Related Experiment Video
Updated: Jul 3, 2026
Development of a Virtual Reality Assessment of Everyday Living Skills
Published on: April 23, 2014
The 24-Hour Activity Checklist for Cerebral Palsy: Translation, Content Validity and Test-Retest Reliability of
Fabio Vila-Nova1, Cristina Dos Santos Cardoso de Sá2, Hércules Ribeiro Leite3
1Laboratory of Motor Behavior, Faculty of Human Kinetics, University of Lisbon, Lisbon, Portugal.
Insights
The 24-hour activity checklist for children with cerebral palsy (CP) was translated and culturally adapted for Portuguese speakers. This validated tool aids in monitoring and improving healthy movement behaviors in children with CP.
Area of Science:
- Pediatrics
- Rehabilitation Medicine
- Movement Science
Background:
- 24-hour movement behaviors (sleep, physical activity, sedentary behavior) are crucial for child development, especially for those with cerebral palsy (CP).
- The existing 24-hour activity checklist for CP needs adaptation for Portuguese-speaking populations in Brazil and Portugal.
Purpose of the Study:
- To translate and culturally adapt the 24-hour activity checklist for CP into Brazilian Portuguese (BP) and European Portuguese (EP).
- To evaluate the content validity and test-retest reliability of the adapted checklists.
Main Methods:
- Cross-sectional methodological study involving forward-backward translation and expert review.
- Content validity assessed using individual item (I-CVI) and scale level (S-CVI/Ave) content validity index scores.
- Test-retest reliability evaluated using Intraclass Correlation Coefficients (ICCs) with 60 parents of children with CP.
Main Results:
- Both BP and EP versions achieved excellent content validity (S-CVI/Ave: 0.91 for BP, 1.0 for EP).
- Expert feedback led to refined questions on sleep, physical activity, and screen time for weekdays and weekends.
- High test-retest reliability was confirmed (ICC ranges: 0.81–0.99 for BP, 0.6–0.98 for EP).
Conclusions:
- The Brazilian Portuguese and European Portuguese versions of the 24-hour activity checklist for CP are valid and reliable.
- This adapted tool can enhance communication and support tailored interventions for healthy movement in children with CP in Brazil and Portugal.
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.
More Related Videos
11:29Measuring the Functional Abilities of Children Aged 3-6 Years Old with Observational Methods and Computer Tools
Published on: June 20, 2020
07:20Repeated Transcranial Magnetic Stimulation Combined with Action Observation Training in Children with Spastic Cerebral Palsy
Published on: August 9, 2024
