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The content validity of the CHANT’s French translation and cultural adaptation: a modified e-Delphi study
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Background/Objectives: Climate change is a major global health challenge with direct implications for public health. As frontline health professionals and agents of change, nurses must develop competencies to address climate-related health issues and imple-ment sustainable practices. This study aimed to translate and culturally adapt the Climate, Health, and Nursing Tool (CHANT) into French and to assess its content validity using item-level (I-CVI) and scale-level (S-CVI) indices. The CHANT evaluates nurses’ awareness, motivations, concerns, and self-reported behaviours related to climate change. A secondary objective was to examine potential associations between experts’ socio-demographic and professional characteristics and their CVI ratings. Methods: A de-scriptive international study using a three-round modified e-Delphi approach was conducted between January and June 2025 in French-speaking regions of Switzerland, France, and Belgium. A multidisciplinary panel of experts in nursing, planetary health, and environmental sciences evaluated the relevance, clarity, and comprehensiveness of each item and response option, enabling iterative refinement. Results: Fifty-seven experts assessed the 12-item CHANT across three rounds. In Round 1, I-CVI ranged from 0.79 to 1.0 and S-CVI reached 0.935, with full consensus. In Round 2, I-CVI ranged from 0.71 to 1.0 and S-CVI was 0.91 (92% consensus), with one item not meeting the predefined threshold. In Round 3, I-CVI ranged from 0.82 to 1.0 and S-CVI returned to 0.935, confirming con-sensus. Cognitive debriefing further supported content validity. Conclusions: The val-idated French CHANT provides a robust tool to assess and support the development of climate-related competencies and eco-literacy in nursing education and practice.
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Palavras-chave
Eco-literacy Eco-responsibility Eco-centricity Nursing sciences Climate change Psychometric validity Content validity index e-Delphi survey CHANT
Contexto Educativo
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Editora
Preprints.org