Validation of the CAN-WISE (Canadian Wound Program Information, Services, and Evaluation) Questionnaire.

Determinants of health-seeking behavior among people living with HIV (PLHIV) are important. This study aims to develop and assess the content validity of an instrument that measures health-seeking behavior for tuberculosis among PLHIV in India. An instrument was developed using deductive methods and the Modified Andersen’s Behavioral Model of Health Services (BMHS). We identified three domains using the BMHS. Ten subject experts validated the tool between June 2022 and August 2022. Lawshe’s Content Validity Ratios (CVRs) and Scale Content Validity Indices (CVIs) were computed. The items with CVR and CVI values ≥0.62 were considered for the final tool. The health-seeking behavior among PLHIV, based on the BMHS, identified knowledge regarding TB (domain 1), healthcare accessibility and factors leading to delay in treatment-seeking behavior (domain 2), and client satisfaction regarding diagnostic and treatment-seeking behavior (domain 3). Content Validity Ratios (CVRs) of all the items related to domains 1 and 2 were ≥0.62. The Scale Content Validity Indices (for relevance), i.e., S-CVI (average) and S-CVI (proportional relevance), were ≥0.62 for all domains. The items with CVR and CVI values ≥0.62 in the domains were accepted in the final tool, which contained 69 items.

Teachers' mental health literacy will impact the mental health of the teacher and student community. Assessing teachers' mental health literacy requires a toolkit developed specifically for them. This study aimed to adapt and evaluate the content validity of the toolkit developed by Jorm for Vietnamese teachers. Expert panel method with a nondirective approach. The toolkit was assessed for content validity according to the expert panel method with a nondirective approach: A content validation form was sent to six experts, and clear instructions were provided; rate each item on a Likert scale ranging from 1 to 4 based on its severity relevance, and assign a score from 1 to 3 indicating its necessity. The relevance assessment was conducted using the content validity index (CVI), content validity index for items (I-CVI), and content validity index for scales (S-CVI), assessing the necessity of each item by the content validity ratio (CVR). The score for I-CVI ≥ 0.83; S-CVI/Ave = 0.98; S-CVI/UA = 0.89. The score for CVR of 29 items out of 103 was marked as not essential, 21 items were eliminated, and two items were adjusted and replaced. From the initial toolkit with 103 items, throughout the content validation, only 82 items of 13 domains corresponding to four aspects remained. The toolkit's content was validated by an expert panel using the CVI and CVR. The toolkit could measure the mental health literacy of teachers in Vietnam.

“The Validation of a Multidimensional Tool to test knowledge, barriers, and the challenges in screening for Tuberculosis among patients with Diabetes Mellitus”

Introduction: The healthcare system faces substantial challenges from disasters that require proactive healthcare practitioners, including Physiotherapists, to lead disaster prevention, preparedness, response efforts, and recovery initiatives. Physiotherapists require validated competencies for effective disaster health management, but there is a lack of standard tool. Aim: The present study aimed on developing the core competencies questionnaire possessed by the Physiotherapists for disaster health management and seeks the preliminary content and face validation of the questionnaire. Materials and Methods: The present methodological study was exploratory mixed method research to design and psychometrics the instrument measuring disaster health management competencies of Physiotherapists in India conducted from 25-09- 2023 to 28-02-2024 at Galgotias University, Greater Noida, India. The content validity of the questionnaire through two phases: questionnaire development and judgement. The development phase involved identification of constructs, followed by item generation and instrument formation. A seven-member expert panel did the judgement of the questionnaire with the Delphi method approach. After three rounds of panel discussions and based on expert comments, the questionnaire was modified and assessed for Content Validity Ratio (CVR), Item Content Validity Index (I-CVI), and Questionnaire/scale Content Validity Index (S-CVI). Further kappa statistics were performed for inter-rater reliability among experts through using IBM Statistical Package for Social Sciences (SPSS) statistics for windows version 27 (IBM Corp, Armonk, NY, USA). Final face validation was done through percentage agreement on experts’ comments. Results: The CVR analysis of 104 items produced 39 items with CVR higher than 0.99. Knowledge received 13 items and skills received 14 items while attitude included 12 items as the main constructs. The expert panel unanimously supported all chosen items because their I-CVI scores rested between 0.8 and 1. The calculated S-CVI score reached 0.95, which indicates high content validity for the questionnaire. The expert panel achieved good to very good agreement when rating construct clarity at 0.622, yet simplicity obtained very good agreement at 0.748, along with relevance scoring only moderate agreement at 0.404. The results from face validation showed that 97% of experts agreed on the items. Conclusion: Preliminary content and face validity assessment demonstrate suitable quantity indices for the tool. The research gives guidance for future psychometric testing of this new assessment questionnaire to evaluate Physiotherapists’ disaster health management competencies.

