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Byrne R, Terranova CO, Chai LK, Brookes DSK, Trost SG. Cognitive Testing of Items Measuring Movement Behaviours in Young Children Aged Zero to Five Years: Development of the Movement Behaviour Questionnaires for -Baby (MBQ-B) and -Child (MBQ-C). CHILDREN (BASEL, SWITZERLAND) 2023; 10:1554. [PMID: 37761515 PMCID: PMC10529515 DOI: 10.3390/children10091554] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/07/2023] [Revised: 09/08/2023] [Accepted: 09/13/2023] [Indexed: 09/29/2023]
Abstract
This paper describes the cognitive interview phase of the development of two brief surveys, the Movement Behaviour Questionnaire-Baby (MBQ-B) and Movement Behaviour Questionnaire-Child (MBQ-C), which measure the duration of physical activity, screen time, and sleep of children aged 0-5 years. The aims were (1) review the format, content, and clarity of questionnaire items and response options, (2) understand how parents retrieve, encode, and formulate responses when asked about their child's movement behaviours, and (3) identify potential sources of response error and make appropriate modifications. Interviews with parents of children aged 0-5 years were conducted using concurrent think-aloud techniques and probing questions. Parents reviewed the MBQ-B and/or MBQ-C depending on the developmental stage of their child(ren). Twenty-nine interviews were conducted with 20 parents, over four iterative rounds. Participants recalled usual family routines and rules when estimating the duration/frequency of behaviours. To estimate active play, parents referred to the child's daily routine considering wake and bedtimes, naps, and mealtimes. Participants were influenced by the examples provided, being unable to interpret these as exemplars only. Decomposing general items into specific questions with examples was well received. Use of numeracy skills when estimating duration was evident. Interviews informed revisions to item wording, examples, and recall prompts, which will be taken forward into the MBQ-B and MBQ-C validation studies. Utilising cognitive interviewing can enhance confidence that questionnaire items are correctly interpreted and understood by participants.
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Affiliation(s)
- Rebecca Byrne
- School of Exercise and Nutrition Sciences, Faculty of Health, Queensland University of Technology, Centre for Children’s Health Research, Graham St., Brisbane 4001, Australia; (R.B.); (C.O.T.); (L.K.C.); (D.S.K.B.)
| | - Caroline O. Terranova
- School of Exercise and Nutrition Sciences, Faculty of Health, Queensland University of Technology, Centre for Children’s Health Research, Graham St., Brisbane 4001, Australia; (R.B.); (C.O.T.); (L.K.C.); (D.S.K.B.)
| | - Li Kheng Chai
- School of Exercise and Nutrition Sciences, Faculty of Health, Queensland University of Technology, Centre for Children’s Health Research, Graham St., Brisbane 4001, Australia; (R.B.); (C.O.T.); (L.K.C.); (D.S.K.B.)
| | - Denise S. K. Brookes
- School of Exercise and Nutrition Sciences, Faculty of Health, Queensland University of Technology, Centre for Children’s Health Research, Graham St., Brisbane 4001, Australia; (R.B.); (C.O.T.); (L.K.C.); (D.S.K.B.)
| | - Stewart G. Trost
- School of Exercise and Nutrition Sciences, Faculty of Health, Queensland University of Technology, Centre for Children’s Health Research, Graham St., Brisbane 4001, Australia; (R.B.); (C.O.T.); (L.K.C.); (D.S.K.B.)
