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The content validity of the CHANT’s French translation and cultural adaptation: a modified e-Delphi study

datacite.subject.sdg13:Ação Climática
dc.contributor.authorSantos, Omar Portela dos
dc.contributor.authorHepcée, Fanny de
dc.contributor.authorAlves, Paulo Jorge Pereira
dc.contributor.authorVerloo, Henk
dc.date.accessioned2026-07-28T15:30:48Z
dc.date.available2026-07-28T15:30:48Z
dc.date.issued2026-06-16
dc.description.abstractBackground/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.eng
dc.identifier.doi10.20944/preprints202606.1207.v1
dc.identifier.other8151b88f-409e-44be-b131-4100750804f9
dc.identifier.urihttp://hdl.handle.net/10400.14/58861
dc.language.isoeng
dc.publisherPreprints.org
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectEco-literacyeng
dc.subjectEco-responsibilityeng
dc.subjectEco-centricityeng
dc.subjectNursing scienceseng
dc.subjectClimate changeeng
dc.subjectPsychometric validityeng
dc.subjectContent validity indexeng
dc.subjecte-Delphi surveyeng
dc.subjectCHANTeng
dc.titleThe content validity of the CHANT’s French translation and cultural adaptation: a modified e-Delphi study
dc.typepreprint
dspace.entity.typePublication
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85

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