Tradução e adaptação transcultural do Children's Eating Behaviour Questionnaire (CEBQ) para o Brasil / Translation and cross-cultural adaptation of the Children's Eating Behavior Questionnaire (CEBQ) for Brazil

Objetivo: tradução, adaptação transcultural e validade de conteúdo do Children's Eating Behaviour Questionnaire (CEBQ) para o português brasileiro.Métodos: o processo de tradução e adaptação do instrumento do inglês para o português do Brasil foi conduzido através de recomendações da literatura em seis etapas: tradução, síntese das traduções, retrotradução, síntese ii, pré-teste e devolutiva da versão final. A validade de conteúdo foi avaliada através do índice de validade de conteúdo (IVC). Resultados: o questionário pré-teste foi submetido à avaliação da população-alvo e revelou uma taxa de clareza dos itens superior a 80%. O IVC do questionário final obteve uma pontuação de 0,98, conforme avaliação realizada pelo painel de juízes. Entre as 35 questões do instrumento, foi possível identificar uma concordância máxima em relação à sua relevância por parte do comitê de especialistas em 31 dessas questões.Conclusão: por meio da tradução e adaptação transcultural do CEBQ para crianças e adolescentes brasileiros, além da validação de conteúdo do instrumento, foi possível adequá-lo de forma mais precisa à realidade da população, sem comprometer o seu propósito original.Palavras-chave: nutrição comportamental, nutrição infantil, processos de tradução

Objective: translation, cross-cultural adaptation, and content validity of the Children's Eating Behaviour Questionnaire (CEBQ) into Brazilian Portuguese. Methods: the process of translating and adapting the instrument from English to Brazilian Portuguese was conducted following recommendations from the literature in six steps: Translation, Synthesis of translations, Back-translation, Synthesis II, Pre-testing, and feedback of the final version. Content validity was assessed using the Content Validity Index (CVI). Results: the pre-test questionnaire was evaluated by the target population and revealed an item clarity rate exceeding 80%. The CVI of the final questionnaire obtained a score of 0.98, as assessed by the panel of judges. Among the 35 ins-trument questions, maximum agreement regarding their relevance was identified by the committee of experts in 31 of these questions.Conclusion: through the translation, cross-cultural adaptation of the CEBQ for Brazilian children and adolescents, along with the content validation of the instrument, it was possible to adjust it more accurately to the reality of the population without compromising its original purpose

Prevalence and factors associated with no intention to exclusively breastfeed for the first 6 months of life

Abstract Objective: To investigate the prevalence and factors associated with no intention to exclusively breastfeed for the first 6 months of life in a sample of women in the first 24 h postpartum during the hospital stay. Methods: Cross-sectional study with data from screening phase of a birth cohort. The proportion of mothers who did not intend to breastfeed exclusively for 6 months (primary outcome) derived from a negative response to the question "Would you be willing to try to breastfeed exclusively for the first 6 months?", in an interview conducted by previously trained interviewers. Crude and adjusted prevalence ratios (PR) with 95% confidence intervals were obtained by Poisson regression with robust variance. Results: A total of 2964 postpartum women were interviewed. The overall prevalence of mothers who did not intend to breastfeed exclusively for 6 months was 17.8% (16.4-19.1%). After adjusting for maternal age and type of pregnancy (singleton or multiple), no intention to exclusively breastfeed was higher in mothers with a monthly household income < 3 minimum wages (PR, 1.64; 1.35-1.98) and in those who intended to smoke 4-7 days/week after delivery (PR, 1.42; 1.11-1.83). The presence of significant newborn morbidity (PR, 0.32; 0.19-0.54) and intention to breastfeed up to 12 months (PR, 0.46; 0.38-0.55) had a protective effect against not intending to breastfeed exclusively for 6 months. Conclusions: Approximately 1 in every 5 mothers did not intend to breastfeed exclusively for 6 months. Strategies aimed at promoting exclusive breastfeeding should focus attention on mothers from lower economic strata and smokers.