Aim:This study aims to adapt the Delirium Knowledge Test for Intensive Care Nurses to Italian culture.Methods:The study consisted of two phases: an initial linguistic-cultural adaptation phase, followed by content and face validation. The study involved 13 experienced ICU nurses from Terni Hospital. Content validity was assessed by calculating the Content Validity Ratio (CVR) and Item-Content Validity Index (I-CVI) and Scale-Content Validity Index (S-CVI) according to expert opinions. Face validity was determined by a qualitative analysis of the expert panel’s responses to an open-ended question regarding item clarity.Results:The DKT-ICN-ITA achieved a good degree of agreement among the evaluators (Fleiss’s K = 81%). For content validity, scores above the cutoff value were achieved (CVR > 0.57; S-CVI/UA = 0.96; S-CVI/AVE = 0.9; I-CVI ≥ 0.78). For the face validation, most experts (8/10) agreed that the items were clear and accessible.Conclusion:The translation and validation steps yield satisfactory results. This study aims to provide the Italian scientific community with a validated tool to test skills on delirium in ICU nurses.

<h2>Abstract</h2><h3>Introduction</h3> The provision of Differentiated Tuberculosis (TB) Care by healthcare personnel is crucial in optimising patient outcomes and resource utilisation in TB units. This study explores validating a questionnaire on differentiated TB care provision from the healthcare providers' perspective, focusing on facilitating factors and challenges in the healthcare delivery for TB patients using the Delphi Technique. <h3>Methods and materials</h3> A multidimensional model was designed to assess differentiated TB care provision by healthcare providers in Karnataka using inductive and deductive methods. Between January 2024 and March 2024, we used the Delphi technique via email and in-person contacts. We engaged a panel of Ten Subject Matter Experts (SMEs) to refine and validate the assessment tool containing 146 items iteratively using 2 rounds of 5 SMEs each. For each round, the following metrics were calculated: Lawshe's Content Validity Ratio (CVR), Scale Content Validity Indices (CVI), and Item Impact Score (IIS, Face Validity). The final tool contained only questions with Item Impact Scores of ≥1.5, CVRs of ≥0.99, and CVIs of ≥0.8 (p-value <0.05). <h3>Results</h3> The Item Impact Score (Face Validity) of 126 items accepted as facilitating factors and barriers in providing Differentiated TB care by Community Health Officers and Medical officers for TB patients was ≥1.5. Content Validity Ratios (CVR) for the facilitating factors and barriers in providing differentiated TB care by Community Health Officers and Medical Officers for TB patients was ≥0.99, except for 19 items removed from the final tool. The Scale Content Validity Indices (for relevance), i.e., S-CVI (Average) and S-CVI (Proportional relevance), for 19 items that were removed from the tool failed to reach ≥0.8. <h3>Conclusions</h3> By determining acceptable content validity ratios and indices using the Delphi technique, this study has developed and validated a tool to assess the facilitating factors and barriers in providing differentiated TB care by the Community Health Officers and Medical Officers for TB patients.