- School of Human Movement and Nutrition Sciences, The University of Queensland, Brisbane 4072, Australia
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Naito YT, Fukuzawa R, Afulani PA, Kim R, Aiga H. Cultural adaptation of the person-centered maternity care scale at governmental health facilities in Cambodia. PLoS One 2023; 18:e0265784. [PMID: 36595538 PMCID: PMC9810154 DOI: 10.1371/journal.pone.0265784] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/19/2022] [Accepted: 12/10/2022] [Indexed: 01/04/2023] Open
Abstract
BACKGROUND In Cambodia, the importance of valuing women's childbirth experiences in improving quality of care has been understudied. This is largely because of absence of reliable Khmer tools for measuring women's intrapartum care experiences. Generally, cross-cultural development of those tools often involves translation from a source language into a target language. Yet, few earlier studies considered Cambodian cultural context. Thus, we developed the Cambodian version of the Person-Centered Maternity Care (PCMC) scale, by culturally adapting its original to Cambodian context for ensuring cultural equivalence and content validity. METHODS Three rounds of cognitive interviewing with 20 early postpartum women were conducted at two governmental health facilities in Cambodia. Cognitive interviewing was composed of structured questionnaire pretesting and qualitative probing. The issues identified in the process of transcribing and translating audio-recorded cognitive interviews were iteratively discussed among study team members, and further analyzed. RESULTS A total of 14 issues related to cultural adaptations were identified in the 31 translated questions for the Cambodian version of the PCMC scale. Our study identified three key findings: (i) discrepancies between the WHO recommendations on intrapartum care and Cambodian field realities; (ii) discrepancies in recognition on PCMC between national experts and local women; and (iii) challenges in correctly collecting and interpreting less-educated women's views on intrapartum care. CONCLUSION Not only women's verbal data but also their non-verbal data and cultural contexts should be comprehensively counted, when reflecting Cambodian women's intrapartum practice realities in the translated version. This is the first study that attempted to develop the tool for measuring Cambodian women's experiences during childbirth, by addressing cross-cultural issues.
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Affiliation(s)
- Yuko Takahashi Naito
- Graduate School of Comprehensive Human Sciences, University of Tsukuba, Tsukuba, Japan
- * E-mail:
| | - Rieko Fukuzawa
- Faculty of Medicine, University of Tsukuba, Tsukuba, Japan
| | - Patience A. Afulani
- Departments of Epidemiology & Biostatistics & Obstetrics, Gynecology & Reproductive Sciences, University of California, San Francisco, California, United States of America
| | - Rattana Kim
- National Maternal and Child Health Center, Phnom Penh, Cambodia
| | - Hirotsugu Aiga
- School of Tropical Medicine and Global Health, University of Nagasaki, Nagasaki, Japan
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Ozdemir S, Terzi O, Dundar C. The family nutrition and physical activity (FNPA) screening tool: psychometric characteristics, reliability, and validity in the Turkish population. J Public Health (Oxf) 2022. [DOI: 10.1007/s10389-021-01540-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/09/2023] Open
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Krijger A, ter Borg S, Elstgeest L, van Rossum C, Verkaik-Kloosterman J, Steenbergen E, Raat H, Joosten K. Lifestyle Screening Tools for Children in the Community Setting: A Systematic Review. Nutrients 2022; 14:nu14142899. [PMID: 35889854 PMCID: PMC9325265 DOI: 10.3390/nu14142899] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/20/2022] [Revised: 07/12/2022] [Accepted: 07/13/2022] [Indexed: 11/20/2022] Open
Abstract
Screening of children’s lifestyle, including nutrition, may contribute to the prevention of lifestyle-related conditions in childhood and later in life. Screening tools can evaluate a wide variety of lifestyle factors, resulting in different (risk) scores and prospects of action. This systematic review aimed to summarise the design, psychometric properties and implementation of lifestyle screening tools for children in community settings. We searched the electronic databases of Embase, Medline (PubMed) and CINAHL to identify articles published between 2004 and July 2020 addressing lifestyle screening tools for children aged 0–18 years in the community setting. Independent screening and selection by two reviewers was followed by data extraction and the qualitative analysis of findings. We identified 41 unique lifestyle screening tools, with the majority addressing dietary and/or lifestyle behaviours and habits related to overweight and obesity. The domains mostly covered were nutrition, physical activity and sedentary behaviour/screen time. Tool validation was limited, and deliberate implementation features, such as the availability of clear prospects of actions following tool outcomes, were lacking. Despite the multitude of existing lifestyle screening tools for children in the community setting, there is a need for a validated easy-to-administer tool that enables risk classification and offers specific prospects of action to prevent children from adverse health outcomes.
