Table 4.
Problems and solutions that were identified in cognitive interviews.
| First Version | Problem | Revised Version |
|---|---|---|
| Demographic Questions | ||
| This section is about your child personal information | Difficulty comprehending the term “personal” | This section of the survey is about your child |
| Less or equal than 24 years old | Unusual sentence in the Brazilian context | Up to 24 years old |
| Employed full-time | Difficulty comprehending the term “full-time” | Employed full-time-full day |
| What was the income range of the child’s family in the last month? | The word “child’s” were reported to be unnecessary | What was the income range of the family in the last month? |
| How many people live with you? (including the child) | Unsure whether to count self in the total | How many people live in your house? (including you) |
| Response options regarding parents’ educational level and employment status were added. | An additional two possible responses were suggested by parents. | Options of post-graduation and retired were added. |
| Parenting practices questions | ||
| About your interactions with your child | Difficulty comprehending what the sub-heading were about | About your interactions with your child in relation to physical activity and screen time |
| You can’t go outside to play until you eat your peas | Brazilian parents use another type of food, or total amount eaten as a bribe |
You can’t go outside to play until you eat your lunch |
| Please read each of the following statements and then place an “X” in the box that best describes how much you agree or disagree with that statement | The term “Please read each of the following statements” were reported to be unnecessary | Place an “X” in the box below that best represents how much you agree or disagree with each of the following statements |
| For the following items, place an “X” in the box that best represents how often each of the following things happen during a typical week | The term “For the following items” were reported to be unnecessary; Difficulty understanding what a typical week was | Place an “X” in the box below that best represents how often each of the following things happen during a normal week |
| About how much time is s(he) child allowed to watch/play videogames/each weekday/weekend day? | Difficulty comprehending the term “s(he)” | About how much time is your child allowed to watch/play videogames/each weekday/weekend day? |
| If you don’t stop that you will not be able to go to Karate | Karate is not a common sport in the Brazilian context | If you don’t stop that you will not be able to go to soccer/dance class this afternoon |
| Ice skating as an example | Ice skating cannot be performed in Brazil | Playing soccer/volleyball |
| How much do you use your own behavior to encourage your child to be active? | Difficulty comprehending the term “how much” | How often do you use your own behavior to encourage your child to be physically active? |
| How active are you in enrolling your child in sports? | Difficulty comprehending the term “how active” | How often do you enroll your child in sports? |
| I go out of my way to enroll my child in sports | Difficulty comprehending the term “I go out of my way” | I always enroll my child in sports |
| During the last month, how many times have you taken your child to play at a park? | Park is not an existing common place in rural areas of Brazil | During the last month, how many times have you taken your child to play at a park, playground, or other leisure area of the region? |
| Others adults in my child’s life make it hard to enforce household rules about TV viewing | Difficulty comprehending the sentence | Others adults who have contact with my child make it hard to enforce household rules about how much time she/he is allowed to watch TV |
| Do you tell your child how sedentary habits can be unhealthy? | Difficulty comprehending the term “sedentary” and “unhealthy” | Do you tell your child how sedentary habits (for example, sitting for a long time) can be harmful to health? |
| Do you send your child outside to play so you can get things done around the house? | Difficulty comprehending the term “get things done around the house” | Do you send your child outside to play so you can do household chores in your home? |
| Does your behavior encourage your child to be sedentary? | Difficulty comprehending the term “sedentary” | Does your behavior encourage your child to be sedentary (for example, watching TV for a long time)? |
| Does your child hear you say that you were too tired to be active? | Difficulty comprehending the term “to be active” | Does your child hear you say that you were too tired to do physical activities? |
| Do you say things to encourage your child to spend less time being sedentary? | Difficulty comprehending the term “sedentary” | Do you say things to encourage your child to spend less time being sedentary? (for example, stop watching and go play) |
| How important is it for your child…? | Difficulty comprehending the context of the question | How important is it for you that your child…? |
| During weeknights for the past month, how often did your child… go to bed at the same time (within 10 min)? | Parents were unsure of what the term “within 10 minutes” referred about | During weeknights for the past month, how often did your child… go to bed at the same time (within 10 min of the scheduled time)? |
| During weeknights (Sunday through Thursday nights only) for the past month | Difficulty comprehending the meaning of “Sunday through Thursday nights only” | During weeknights for the past month |
| During weeknights (Friday and Saturday nights) for the past month | Difficulty comprehending the meaning of “Friday and Saturday nights” | During weekend nights for the past month |
| Hug/kiss caregiver? | Difficulty comprehending the differences between “Hug/kiss caregiver” and “Cuddle with caregiver” | Hug/kiss caregiver (for example, a goodnight kiss)? |
| Cuddle with caregiver? | Difficulty comprehending the term “cuddle” | Cuddle with caregiver (for example, the child sat on the lap of the caregiver and was hugged by him/her)? |
| Response categories with “constantly” and “anytime” | Difficulty comprehending “constantly” and “anytime” | Replaced by “always” |
| Response category with “occasionally” | Difficulty comprehending the term “occasionally’ | Replaced by “sometimes” |
| The word “events” | The word “events” was viewed as ambiguous | Replaced by “activities” or “actions” |
| Movement behaviors questions | ||
| A typical or usual weekday/weekend day | Difficulty understanding typical or a usual weekday and weekend day | A normal weekday/weekend day/week |
| Time spent on watching TV and DVDs or videos were reported separately | Difficulty reporting time spent on watching TV and watching DVDs or videos | Time spent on watching TV and DVDs or videos were combined |
| The following questions ask about your child’s sleep routine over the last 2 weeks | Difficulties having different recall periods across the survey | The following questions are related to your child’s sleep routines over the last month |