The questionnaire design process in the European Human Biomonitoring Initiative (HBM4EU).

Environ Int

Andalusian School of Public Health (EASP), Spain; Instituto de Investigación Biosanitaria, ibs.GRANADA. Granada, Spain; CIBER of Epidemiology and Public Health (CIBERESP), Spain; Andalusian Health and Environment Observatory (OSMAN), Granada, Spain. Electronic address:

Published: February 2022

AI Article Synopsis

  • A multidisciplinary team created standardized questionnaires for HBM4EU to improve data collection in studies assessing human exposure to chemicals.
  • Researchers systematically reviewed previous questionnaires and developed evaluation tools to ensure high quality in their new questionnaires.
  • The process highlighted the challenges faced and emphasized the need for careful planning to enhance the reliability of information collected in epidemiological studies.

Article Abstract

Background: Designing questionnaires is a key point of epidemiological studies assessing human exposure to chemicals. The lack of validated questionnaires can lead to the use of previously developed and sub-optimally adapted questionnaires, which may result in information biases that affect the study's validity. On this ground, a multidisciplinary group of researchers developed a series of tools to support data collection within the HBM4EU initiative. The objective of this paper is to share the process of developing HBM4EU questionnaires, as well as to provide researchers with harmonized procedures that could help them to design future questionnaires to assess environmental exposures.

Methods: In the frame of the work package on survey design and fieldwork of the HBM4EU, researchers carried out procedures necessary for the development of quality questionnaires and related data collection tools. These procedures consisted of a systematic search to identify questionnaires used in previous human biomonitoring (HBM) studies, as well as the development of a checklist and evaluation sheet to assess the questionnaires identified. The results of these evaluations were taken into consideration for the development of the final questionnaires.

Results: The main points covered by each of the sections included in HBM4EU questionnaires are described and discussed in detail. Additional tools developed for data collection in the HBM4EU (e.g. non-responder questionnaire, satisfaction questionnaire, matrix-specific questionnaire) are also addressed. Special attention is paid to the limitations faced and hurdles overcome during the process of questionnaire development.

Conclusions: Designing questionnaires for use in HBM studies requires substantial effort by a multidisciplinary team to guarantee that the quality of the information collected meets the study's objectives. The process of questionnaire development described herein will contribute to improve the harmonization of HBM studies within the social and environmental context of the EU countries.

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http://dx.doi.org/10.1016/j.envint.2021.107071DOI Listing

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