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June 19, 2026Sage Open Pediatrics0 citations

Development and Content Validation of the ACFP-DP: A Questionnaire on Parental Attitudes, Beliefs, and Knowledge About Pediatric Pain

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APAbel Checa PeñalverIGInmaculada García-ValdiviesoJPJuan Manuel Pérez-Pozuelo

Key Points

  • The aim is to develop and validate a questionnaire assessing parental attitudes, beliefs, and knowledge regarding pediatric pain.
  • Conducted a cross-sectional study with 41 parents and guardians of hospitalized children.
  • Appraised an initial item pool by 7 out of 20 invited experts for clarity, pertinence, and relevance.
  • Calculated content validity indices including mean I-CVI, S-CVI/Ave, and modified kappa coefficients.
  • Mean I-CVI was 0.89 (ranging from 0.71 to 1.00), indicating high item clarity.
  • S-CVI/Ave values were 0.878 for clarity, 0.905 for pertinence, and 0.899 for relevance.
  • 94.9% of participants reported overall comprehensibility of the questionnaire.

Abstract

ACFP-DP was developed to assess parental attitudes, beliefs, and knowledge about pediatric pain. In this methodological cross-sectional study, an initial item pool was appraised by 7 of 20 invited experts and pilot-tested in 41 parents and guardians of hospitalized children. Experts rated clarity, pertinence, and relevance; I-CVI, S-CVI/Ave, and modified kappa coefficients were calculated. Mean I-CVI was 0.89 (range, 0.71-1.00), S-CVI/Ave values were 0.878 for clarity, 0.905 for pertinence, and 0.899 for relevance, and modified kappa ranged from 0.66 to 1.00. Overall self-reported comprehensibility was 94.9%. These findings provide preliminary evidence of content validity and high pilot comprehensibility, but not full psychometric validation. Further studies should assess reliability, structural validity, construct validity, and score interpretation before broader use.

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Cite This Study

Peñalver et al. (2026) studied this question.

synapsesocial.com/papers/6a34dd1d65a5b0777af2cf58https://doi.org/10.1177/30502225261456563
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