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Affiliation(s)
- Anne Krijger
- Department of Pediatrics and Pediatric Surgery, Erasmus MC-Sophia Children’s Hospital, University Medical Center Rotterdam, 3000 CB Rotterdam, The Netherlands;
- Department of Public Health, Erasmus MC, University Medical Center Rotterdam, 3000 CA Rotterdam, The Netherlands; (L.E.); (H.R.)
- Correspondence: ; Tel.: +31(0)6-2461-2722
| | - Sovianne ter Borg
- National Institute for Public Health and the Environment, 3720 BA Bilthoven, The Netherlands; (S.t.B.); (C.v.R.); (J.V.-K.); (E.S.)
| | - Liset Elstgeest
- Department of Public Health, Erasmus MC, University Medical Center Rotterdam, 3000 CA Rotterdam, The Netherlands; (L.E.); (H.R.)
- Reinier Academy, Reinier de Graaf Hospital, 2600 GA Delft, The Netherlands
| | - Caroline van Rossum
- National Institute for Public Health and the Environment, 3720 BA Bilthoven, The Netherlands; (S.t.B.); (C.v.R.); (J.V.-K.); (E.S.)
| | - Janneke Verkaik-Kloosterman
- National Institute for Public Health and the Environment, 3720 BA Bilthoven, The Netherlands; (S.t.B.); (C.v.R.); (J.V.-K.); (E.S.)
| | - Elly Steenbergen
- National Institute for Public Health and the Environment, 3720 BA Bilthoven, The Netherlands; (S.t.B.); (C.v.R.); (J.V.-K.); (E.S.)
| | - Hein Raat
- Department of Public Health, Erasmus MC, University Medical Center Rotterdam, 3000 CA Rotterdam, The Netherlands; (L.E.); (H.R.)
| | - Koen Joosten
- Department of Pediatrics and Pediatric Surgery, Erasmus MC-Sophia Children’s Hospital, University Medical Center Rotterdam, 3000 CB Rotterdam, The Netherlands;
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Foti KE, Perez CL, Knapp EA, Kharmats AY, Sharfman AS, Arteaga SS, Moore LV, Bennett WL. Identification of Measurement Needs to Prevent Childhood Obesity in High-Risk Populations and Environments. Am J Prev Med 2020; 59:746-754. [PMID: 32919827 PMCID: PMC8722431 DOI: 10.1016/j.amepre.2020.05.012] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/11/2020] [Revised: 04/14/2020] [Accepted: 05/07/2020] [Indexed: 01/28/2023]
Abstract
INTRODUCTION Children at highest obesity risk include those from certain racial/ethnic groups, from low-income families, with disabilities, or living in high-risk communities. However, a 2013 review of the National Collaborative for Childhood Obesity Research Measures Registry identified few measures focused on children at highest obesity risk. The objective is to (1) identify individual and environmental measures of diet and physical activity added to the Measures Registry since 2013 used among high-risk populations or settings and (2) describe methods for their development, adaptation, or validation. METHODS Investigators screened references in the Measures Registry from January 2013 to September 2017 (n=351) and abstracted information about individual and environmental measures developed for, adapted for, or applied to high-risk populations or settings, including measure type, study population, adaptation and validation methods, and psychometric properties. RESULTS A total of 38 measures met inclusion criteria. Of these, 30 assessed individual dietary (n=25) or physical activity (n=13) behaviors, and 11 assessed the food (n=8) or physical activity (n=7) environment. Of those, 17 measures were developed for, 9 were applied to (i.e., developed in a general population and used without modification), and 12 were adapted (i.e., modified) for high-risk populations. Few measures were used in certain racial/ethnic groups (i.e., American Indian/Alaska Native, Hawaiian/Pacific Islander, and Asian), children with disabilities, and rural (versus urban) communities. CONCLUSIONS Since 2013, a total of 38 measures were added to the Measures Registry that were used in high-risk populations. However, many of the previously identified gaps in population coverage remain. Rigorous, community-engaged methodologic research may help researchers better adapt and validate measures for high-risk populations.
