To verify the performance of the Net Promoter Score (NPS) as a tool to assess parental satisfaction in pediatric intensive care units (PICUs). The authors conducted an observational cross-sectional multicenter study in the PICUs of 5 hospitals in Brazil. Eligible participants were all parents or legal guardians of PICU-admitted children, aged 18 years or over. The NPS was administered together with the EMpowerment of PArents in THe Intensive Care (EMPATHIC-30), used as the gold standard, and a sociodemographic questionnaire. For analysis, the results were dichotomized into values greater than or equal to the median of the tests. The associations between the 2 tools were evaluated and the distribution of their results was compared. The parents or legal guardians of 78 PICU-admitted children were interviewed. Of the respondents, 85% were women and 62% were in a private hospital. The median NPS was 10 (IQR, 10-10), and the median EMPATHIC-30 score was 5.7 (IQR, 5.4-5.9). Compared with the gold standard, the NPS had a sensitivity of 100% at all cutoff points, except at cutoff 10, where the sensitivity was slightly lower (97.5%). As for specificity, NPS performance was poorer, with values ranging from 0% (NPS ≥ 5) to 47.4% (NPS = 10). NPS proved to be a sensitive tool to assess parental satisfaction, but with poor ability to identify dissatisfied users in the sample.

Background: Eating behavior is influenced by intrinsic and extrinsic factors from early infancy, shaping an individual’s relationship with food. Tools such as the Children’s Eating Behaviour Questionnaire (CEBQ) were designed to evaluate these patterns in children and facilitate the early identification of potential issues. Objective: The objective of this study is to validate the CEBQ for use in Brazilian children and adolescents. Methods: Parents/caregivers of students from public and private schools in southern Brazil completed the CEBQ. Anthropometric measurements of students’ weight and height were also taken. Psychometric properties were assessed by internal consistency (Cronbach’s alpha), construct validity (exploratory factor analysis), and criterion validity (correlation between CEBQ scores and participants’ body mass index-for-age categories). Results: A total of 205 participants aged 3 to 13 and their caregivers participated in this study. Exploratory factor analysis resulted in a five-factor questionnaire and a reduction of four items. All remaining items had a factor loading > 0.3. Cronbach’s alpha values were satisfactory, with values ≥ 0.7 in all factors, supporting the instrument’s internal consistency. The findings also showed significant associations between CEBQ scales and participants’ BMI for age. Conclusions: The findings of this study provide evidence that the CEBQ is a valid tool for assessing eating behavior in Brazilian children and adolescents.

Objetivo: tradução, adaptação transcultural e validade de conteúdo do Children’s Eating Behaviour Questionnaire (CEBQ) para o português brasileiro.Métodos: o processo de tradução e adaptação do instrumento do inglês para o português do Brasil foi conduzido através de recomendações da literatura em seis etapas: tradução, síntese das traduções, retrotradução, síntese ii, pré-teste e devolutiva da versão final. A validade de conteúdo foi avaliada através do índice de validade de conteúdo (IVC).Resultados: o questionário pré-teste foi submetido à avaliação da população-alvo e revelou uma taxa de clareza dos itens superior a 80%. O IVC do questionário final obteve uma pontuação de 0,98, conforme avaliação realizada pelo painel de juízes. Entre as 35 questões do instrumento, foi possível identificar uma concordância máxima em relação à sua relevância por parte do comitê de especialistas em 31 dessas questões.Conclusão: por meio da tradução e adaptação transcultural do CEBQ para crianças e adolescentes brasileiros, além da validação de conteúdo do instrumento, foi possível adequá-lo de forma mais precisa à realidade da população, sem comprometer o seu propósito original.

Background: Childhood obesity is a persistent global health challenge, often rooted in early-life dietary patterns shaped within the home environment. Objective: To investigate the association between parents’ culinary skills, children’s eating behavior, and the degree of child involvement in family culinary practices. Methods: A cross-sectional, analytical study. In the public and private schools in southern Brazil. A total of 205 families with children aged 3 to 13 years participated. Parents or caregivers answered a structured questionnaire on culinary skills and sociodemographic variables. Children’s eating behavior was assessed through the validated Brazilian version of the Children’s Eating Behaviour Questionnaire (CEBQ). Student’s T test was used to compare means, and Pearson’s chi-square or Fisher’s exact test to compare proportions. Multivariate linear regression was applied to control for potential confounders. Analyses were conducted using SPSS version 27.0 and R software. Results: Most parents (90.7%) reported cooking regularly, and 65.9% involved children in cooking activities. The predominant culinary profile (40%) was classified as “convenience cooking,” marked by frequent use of processed ingredients. Healthier parental cooking practices were positively associated with adaptive eating behaviors in children, reflected by lower food fussiness, satiety responsiveness, food responsiveness and food refusal scores and higher enjoyment of food scores domains of the CEBQ. Conclusions: Despite the high prevalence of routine cooking, convenience-oriented practices remain dominant, reflecting broader sociocultural patterns. Engagement in healthier cooking practices was positively associated with more favorable eating behaviors in children. These findings underscore the importance of promoting culinary education and parental involvement in cooking as strategies to support healthy childhood eating behaviors.