International journal of adolescent medicine and health · 2026
Cross-cultural adaptation and preliminary validation of the adolescent obesity environmental questionnaire (AOEQ) in LMICs: family, school, and peer contexts.
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Erlena Erlena, Nurjannah Intansari, Achadiono Deddy Nurwachid, Wibawa Tri
Аннотация
OBJECTIVES: Although adolescent obesity is a growing concern in low- and middle-income countries (LMICs), culturally adapted tools to assess environmental risk factors are limited. This study developed and conducted a preliminary validation of the Adolescent Obesity Environmental Questionnaire (AOEQ), with a design intended to be relevant for LMIC contexts.
METHODS: Items were generated via literature review, adaptation of existing tools, and focus group discussions. Forward-backward translation and expert panel review ensured content validity. Five experts rated items using Content Validity Index (CVI), and face validity was evaluated with adolescents (FVI).
RESULTS: The preliminary AOEQ included 40 items across three domains: family (27), school (6), and peer (7). Expert review showed high content validity (S-CVI/Ave=0.90; I-CVI 0.83-1.00). Face validity confirmed clarity and cultural appropriateness (S-FVI/Ave=0.94). Internal consistency was high (Cronbach's α=0.813-0.948).
CONCLUSIONS: The AOEQ is a reliable, culturally valid tool for assessing obesogenic environments among Indonesian adolescents, with potential applicability to other adolescents in LMIC settings.
METHODS: Items were generated via literature review, adaptation of existing tools, and focus group discussions. Forward-backward translation and expert panel review ensured content validity. Five experts rated items using Content Validity Index (CVI), and face validity was evaluated with adolescents (FVI).
RESULTS: The preliminary AOEQ included 40 items across three domains: family (27), school (6), and peer (7). Expert review showed high content validity (S-CVI/Ave=0.90; I-CVI 0.83-1.00). Face validity confirmed clarity and cultural appropriateness (S-FVI/Ave=0.94). Internal consistency was high (Cronbach's α=0.813-0.948).
CONCLUSIONS: The AOEQ is a reliable, culturally valid tool for assessing obesogenic environments among Indonesian adolescents, with potential applicability to other adolescents in LMIC settings.