Content Validity Research Articles

Development and validation of a novel questionnaire regarding vision screening among preschool teachers in Malaysia

AIM: To develop and evaluate the validity and reliability of a knowledge, attitude, and practice questionnaire related to vision screening (KAP-VST) among preschool teachers in Malaysia. METHODS: The questionnaire was developed through a literature review and discussions with experts. Content and face validation were conducted by a panel of experts (n=10) and preschool teachers (n=10), respectively. A pilot study was conducted for construct validation (n=161) and test-retest reliability (n=60) of the newly developed questionnaire. RESULTS: Based on the content and face validation, 71 items were generated, and 68 items were selected after exploratory factor analysis. The content validity index for items (I-CVI) score ranged from 0.8-1.0, and the content validity index for scale (S-CVI)/Ave was 0.99. Internal consistency was KR20=0.93 for knowledge, Cronbach’s alpha=0.758 for attitude, and Cronbach’s alpha=0.856 for practice. CONCLUSION: The KAP-VST is a valid and reliable instrument for assessing knowledge, attitude, and practice in relation to vision screening among preschool teachers in Malaysia.

Development and Content and Face Validation of Low-Cost Simulators Evaluation Instrument

BackgroundDeveloping low-cost simulators is an evolving area within clinical simulation. As such, there is a need for instruments to assess these simulators. The study aimed to develop and evaluate an instrument's face and content validity to assess if an own-made low-cost simulator meets the essential characteristics low-cost simulators should have. MethodMethodological study in two phases. Phase 1 developed the instrument's items, and phase 2 assessed the content and face validity of the instrument and items developed in the previous phase. Twenty-six experts evaluated the face and content validation of the instrument in terms of its representativeness, relevance, clarity and inter-rate reliability. ResultsTwenty-five items distributed in six factors were proposed to experts. All factors and items showed adequate content validity indexes and inter-rater reliability. Face validity was also endorsed for the instrument to represent the desirable key attributes of low-cost simulators. ConclusionThis study provides The Low-Cost Simulator Assessment Instrument, available in Spanish and Portuguese. The instrument, composed of twenty-five items distributed in six factors, has shown adequate content and face validity.

Translation, Cross-Cultural Adaptation, and Validation of the Persian Version of the Harris Hip Score

BackgroundThe Harris hip score (HHS), a self-administered questionnaire, is widely used to evaluate hip pathology affecting health-related quality of life and physical function. This study’s purpose was HHS translation to Persian (HHS-Pr) and validation in patients with different hip pathologies. MethodsTranslation and cultural adaptation followed existing guidelines. Hip pathology patients (n = 151) completed the HHS, 12-Item Health Survey, and the Western Ontario and McMaster Universities Arthritis Index (WOMAC). Criterion validity was determined from comparisons between the HHS measures and the different corresponding WOMAC domains. Internal consistency used Cronbach’s alpha (α), content validity the “content validity index,” and floor/ceiling effect the end-range 15%. Test-retest reliability used the intraclass correlation coefficient (subsample n = 30) at 3-7 days that compared baseline with a repeated measure. Measurement precision and change sensitivity used longitudinal assessment (subgroup n = 30) from the standard error of the measurement and minimal detectable change. ResultsCross-cultural adaptation required minor wording changes. The mean HHS-Pr was 57.77 ± 19.69. Criterion validity was significant with the WOMAC (r = −0.76) and 12-Item Health Survey Physical Component Summary (r = 0.47). Internal consistency was high before (α = 0.75) and after standardization (α = 0.86). Content validity was satisfactory (content validity index = 0.88). No floor/ceiling effects were found. Test-retest reliability (intraclass correlation coefficient = 0.85) was excellent, as was standard error of the measurement (raw score = 5.8) and minimal detectable change (raw score = 11.4). ConclusionsThe HHS-Pr demonstrated adequate validity, reliability, and sensitivity to change. These psychometric properties sufficiently measure functional status in patients with hip pathologies in a Persian-speaking population.

Friedreich Ataxia Caregiver-Reported Health Index: Development of a Novel, Disease-Specific Caregiver-Reported Outcome Measure.

