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Cross-cultural adaptation, content validity, and feasibility of the school physical activity and nutrition
Ana María Arcila-Agudelo1, Carmen Ferrer-Svoboda2, Deborah H John3
1Department of Nutrition, Food Science, and Gastronomy, XaRTA - INSA, Faculty of Pharmacy, University of Barcelona, Campus de l'Alimentació de Torribera, Santa Coloma de Gramenet, Barcelona, Spain.
Objective:
To perform a cross-cultural adaptation, content validity and feasibility of The School Physical Activity and Nutrition Environment Tool (SPAN-ET) for the Spanish context. It is a valuable tool for making comprehensive assessments of school environments in three environmental categories: policy, situation/social, and physical.
Method:
We followed the cross-cultural adaptation guidelines which consist of a five-stage methodological approach: 1) forward translation, 2) synthesis, 3) back translation, 4) adaptation to the Spanish context, and 5) pilot testing. In addition, an expert panel performed a content validity analysis to assess the level of comprehensibility, applicability, and cultural appropriateness of the SPAN-ET for its use in Spain. The pilot test was carried out in five schools to assess the feasibility of the tool in the Spanish context.
Results:
After applying the guidelines for the translation and cultural adaptation of the SPAN-ET into the Spanish context, the new tool (SPAN-ET-ES) preserves the main dimensions of the original document to evaluate school environments in Spain. The evaluation of the SPAN-ET-ES, done by an expert panel, concluded that items included in the revised version of the SPAN-ET-ES were relevant (S-CVI/Ave=0.96), clear (S-CVI/Ave=0.96), simple (S-CVI/Ave=0.98), and non-ambiguous (S-CVI/Ave=0.98) for the Spanish context. Finally, the pilot test offered empirical evidence for the feasibility and content validity of the SPAN-ET-ES at assessing school environments in Spain.
Conclusions:
SPAN-ET-ES is a feasible tool for assessing nutrition and physical activity environments at schools in Spain.
