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 · 5 authors, 2 centres

AI SUMMARY

FIDELITY 100%

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AGENT 01 · STRUCTURED SUMMARY

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TL;DR

This qualitative study used cognitive interviews with parents to review and refine survey items for two new questionnaires measuring physical activity, screen time, and sleep in children aged 0–5 years. The central finding was that while general item comprehension was high, interviews revealed potential response errors, such as equating all outdoor time with active play, leading to specific item revisions.

Full summary

939 CHARS

The study employed an iterative qualitative design using cognitive interviews and think-aloud techniques with 20 parents over four rounds to refine the MBQ-B and MBQ-C questionnaires. The primary goals were to assess item clarity, understand parental response processes, and identify sources of response error. Key findings showed parents relied on family routines for estimation but misinterpreted provided examples literally, equating outdoor time with active play. To address this, general items were decomposed into more specific questions with examples, a modification well-received by participants. The study also highlighted the need to differentiate between weekday and weekend behaviours. Limitations include a sample with higher-than-average tertiary education, which may affect generalizability to populations with lower literacy or English proficiency. The refined questionnaires are intended for subsequent validation studies.

STUDY TYPE

other

SPECIALTY

pediatrics

SUMMARISED BY

AI pipeline

FIDELITY CHECK

100% · A

ORIGINAL PAPER

PMC10529515

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

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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.

CITATION EXPORT

Rebecca Byrne, Caroline O. Terranova, Li Kheng Chai et al.. 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. (2023). https://doi.org/10.3390/children10091554

AUTHORS

5 · 2 CENTRES

Rebecca Byrne, Caroline O. Terranova, Li Kheng Chai, Denise S. K. Brookes, Stewart G. Trost

1School of Exercise and Nutrition Sciences, Faculty of Health, Queensland University of Technology, Centre for Children’s Health Research, Graham St., Brisbane 4001, Australia; [email protected] (R.B.); [email protected] (C.O.T.); [email protected] (L.K.C.); [email protected] (D.S.K.B.)
2School of Human Movement and Nutrition Sciences, The University of Queensland, Brisbane 4072, Australia

EDITOR / REVIEWER

Piero Pavone