Scale (Child CD-FAB) into Brazilian Portuguese and to evaluate its reproducibility and internal consistency. Methods: Three steps were carried out: (i) translation and cultural adaptation of the Child CD-FAB into Brazilian Portuguese; (ii) pre-test; and (iii) psychometric evaluation of the Child CD-FAB-BR. The Child CD-FAB was translated and back-translated, and then discussed with and approved by the author of the original instrument. The translated version was tested on five children and adolescents (aged 8 to 16 years) with coeliac disease to assess comprehension. Subsequently, psychometric evaluation used responses from 20 participants with the same characteristics, assessing reproducibility (test\u2013retest reliability) via intraclass correlation coefficient (ICC) and internal consistency via Cronbach\u2019s alpha. Results: The Child CD-FAB was successfully translated to Brazilian Portuguese (Child CD-FAB-BR), and it presented good internal consistency (\u03b1 = 0.892) and an excellent intraclass correlation coefficient (ICC = 0.923). Conclusions: The Child CD-FAB-BR is the first instrument to evaluate food attitudes and behaviours in Brazilian children and adolescents with CD, showing good psychometric properties. This instrument will support future research and clinical practice by guiding behaviour-based strategies to enhance nutritional education and public policies for this group.<\/jats:p>","DOI":"10.3390\/nu17162704","type":"journal-article","created":{"date-parts":[[2025,8,21]],"date-time":"2025-08-21T08:02:44Z","timestamp":1755763364000},"page":"2704","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Adaptation of the Child Coeliac Disease Food Attitudes and Behaviours Scale (Child CD-FAB) into Brazilian Portuguese: Translation and Evaluation of Reproducibility and Internal Consistency"],"prefix":"10.3390","volume":"17","author":[{"given":"Marina de Cesaro","family":"Schwantes","sequence":"first","affiliation":[{"name":"Department of Nutrition, Faculty of Health Sciences, Darcy Ribeiro University Campus, University of Bras\u00edlia, Bras\u00edlia 70910-900, Distrito Federal, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Heather","family":"Maddison-Roberts","sequence":"additional","affiliation":[{"name":"South West London & St George\u2019s Mental Health NHS Trust, London SW17 0YF, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9071-8512","authenticated-orcid":false,"given":"Eduardo Yoshio","family":"Nakano","sequence":"additional","affiliation":[{"name":"Department of Statistics, University of Bras\u00edlia, Bras\u00edlia 70910-900, Distrito Federal, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0369-287X","authenticated-orcid":false,"given":"Raquel Braz Assun\u00e7\u00e3o","family":"Botelho","sequence":"additional","affiliation":[{"name":"Department of Nutrition, Faculty of Health Sciences, Darcy Ribeiro University Campus, University of Bras\u00edlia, Bras\u00edlia 70910-900, Distrito Federal, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0370-3089","authenticated-orcid":false,"given":"Renata Puppin","family":"Zandonadi","sequence":"additional","affiliation":[{"name":"Department of Nutrition, Faculty of Health Sciences, Darcy Ribeiro University Campus, University of Bras\u00edlia, Bras\u00edlia 70910-900, Distrito Federal, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2025,8,21]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"59","DOI":"10.14309\/ajg.0000000000002075","article-title":"American College of Gastroenterology Guidelines Update: Diagnosis and Management of Celiac Disease","volume":"118","author":"Hill","year":"2023","journal-title":"Am. J. Gastroenterol."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"43","DOI":"10.1136\/gutjnl-2011-301346","article-title":"The Oslo Definitions for Coeliac Disease and Related Terms","volume":"62","author":"Ludvigsson","year":"2013","journal-title":"Gut"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"70","DOI":"10.1016\/S0140-6736(17)31796-8","article-title":"Coeliac Disease","volume":"391","author":"Lebwohl","year":"2018","journal-title":"Lancet"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"63","DOI":"10.1053\/j.gastro.2020.06.098","article-title":"Epidemiology, Presentation, and Diagnosis of Celiac Disease","volume":"160","author":"Lebwohl","year":"2021","journal-title":"Gastroenterology"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"53","DOI":"10.5409\/wjcp.v10.i4.53","article-title":"Celiac Disease in Children: A Review of the Literature","volume":"10","author":"Sahin","year":"2021","journal-title":"World J. Clin. Pediatr."},{"key":"ref_6","first-page":"148","article-title":"Celiac Disease Affects 1% of Global Population: Who Will Manage All These Patients?","volume":"167","author":"Kurppa","year":"2024","journal-title":"Gastroenterology"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"e34411226008","DOI":"10.33448\/rsd-v11i2.26008","article-title":"Desafios Da Ades\u00e3o \u00e0 Dieta Sem Gl\u00faten","volume":"11","year":"2022","journal-title":"Res. Soc. Dev."