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Affiliation(s)
- Kathryn E Foti
- Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland
| | - Crystal L Perez
- Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland
| | - Emily A Knapp
- Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland
| | - Anna Y Kharmats
- Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland
| | | | - S Sonia Arteaga
- Environmental influences on Child Health Outcomes, Office of the Director, NIH, formerly at the Division of Cardiovascular Diseases, National, Heart, Lung, and Blood Institute, NIH, Bethesda, Maryland
| | - Latetia V Moore
- Division of Nutrition, Physical Activity, and Obesity, Centers for Disease Control and Prevention, Atlanta, Georgia
| | - Wendy L Bennett
- Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland; Department of Epidemiology and Population, Johns Hopkins University School of Medicine, Baltimore, Maryland; Department of Family and Reproductive Health, Johns Hopkins University School of Medicine, Baltimore, Maryland.
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Jang MK, Kim S, Collins EG, Quinn LT, Park CG, Ferrans CE. Enriching the quality of cross-cultural instrument development through cognitive interviewing: Implications for nursing research. Jpn J Nurs Sci 2019; 17:e12301. [PMID: 31721460 DOI: 10.1111/jjns.12301] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/06/2019] [Revised: 06/23/2019] [Accepted: 09/05/2019] [Indexed: 11/30/2022]
Abstract
AIM During cross-cultural instrument development, a gap commonly exists between the intended meaning of questionnaire items and the extent to which the participant understands that meaning. Because cognitive interviewing can provide such a powerful means for ensuring an accurate interpretation of items, the purpose of this report is to provide a practical guide to encourage its use in nursing research. METHODS This report provides in-depth information describing: (a) advantages of cognitive interviewing, particularly for cross-cultural instrument development; (b) specific problems it can identify and solve; (c) strategies for performing cognitive interviews, including the four-step model of the question-and-answer process; (d) practical guidance for conducting successful cognitive interviews. RESULTS To achieve linguistic validity as well as cultural relevance, a variety of factors need to be considered in addition to language, such as cultural interpretations, attitudes, and values. Examples of health-related studies are presented, demonstrating the advantages of cognitive interviewing for instrument development and cross-cultural research. These examples show how cognitive interviewing can be productively used to verify question clarity, patient comprehension, and patients' ease of response and judgment while also helping to establish content validity based on patients' perspectives. CONCLUSIONS Cognitive interviewing can help nurse researchers discover potential instrument flaws and correct them in advance, subsequently avoiding collection of inaccurate data. Thus, cognitive interviewing should be considered an effective pretesting method for development of accurate instruments, particularly in cross-cultural nursing research.
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Affiliation(s)
- Min Kyeong Jang
- Department of Biobehavioral Health Science, College of Nursing, University of Illinois Cancer Center, University of Illinois at Chicago, Chicago, Illinois, USA
| | - Sue Kim
- Department of Biobehavioral Health Science, College of Nursing, Yonsei University, Mo-Im Kim Nursing Research Institute, Seoul, South Korea
| | - Eileen G Collins
- Department of Biobehavioral Health Science, College of Nursing, University of Illinois at Chicago, Chicago, Illinois, USA
| | - Lauretta T Quinn
- Department of Biobehavioral Health Science, College of Nursing, University of Illinois at Chicago, Chicago, Illinois, USA
| | - Chang G Park
- Department of Biobehavioral Health Science, College of Nursing, University of Illinois at Chicago, Chicago, Illinois, USA
| | - Carol E Ferrans
- Department of Biobehavioral Health Science, College of Nursing, Harriet H. Werley Endowed Chair in Nursing Research, University of Illinois at Chicago, Chicago, Illinois, USA
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Using cognitive interviewing to improve questionnaires: An exemplar study focusing on individual and condition-specific factors. Appl Nurs Res 2018; 43:121-125. [DOI: 10.1016/j.apnr.2018.06.007] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/26/2018] [Revised: 04/25/2018] [Accepted: 06/14/2018] [Indexed: 02/07/2023]
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