The quality of healthcare is highly dependent on nurses’ performance and efficiency. In recent years, hospital information systems (HIS), healthcare software and applications have been introduced to enhance their ability and nurses have a key role in accepting and evaluating the HIS. This study tested psychometric properties and validation of a Persian version of the “Health Information Technology Usability Evaluation Scale” (Health-ITUES). Expert panel, which consisted of 10 nursing professors, assessed the content and face validity of the Persian Health-ITUES. Sample of the was 229 nurses employed in hospitals. Cronbach’s alpha was used to test reliability along with “confirmatory factor analysis” (CFA) was used to test construct validity. Further, both discriminant and convergent validity were assessed. Content validity index (CVI) and content validity ratio (CVR) were .93 and .75 respectively. Scale content validity index (S-CVI) and item content validity index (I-CVI) were more than thresholds (.76 and .90, respectively). Goodness of fit indexes revealed the measurement model was fitted to data well (χ2/DF = 2.49, IFI = .939, CFI = .938, GFI = .903, RMSEA = .076). Cronbach’s alpha values of the factors and total scale were ranged between .75 and .94. The results indicated that Persian version of the health-ITUES is a reliable and valid tool to measure information technology usability in nursing field. We recommend to researchers, health and nursing application developers to use iterative usability evaluation with HITUES to identify problems in early developing steps and address user-centered design. KeywordsHealth-ITUESValidationNurse

ABSTRACTProperty valuers’ support for sustainability has a significant impact on the resolution to reflect its dimensions in the valuation process. The study presents the content domain of the valuers’ perception of sustainability reporting in Nigeria for the purpose of identification and eliciting the character. Based on informed judgment, it engages a panel of 5 experts who possess expertise in real estate valuation, environmental management and academics/consultancy to rate 26 items with a 4-point Likert scale for the content validity index (i-CVI), the scale content validity index (s-CVI) and the content validity ratio (CVR) grounded on relevance to the property valuers’ willingness to capture sustainability in the valuation process.The results show that (i-CVI > 0.75 and; s-CVI>0.80. Lawshe’s content validity ratio is at +0.692. The measuring scale is content-valid and the panel size is adequate at a Mean Proportion Agreeing of 0.876. Only 21 items should be adopted for a further Cronbach alpha test of reliability.The paper argued for consistent and explicit content validation in sustainability research to avoid probable chance effects. Content validation helps to provide reliable data for causal model development of the knowledge management (KM) requirements for the integration of sustainability into real estate valuation.

Purpose The study aims to determine the content and face validity of the education conditionality and impact instrument for conditional cash transfers in zakat distribution (EDCI-ZCCT) measurement instrument. Design/methodology/approach The study uses the content validity ratio (CVR), content validity index (CVI) and modified Kappa statistic (K) for content validity and face validity ratio (FVI) for face validity. Ten experts in Malaysia from diverse fields – academia, industry research and zakat management – were selected to evaluate 16 items for relevance (content validity) and clarity (face validity). Findings The findings indicate that the instrument demonstrates high content and face validity, with strong agreement among the experts. The 16 items of the EDCI-ZCCT instrument achieved strong content validity, with CVR values ranging from 0.800 to 1.000, I-CVI between 0.900 and 1.000, an S-CVI of 0.988 and Kappa values from 0.899 to 1.000. The I-FVI clarity scores ranged from 1.000 to 0.900, with an average S-FVI/Ave of 0.969. Research limitations/implications These results confirm the instrument’s relevance, clarity and appropriate, with all 16 items retained and one additional item added based on expert feedback. Practical implications The validated EDCI-ZCCT instrument provides policymakers and zakat institutions with a practical, evidence-based tool to design, implement and evaluate education-conditional cash transfer programs, promoting accountability, educational attainment and human capital development among asnaf beneficiaries. Originality/value The originality of this research is associated with the validation of the CCT instrument for zakat distribution, with a specific focus on the education dimension, which has not been previously explored.

