“…To overcome the limitations of a young child's ability to express thoughts and respond to questions, the ECOHIS focuses on perception of parents or main caregivers. It has been translated into several languages and crossculturally adapted in many countries worldwide: France, China (Hong Kong), Turkey, Brazil, Venezuela, Lithuania, Iran, Malaysia, Saudi Arabia, Chile, Germany and Madagascar [12][13][14][15][16][17][18][19][20][21][22][23][24]. It has a high degree of reliability and validity [12][13][14][15][16][17][18][19][20][21][22][23][24].…”