• Francisco José Moreno-Martínez, María Ruzafa-Martínez, Antonio Jesús Ramos-Morcillo, Carmen Isabel Gómez García, and Ana María Hernández-Susarte.
• Centro para Personas con Discapacidad El Palmar, El Palmar, Murcia, Instituto Murciano de Acción Social (IMAS), España. Electronic address: frandocfisio@hotmail.com.
• Aten Primaria. 2015 Aug 1; 47 (7): 419-27.

ObjectiveTo develop and validate a questionnaire on the integral assessment of the habits and knowledge in personal hygiene in children between 7 to 12 years old in the educational, social and health environment.DesignCross-sectional study for the validation of a questionnaire.LocationOne primary and secondary school and one children's home in the Region of Murcia, Spain.ParticipantsA total of 86 children were included (80 from a primary and secondary school; 6 from a children's home), as well as 7 experts.Main MeasurementsContent validation by experts; qualitative assessment; identify difficulties related to some questions, item response analysis, and test-retest reliability.ResultsAfter the literature search, 20 tools that included items related to child body hygiene were obtained. The researchers selected 34 items and drafted 48 additional ones. After content validity by the experts, the questionnaire (HICORIN®) was reduced to 63 items, and consisted of 7 dimensions of child personal hygiene (skin, hair, hands, oral, feet, ears, and intimate hygiene). After with the children some terms were adapted to improve their understanding. Only two items had non-response rates that exceeded 10%. The test-retest showed that 84.1% of the items had between very good and moderate reliability.ConclusionsHICORIN® is a reliable and valid instrument that integrally assesses the habits and knowledge in personal hygiene in children between 7-12 years old. It is applicable in educative and social and health environments and in children from different socioeconomic levels.Copyright © 2014 Elsevier España, S.L.U. All rights reserved.

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