BackgroundThe psychometric properties of a clinical assessment tool used in the postgraduate midwifery programme in Botswana have not been evaluated. A lack of reliable and valid clinical assessment tools contributes to inconsistencies in clinical assessment in midwifery programmes.ObjectivesThis study aimed to evaluate the internal consistency and content validity of a clinical assessment tool used in the postgraduate midwifery programme in Botswana.MethodFor internal consistency, we calculated the total-item correlation and Cronbach’s alpha coefficient. For content validity, subject matter experts completed a checklist to evaluate the relevance and clarity of each competency in the clinical assessment tool. The checklist included questions with Likert-scale responses, indicating the level of agreement.ResultsThe clinical assessment tool had a good reliability, with a Cronbach’s alpha of 0.837. The corrected item total correlation values ranged from –0.043 to 0.880 and the Cronbach’s alpha (if item deleted) ranged from 0.079 to 0.865. Overall content validity ratio was 0.95, and content validity index was 0.97. Item content validity indices ranged from 0.8 to 1.0. The overall scale content validity index was 0.97 and the scale content validity index using universal agreement was 0.75.ConclusionThe clinical assessment tool used in the postgraduate midwifery programme in Botswana has acceptable reliability. Most of the competencies included in the clinical assessment tool were relevant and clear. Certain competencies need to be reviewed to improve the reliability and validity of the clinical assessment tool.ContributionThe clinical assessment tool currently used in the postgraduate midwifery programme in Botswana had acceptable internal consistency reliability and validity.

Development and psychometrics study OBJECTIVE: To evaluate the reliability and validity of a new version of Appraisals of Post-Traumatic Spinal Cord Injury Health Scale (APTSCIHS) in the Persian language for persons with spinal cord injury (SCI). The persons were selected from National Spinal Cord Injury Registry of Iran (NSCIR-IR) and Brain and Spinal Cord Injury Research center (BASIR). This was a mixed sequential exploratory study that performed in two phases. In the qualitative phase, a systematic scoping review and 12 interviews with the participants were done. Finally, items were generated. In the quantitative phase, face, content, construct and convergent validity were assessed to evaluate validity. To evaluate construct validity, a cross-sectional study was conducted on 305 persons with TSCI along with internal consistency and stability assessments. All quantitative data analyses were conducted using SPSS 22 software. The content validity and reliability were indicated by Scale's Content Validity Ratio (S-CVR) = 0.73 and Scale's Content Validity Index (S-CVI) = 0.86, Cronbach's α = 0.9 and the Test re-test reliability using intra-class correlations were (ICC) = 0.97 to 0.98. Exploratory factor analysis determined eight factors which showed more than 52% of the variance. APTSCIHS had a significant and strong correlation with Appraisals of DisAbility Primary and Secondary Scale (ADAPSS) (r = 0.475, P < 0.001). Results showed the 36 items APTSCIHS tool had an acceptable validity and reliability in Iran, and it can help health care providers or even administrators improve the quality of the rehabilitation services and quality of life.

A Novel Laryngeal Palpatory Scale (LPS) in Patients with Muscle Tension Dysphonia

Design and content validation of a survey questionnaire assessing the determinants of human papillomavirus (HPV) vaccine hesitancy in France: A reactive Delphi study

Numerous overlapping and inconsistent views of academicians and practitioners on construct of employee engagement have led to the development of various measurement instruments that differ in terms of the variables. The article attempts to develop an assessment instrument and to assess content validity of the proposed variables/dimensions. The construct is generated through grounded theory method, conducting structured interviews of human resource heads (15 best firms). The assessment of content validity is done through six domain experts. Content validity index, Kappa statistic, and content validity ratio (Lawshe test) were implemented for content validity. Three dimensions (alignment, affective, and action-oriented) having 10 items each were identified. The item content validity index (I-CVI) ranged from 0.66 to 1 and scale content validity index (S-CVI/Ave) ranged from 0.848 to 0.932. The instrument is assessed with high content validity. It bridges the research gap of incongruity among academic and industry. The next step of research will involve testing of this instrument for psychometric properties and testing its comprehensiveness for respondents.

Expectation and experience of ‘nonspecific’ (whole person) feelings elicited by acupuncture: Content validity of a set of questionnaires