The 24-Hour Activity Checklist for Cerebral Palsy: Translation, Content Validity and Test–Retest Reliability of Portuguese Versions

IF 1.8 4区医学 Q2 PEDIATRICS

Child Care Health and Development Pub Date : 2025-03-05 DOI:10.1111/cch.70057

Fabio Vila-Nova, Cristina dos Santos Cardoso de Sá, Hércules Ribeiro Leite, Ana Cadete, Teresa Folha, Egmar Longo, Maria Elisabete Martins, Raul Oliveira

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引用次数: 0

Abstract

Background

The importance of 24-h movement behaviour, including sleep, physical activity (PA) and sedentary behaviour (SB), has gained prominence due to its significant impact on the health and development of children, including those with cerebral palsy (CP). The 24-h activity checklist for CP, a tool developed in the Netherlands to monitor the activity in CP paediatric population, requires translation and cultural adaptation to Portuguese for use in Brazil and Portugal.

Methods

This cross-sectional methodological study involved translating and culturally adapting the 24-h activity checklist for CP into Brazilian Portuguese (BP) and European Portuguese (EP) languages. The process included forward translation, synthesis and backward translation, expert panel evaluation and pretesting. Brazilian and Portuguese experts appraised content validity, assessed by the individual item (I-CVI) and scale level content validity index scores (S-CVI/Ave). Sixty parents of children with CP participated in the test–retest analysis, reported with the Intraclass Correlation Coefficients (ICCs).

Results

I-CVI scores were higher than 0.78 for both versions. S-CVI/Ave scores were considered excellent for BP (0.91) and EP version (1.0). Expert's appraisal results in the inclusion of a question about sleep-related time indicators and the split of sleep, PA, and screen time questions for weekdays and weekends. Brazilian and Portuguese parents of children with CP reported understanding on instructions, questions, and answer options. The ICC values range from 0.81 to 0.99 and 0.6 to 0.98, for BP and EP, respectively.

Conclusions

The BP and EP versions of 24-h activity checklist for CP demonstrated good content validity and test–retest reliability, supporting its use in Brazil and Portugal. This tool can contribute to improving communication between families and healthcare professionals to monitor and develop tailored interventions for healthy movement behaviours in children with CP.

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脑瘫24小时活动量表：葡萄牙语版本的翻译、内容效度和重测信度

24小时运动行为的重要性，包括睡眠、身体活动（PA）和久坐行为（SB），由于其对包括脑瘫（CP）儿童在内的儿童的健康和发育的重大影响而得到重视。24小时脑脊炎活动检查表是荷兰开发的一种工具，用于监测脑脊炎儿科人群的活动，需要对其进行葡萄牙语翻译和文化适应，以便在巴西和葡萄牙使用。方法采用横断面方法学研究方法，将24小时脑卒中活动检查表翻译成巴西葡萄牙语（BP）和欧洲葡萄牙语（EP）。翻译过程包括前向翻译、综合和后向翻译、专家小组评价和前测。巴西和葡萄牙专家评估了内容效度，通过单项（I-CVI）和量表水平内容效度指数得分（S-CVI/Ave）进行评估。60名CP患儿家长参与了重测分析，用类内相关系数（ICCs）进行报告。结果两组患者I-CVI评分均高于0.78。S-CVI/Ave评分在BP（0.91）和EP版本（1.0）中被认为是优秀的。专家的评估结果包括一个关于睡眠相关时间指标的问题，以及工作日和周末的睡眠，PA和屏幕时间问题的分裂。巴西和葡萄牙的CP患儿家长报告了对说明、问题和答案选项的理解。BP和EP的ICC值分别为0.81 ~ 0.99和0.6 ~ 0.98。结论BP版和EP版CP 24小时活性检查表具有较好的内容效度和重测信度，支持在巴西和葡萄牙使用。该工具有助于改善家庭和医疗保健专业人员之间的沟通，以监测和制定针对CP儿童健康运动行为的量身定制的干预措施。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Child Care Health and Development 医学-小儿科

CiteScore

3.40

自引率

5.30%

发文量

136

审稿时长

4-8 weeks

期刊介绍： Child: care, health and development is an international, peer-reviewed journal which publishes papers dealing with all aspects of the health and development of children and young people. We aim to attract quantitative and qualitative research papers relevant to people from all disciplines working in child health. We welcome studies which examine the effects of social and environmental factors on health and development as well as those dealing with clinical issues, the organization of services and health policy. We particularly encourage the submission of studies related to those who are disadvantaged by physical, developmental, emotional and social problems. The journal also aims to collate important research findings and to provide a forum for discussion of global child health issues.