RNOtherJournal of family nursing2025

Cross-Cultural Adaptation and Psychometric Testing of the Portuguese Version of the Iceland-Family Illness Beliefs Questionnaire.

Sara Lemos, Luísa Andrade, Lígia Lima and 3 others

PMID 38284366

WHAT IT FOUND

A Portuguese questionnaire for parents of children with chronic illness was acceptable and consistent over time.

It can help nurses ask families about beliefs that shape coping.

Key findings

01The Portuguese ICE-FIBQ was tested with 237 parents or caregivers of children and adolescents with chronic conditions.

02The questionnaire showed consistency of 0.74 and stability of 0.71, both rated satisfactory.

03The seven-item single-factor structure was supported, but a fit index was worse than expected.

STILL TO COME

How it was doneWhat they foundWhat it means for RNs

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What it does not show

Only 237 of 507 invited parents completed all items, so families who did not participate may differ. The sample included many different chronic conditions, so results may not apply to a specific illness. Only 34 participants repeated the questionnaire, so the stability evidence is limited. The RMSEA upper limit exceeded the recommended value, so model fit was not uniformly strong. The authors note that advanced family nursing practice is not common in Portuguese pediatric settings, so real-world use may differ. The study tested a questionnaire, not whether asking families about illness beliefs changes care or outcomes.

Declared interests

The authors declared no potential conflicts of interest. An author was supported by a grant from the Foundation for Science and Technology, grant number UI/BD/151515/2021.

The easy way to misread this

Do not read this as evidence that using the questionnaire improves family health or that parents' illness beliefs cause suffering. The study tested whether a measurement tool worked in Portuguese parents; it did not test an intervention or patient outcome.

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