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Validation of the CDAT in the Polish Paediatric Population

NCT07142148 — Not yet recruiting, 20 participants, Medical University of Warsaw

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Validation of the Celiac Dietary Adherence Test in the Polish Paediatric Population

RegistryNCT07142148, acronym CD-PL-CDAT
StatusNot yet recruiting
Study typeObservational
Enrollment20 (Estimated)
SponsorMedical University of Warsaw (Other)
ConditionsCoeliac Disease, Celiac Disease in Children
InterventionsCDAT - phase 1, CDAT - phase 2 (Diagnostic test, other)
Datesstart 2026-09-01 (estimated), primary completion 2027-06-01 (estimated), completion 2027-08-01 (estimated), first posted 2025-08-26, last updated 2025-09-03

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-Summary

The English version of the Celiac Dietary Adherence Test (CDAT) will be translated into Polish using the "forward-backwards-forward" translation model, with the author's consent (already obtained by the applicants).

The Polish translation will be performed by two native bilingual speakers of Polish and English. Both translations will be compared and standardised. The Polish version will then be translated into English by two native bilingual speakers of English who are unfamiliar with the original English version. The translation and original will be compared to clarify discrepancies and ensure conceptual equivalence between the versions. The agreed-upon translation will be culturally adapted, if necessary. The items will be reviewed by five experts, and an I-CVI of at least 0.78 will be considered satisfactory content validity.

In the next step, 10 coeliac disease (CD) patients aged 10 years and older and 10 caregivers/parents of CD patients under 10 years of age will be asked to rate the clarity of each statement on a Likert scale \[1 = unclear to 5 = very clear\]. Questions with a mean score <4.0 will be rephrased and re-evaluated.

Internal consistency analysis using Cronbach's alpha and the mean inter-item correlation (AIC) will be used to assess reliability. Convergent validity will be assessed by comparing scale scores with serological marker levels. Confirmatory factor analysis (CFA) will be conducted, taking into account the SRMR fit index.

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+Arms and interventions

  • CDAT - phase 1 (Diagnostic test): The English version of the Celiac Dietary Adherence Test (CDAT) will be translated into Polish using the "forward-backwards-forward" translation model, with the author's consent (already obtained by the applicants). The Polish translation will be performed by two native bilingual speakers of Polish and English. Both translations will be compared and standardised. The Polish version will then be translated into English by two native bilingual speakers of English who are unfamiliar with the original English version. The translation and original will be compared to clarify discrepancies and ensure conceptual equivalence between the versions. The agreed-upon translation will be culturally adapted, if necessary. The items will be reviewed by five experts, and an I-CVI of at least 0.78 will be considered satisfactory content validity.
  • CDAT - phase 2 (Other): In the next step, 10 coeliac disease (CD) patients aged 10 years and older and 10 caregivers/parents of CD patients under 10 years of age will be asked to rate the clarity of each statement on a Likert scale \[1 = unclear to 5 = very clear\]. Questions with a mean score <4.0 will be rephrased and re-evaluated. Internal consistency analysis using Cronbach's alpha and the mean inter-item correlation (AIC) will be used to assess reliability. Convergent validity will be assessed by comparing scale scores with serological marker levels. Confirmatory factor analysis (CFA) will be conducted, taking into account the SRMR fit index.

+Outcome measures

Primary outcomes

  • Validation of Celiac Dietary Adherence Test (CDAT) in the Polish paediatric population. [September 2025 - June 2027]: The Celiac Dietary Adherence Test (CDAT) questionnaire will be validated in the Polish paediatric population.

+Eligibility

Sex: All, ages: 2 Years to 18 Years

Inclusion Criteria:

* diagnosis of coeliac disease (CD) according to the European Society of Pediatric Gastroenterology and Nutrition (ESPGHAN) criteria,
* age from 2 to 18 years of age,
* consent from legal guardians (and the child in case of patients ≥16 years of age) to participate in the study.

Exclusion Criteria:

* whose legal guardians did not consent to participate in the study,
* who did not consent to participate in the study (applies to patients ≥ 16 years of age).

My Notes