},{"key":"ref_8","doi-asserted-by":"crossref","unstructured":"Sim\u00f3n, E., Molero-Luis, M., Fueyo-D\u00edaz, R., Costas-Batlle, C., Crespo-Escobar, P., and Montoro-Huguet, M.A. (2023). The Gluten-Free Diet for Celiac Disease: Critical Insights to Better Understand Clinical Outcomes. Nutrients, 15.","DOI":"10.3390\/nu15184013"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"580","DOI":"10.1038\/nrgastro.2015.156","article-title":"Practical Insights into Gluten-Free Diets","volume":"12","author":"See","year":"2015","journal-title":"Nat. Rev. Gastroenterol. Hepatol."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"1242","DOI":"10.1136\/gutjnl-2016-311574","article-title":"Transition from Childhood to Adulthood in Coeliac Disease: The Prague Consensus Report","volume":"65","author":"Ludvigsson","year":"2016","journal-title":"Gut"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"311","DOI":"10.1111\/jhn.12638","article-title":"Diminished Quality of Life among Adolescents with Coeliac Disease Using Maladaptive Eating Behaviours to Manage a Gluten-Free Diet: A Cross-Sectional, Mixed-Methods Study","volume":"32","author":"Cadenhead","year":"2019","journal-title":"J. Hum. Nutr. Diet."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"562","DOI":"10.1016\/j.cgh.2019.05.046","article-title":"Rate, Risk Factors, and Outcomes of Nonadherence in Pediatric Patients With Celiac Disease: A Systematic Review","volume":"18","author":"Reilly","year":"2020","journal-title":"Clin. Gastroenterol. Hepatol."},{"key":"ref_13","unstructured":"Maddison-Roberts, H. (2023). A Thesis of Clinical Research and Practice: Part A: Understanding the Psychological Experiences of Children and Young People with Coeliac Disease and Their Relationship with Food. [Ph.D. Thesis, University of Surrey]."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"2899","DOI":"10.1007\/s10620-023-07912-6","article-title":"Maladaptive Food Attitudes and Behaviors in Individuals with Celiac Disease and Their Association with Quality of Life","volume":"68","author":"Gholmie","year":"2023","journal-title":"Dig. Dis. Sci."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"937","DOI":"10.1007\/s00038-020-01451-x","article-title":"Worldwide Public Policies for Celiac Disease: Are Patients Well Assisted?","volume":"65","author":"Falcomer","year":"2020","journal-title":"Int. J. Public Health"},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"1438","DOI":"10.1007\/s10620-018-4936-4","article-title":"Hypervigilance to a Gluten-Free Diet and Decreased Quality of Life in Teenagers and Adults with Celiac Disease","volume":"63","author":"Wolf","year":"2018","journal-title":"Dig. Dis. Sci."},{"key":"ref_17","doi-asserted-by":"crossref","unstructured":"Macedo, L., Catarino, M., Festas, C., and Alves, P. (2024). Vulnerability in Children with Celiac Disease: Findings from a Scoping Review. Children, 11.","DOI":"10.3390\/children11060729"},{"key":"ref_18","doi-asserted-by":"crossref","unstructured":"Maddison-Roberts, H., Jones, C., and Satherley, R.M. (2025). Gluten-Free Diet Management and Well-Being in Children with Celiac Disease: A Qualitative Study. Pediatr. Allergy Immunol., 36.","DOI":"10.1111\/pai.70061"},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"6930269","DOI":"10.1155\/2018\/6930269","article-title":"Development and Validation of the Coeliac Disease Food Attitudes and Behaviours Scale","volume":"2018","author":"Satherley","year":"2018","journal-title":"Gastroenterol. Res. Pract."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"399","DOI":"10.1176\/appi.psy.49.5.399","article-title":"Eating Pathology in Adolescents with Celiac Disease","volume":"49","author":"Karwautz","year":"2008","journal-title":"Psychosomatics"},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"3186","DOI":"10.1097\/00007632-200012150-00014","article-title":"Guidelines for the Process of Cross-Cultural Adaptation of Self-Report Measures","volume":"25","author":"Beaton","year":"2000","journal-title":"Spine"},{"key":"ref_22","doi-asserted-by":"crossref","unstructured":"Dusi, R., Botelho, R.B.A., Nakano, E.Y., de Queiroz, F.L.N., and Zandonadi, R.P. (2023). Translation of the Satter\u2019s Division of Responsibility in Feeding Questionnaire into Brazilian Portuguese: A Cross-Sectional Study. Nutrients, 15.","DOI":"10.3390\/nu15112575"},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"1143","DOI":"10.1016\/j.jand.2020.11.008","article-title":"Use of an Observational Comparative Strategy Demonstrated Construct Validity of a Measure to Assess Adherence to the Satter Division of Responsibility in Feeding","volume":"121","author":"Lohse","year":"2021","journal-title":"J. Acad. Nutr. Diet"},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"211","DOI":"10.1016\/j.jneb.2020.11.007","article-title":"Valid and Reliable Measure of Adherence to Satter Division of Responsibility in Feeding","volume":"53","author":"Lohse","year":"2021","journal-title":"J. Nutr. Educ. Behav."