The Friedreich ataxia (FRDA) scientific community needs access to patient-centered outcome measures that satisfy regulatory guidelines and are capable of tracking clinically meaningful changes in FRDA disease burden. The objective of this research was to develop a novel, disease-specific caregiver-reported outcome measure for use in FRDA research and clinical care. In prior work, we conducted qualitative interviews and a cross-sectional study of FRDA caregivers and patients to determine the symptoms of greatest importance to individuals with FRDA. We designed the Friedreich Ataxia Caregiver-Reported Health Index (FACR-HI) to serially measure the symptoms of greatest importance to patients and utilized factor analysis, beta testing, reliability testing, and cross-sectional subgroup analysis to further evaluate and optimize this disease-specific outcome measure. The FACR-HI was designed to measure total disease burden and disease burden in 18 symptomatic domains. The FACR-HI total score demonstrated high internal consistency (Cronbach's α = 0.98) and test-retest reliability (intraclass correlation coefficient = 0.96). Beta interview participants found the FACR-HI to be highly relevant, comprehensive, and easy to use. FACR-HI total and subscale scores were associated with functional staging for ataxia scores and speech impairment. Initial evaluation of the FACR-HI supports its content validity, test-retest reliability, and construct validity as a caregiver-reported outcome measure for assessing how pediatric individuals with FRDA feel and function. The FACR-HI provides a potential mechanism to quantify changes in multifactorial FRDA disease burden during future clinical trials.

Validity of severity of dependence scale-Indonesia in patients with drug and alcohol dependence

A quick and self-administrative screening tool to detect dependence on various substances is vital in the early detection of multiple substance dependence. This study aimed to validate the severity of the dependence scale Indonesian version (SDS-Ina) in a sample of clinically diagnosed substance-related disorder subjects. The study was an observational study and rapid assessment of suspected patients with drug and alcohol dependence in an outpatient psychiatric unit in Yogyakarta, Indonesia. The translated severity of dependence scale-Indonesia (SDS-Ina) questionnaire was given out to 65 subjects through an online form. The content validity of the translated SDS was assessed with Aiken’s V, and concurrent validity was analyzed in comparison to the Diagnostic of Statistical and Manual Mental Disorder IV (DSM-IV) diagnosis criteria with Pearson correlation coefficient and factor validity through principal component analysis (PCA). Reliability was assessed using Cronbach’s Alpha and test-retest reliability. Aiken’s V index concluded that our content validity was valid (all>0.75). A Pearson correlation coefficient of=0.93 (P<0.001), PCA of all items ≥0.60 further validates the SDS-Ina. Internal reliability of Cronbach’s Alpha 0.907 and test-retest reliability (intraclass correlation coefficient (ICC): all≥0.75). In conclusion, the translated SDS is a valid and reliable tool to measure the psychological dependence of Indonesian subjects involved in this study.

Brand pride: concept and measurement

Purpose This paper aims to conceptualize and define a construct of brand pride and develop a measurement instrument for the construct. Design/methodology/approach A scale development procedure comprising a qualitative prestudy and four quantitative studies for item generation and content validity, scale refinement using exploratory factor analyses, scale confirmation using confirmatory factor analysis and scale validity using PLS-SEM is followed to develop the measure of brand pride. Findings The scale development procedure yields a two-dimensional measurement instrument for brand pride with affective and utilitarian dimensions. The proposed scale is reliable and has convergent, discriminant and nomological validity. Originality/value This study highlights the need to study brand pride by reviewing literature from both psychology and marketing. The definition and conceptualization of brand pride help uniquely identify and describe the phenomenon. By developing a scale to measure the construct of brand pride, this study will enable research into the phenomenon, its causes and effects and its significance for consumer–brand relationships.

Evaluation of the Cancer Awareness Measure in Adolescents in Turkiye: A Methodological Study.

