Evidence map›Paper›PMID 41437015›Full record

ArticleBMC public health2025

Development and content validation of a questionnaire of activities in health promotion for primary and secondary education: PromoACTIVA-CE.

Isabel Antón-Solanas, Marta Callén-Galindo, Fernando Urcola-Pardo, Olga López-Dicastillo, Agurtzane Mujika, Naia Hernantes, Eva Benito-Ruiz, Edurne Zabaleta-Del-Olmo, Dolors Juvinyá-Canal, María Jesús Pumar-Méndez

Abstract readValidation Study
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

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3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

10 authors.

Isabel Antón-SolanasDepartment of Physiatry and Nursing, Faculty of Health Sciences, University of Zaragoza, C/Domingo Miral s/n, Zaragoza, 50009, Spain. ianton@unizar.es.
Marta Callén-GalindoDepartment of Physiatry and Nursing, Faculty of Health Sciences, University of Zaragoza, C/Domingo Miral s/n, Zaragoza, 50009, Spain.
Fernando Urcola-PardoDepartment of Physiatry and Nursing, Faculty of Health Sciences, University of Zaragoza, C/Domingo Miral s/n, Zaragoza, 50009, Spain.
Olga López-DicastilloDepartment of Health Sciences, Public University of Navarra, Pamplona, 31008, Spain.
Agurtzane MujikaSILO Research Group, Nursing II Department, Faculty of Medicine and Nursing, UPV/EHU, Paseo Dr. Beguiristain 105, Donostia, 20014, Spain.
Naia HernantesSILO Research Group, Nursing II Department, Faculty of Medicine and Nursing, UPV/EHU, Paseo Dr. Beguiristain 105, Donostia, 20014, Spain.
Eva Benito-RuizDepartment of Physiatry and Nursing, Faculty of Health Sciences, University of Zaragoza, C/Domingo Miral s/n, Zaragoza, 50009, Spain.
Edurne Zabaleta-Del-OlmoFundació Institut Universitari per a la recerca a l'Atenció Primària de Salut Jordi Gol i Gurina (IDIAPJGol), Barcelona, 08007, Spain.
Dolors Juvinyá-CanalNursing Department, Faculty of Nursing, Universitat de Girona, Girona, Spain.
María Jesús Pumar-MéndezDepartment of Health Sciences, Public University of Navarra, Pamplona, 31008, Spain.

Funding

Instituto de Salud Carlos III PI21/01449
6 · The paper itself

Abstract

backgroundThis study aimed to develop, refine, and assess content validity of the PromoACTIVA-CE questionnaire, designed to assess health promotion activities in primary and secondary education. The tool addresses the need for a culturally and contextually relevant instrument to systematically evaluate and support health promotion initiatives in schools.

methodsQuestionnaire development followed a five-phase process that included the following phases: (1) conceptualization; (2) item generation, structure and format; (3) content validation; (4) comprehensibility and semantic fit testing; and (5) pilot testing.

resultsThe PromoACTIVA-CE questionnaire was successfully developed and validated, resulting in a reliable tool with 37 items classified into eight health promotion action areas. Minor floor effects were observed, but no ceiling effects were detected.

conclusionsThe PromoACTIVA-CE questionnaire is a valid and reliable tool for assessing health promotion activities in primary and secondary schools. Its development leveraged existing evidence-based practices while ensuring cultural and contextual relevance. The tool facilitates systematic assessment and operationalization of health promotion activities, contributing to the sustainability and effectiveness of health promotion initiatives in educational settings. Future research should explore the questionnaire's sensitivity to changes over time and its applicability in diverse school contexts.

Indexed as

Health PromotionSchool Health ServicesSchoolsAdolescentFemaleHumansMaleReproducibility of ResultsSurveys and QuestionnairesHealth promotionPrimary schoolSchool healthSecondary school

Identifiers

PMID41437015
PMCPMC12836971

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.