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"466","DOI":"10.1002\/uog.5256","article-title":"Reliability, Repeatability and Reproducibility: Analysis of Measurement Errors in Continuous Variables","volume":"31","author":"Bartlett","year":"2008","journal-title":"Ultrasound Obstet. Gynecol."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"99","DOI":"10.1207\/S15327752JPA8001_18","article-title":"Starting at the Beginning: An Introduction to Coefficient Alpha and Internal Consistency","volume":"80","author":"Streiner","year":"2003","journal-title":"J. Pers. Assess."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"217","DOI":"10.1207\/S15327752JPA8003_01","article-title":"Being Inconsistent About Consistency: When Coefficient Alpha Does and Doesn\u2019t Matter","volume":"80","author":"Streiner","year":"2003","journal-title":"J. Pers. Assess."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"e3","DOI":"10.5395\/rde.2024.49.e3","article-title":"Sample Size Determination for Conducting a Pilot Study to Assess Reliability of a Questionnaire","volume":"49","author":"Bujang","year":"2024","journal-title":"Restor. Dent. Endod."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"155","DOI":"10.1016\/j.jcm.2016.02.012","article-title":"A Guideline of Selecting and Reporting Intraclass Correlation Coefficients for Reliability Research","volume":"15","author":"Koo","year":"2016","journal-title":"J. Chiropr. Med."},{"key":"ref_30","unstructured":"Streiner, D.L., and Norman, G.R. (2008). Health Measurement Scales: A Practical Guide to Their Development and Use, Oxford University Press."},{"key":"ref_31","doi-asserted-by":"crossref","unstructured":"Wei, Y., Wang, Y., Yuan, Y., and Chen, J. (2025). Celiac Disease, Gluten-Free Diet, and Eating Disorders: From Bench to Bedside. Foods, 14.","DOI":"10.3390\/foods14010074"},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"1256","DOI":"10.3109\/09638288.2012.731132","article-title":"The Cross-Cultural Equivalence of Participation Instruments: A Systematic Review","volume":"35","author":"Stevelink","year":"2013","journal-title":"Disabil. Rehabil."},{"key":"ref_33","doi-asserted-by":"crossref","unstructured":"Arestad, K.E., MacPhee, D., Lim, C.Y., and Khetani, M.A. (2017). Cultural Adaptation of a Pediatric Functional Assessment for Rehabilitation Outcomes Research. BMC Health Serv. Res., 17.","DOI":"10.1186\/s12913-017-2592-6"},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"79","DOI":"10.1186\/s41747-024-00474-w","article-title":"Sample Size Calculation for Data Reliability and Diagnostic Performance: A Go-to Review","volume":"8","author":"Monti","year":"2024","journal-title":"Eur. Radiol. Exp."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"730","DOI":"10.1016\/S0895-4356(03)00084-2","article-title":"A Comparison of Two Time Intervals for Test-Retest Reliability of Health Status Instruments","volume":"56","author":"Marx","year":"2003","journal-title":"J. Clin. Epidemiol."},{"key":"ref_36","doi-asserted-by":"crossref","unstructured":"McDowell, I. (2006). Measuring Health: A Guide to Rating Scales and Questionnaires, Oxford University Press.","DOI":"10.1093\/acprof:oso\/9780195165678.001.0001"},{"key":"ref_37","unstructured":"LTr Editora (1990). Estatuto Da Crian\u00e7a e Do Adolescente (Lei n. 8.069, de 13 de Julho de 1990), LTr Editora."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"e77","DOI":"10.1002\/pdi3.77","article-title":"Patient-reported Outcome Measures in Pediatrics: An Overview of Reviews","volume":"2","author":"Lei","year":"2024","journal-title":"Pediatr. Discov."},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"1803","DOI":"10.1007\/s11136-021-02814-4","article-title":"Enhancing Validity, Reliability and Participation in Self-Reported Health Outcome Measurement for Children and Young People: A Systematic Review of Recall Period, Response Scale Format, and Administration Modality","volume":"30","author":"Coombes","year":"2021","journal-title":"Qual. Life Res."},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"98","DOI":"10.1136\/flgastro-2018-101170","article-title":"Evolving Patterns in the Presentation of Coeliac Disease over the Last 25 Years","volume":"11","author":"Stroud","year":"2020","journal-title":"Frontline Gastroenterol."},{"key":"ref_41","first-page":"753","article-title":"Celiac Disease: An Underappreciated Issue in Womens Health","volume":"6","author":"Shah","year":"2010","journal-title":"Women\u2019s Health"}],"container-title":["Nutrients"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2072-6643\/17\/16\/2704\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T18:32:22Z","timestamp":1760034742000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2072-6643\/17\/16\/2704"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,8,21]]},"references-count":41,"journal-issue":{"issue":"16","published-online":{"date-parts":[[2025,8]]}},"alternative-id":["nu17162704"],"URL":"https:\/\/doi.org\/10.3390\/nu17162704","relation":{},"ISSN":["2072-6643"],"issn-type":[{"type":"electronic","value":"2072-6643"}],"subject":[],"published":{"date-parts":[[2025,8,21]]}}}