Purpose: Cancer awareness can help reduce the associated morbidity and mortality. There is no scale for the assessment of general cancer awareness in Turkiye. This study aimed to evaluate the cultural relevance and psychometric properties of the cancer awareness measure (CAM) for use in adolescents in the Turkish population. Methods: This methodological study included 400 students attending seven high schools in western Turkiye, recruited by convenience sampling. The CAM was translated into Turkish and assessed for content validity by expert panel opinion and content validity index (CVI). The Turkish CAM was administered online, and its reliability was assessed using Cronbach's alpha coefficients, item-total and item-subscale correlation coefficients, and test-retest analysis. Results: The Turkish CAM had excellent content validity (scale CVI = 0.99). Cronbach's alpha for the entire scale was 0.72, and item-subscale correlation coefficients were 0.33-.75 (p < 0.001). Test-retest reliability was good, with an intraclass correlation coefficient of 0.83 for the entire scale (p < 0.001). The students' mean score on the Turkish CAM was 45.60 ± 7.23 (on a scale of 11-77), indicating moderate cancer awareness. Conclusion: The Turkish CAM is a valid and reliable measure that can be used to assess cancer awareness in adolescents in Turkiye. Interventional studies should be performed to measure and increase cancer awareness and promote cancer prevention among young people.

The Development and Validation of the Emotionally Focused Therapy Skills Rubric

This article outlines the initial psychometric evidence for the emotionally focused therapy skills rubric (EFTSR). The EFTSR is designed to assess clinician's emotionally focused therapy (EFT) skill proficiency, identify how EFT skills are used within the basic movements of EFT, and evaluate a clinician's ability to use the EFT attachment injury resolution model . The EFTSR content validity was confirmed with two overall content validity indexes of .86 and .87. There was substantial item-level internal consistency reliability, with α scores ranging from .70 to .99 for both videos. Item-total correlations were higher than .20 for most items demonstrating substantial interrater reliability. Thus, results indicate initial support for using the EFTSR as theoretically based instrument designed to assess counselors’ ability to execute the skills of the EFT model.

Development, validation and reliability testing of the hospice care environment scale

BackgroundWHO stated the environment is an important factor affecting the development of hospice care. The environment is the sum of factors affecting behavior besides the individual factors. Currently, a scale to comprehensively assess the hospice environment of nurse is still lacking. This study aimed to develop an instrument to investigate the environmental factors affecting hospice care of nurses.MethodsLiterature review and a semi-structured interview were conducted to form the items pool of the Hospice Care Environment Scale. Two rounds of Delphi expert consultation were conducted by 16 experts to revise the scale dimensions and entries to form the Hospice Care Environment Scale. A psychometric evaluation was then performed among 530 oncology nurses in a large tertiary oncology hospital in Hubei Province. The 500 valid questionnaires were randomly divided into two groups in a 1:1 ratio, sample 1 (n1 = 250) for item screening and sample 2 (n2 = 250) for quality evaluation of the resulting scale. Item analysis, reliability analysis, validity analysis and acceptability analysis were performed.ResultThe Hospice Care Environment Scale consists of two dimensions and 13 entries. The Cronbach’s α coefficient of the Hospice Care Environment Scale was 0.970, and the Cronbach’s α coefficient of the two dimensions were 0.952 and 0.969, respectively, with the Item-content validity index and average Scale- content validity index of the scale was both 1.000. The validation factor analysis showed the standardized path coefficients of each item were basically above 0.5, and the factor structure model was stable and suitable. The average completion time of the scale was about 3 min, which had good feasibility.ConclusionThe Hospice Care Environment Scale to assess the environment of hospice care services, has good content and construct validity and reliability. This scale can provide guidance to evaluate the hospice care environment.

School Occupational Health and Safety Performance Scale: Validity and Reliability Study for Scale Development

The aim of this study is to develope a scale to evaluate the performance of occupational health and safety practices in schools. The form created for this purpose was presented to experts and the content validity rates of the items were determined in line with the feedback received.The items with a content validity ratio below .80 were excluded from the study. The 49-item trial form was applied via e-mail to 990 teachers working at primary, secondary, and high school levels in public and private schools in İstanbul, affiliated with the Ministry of National Education, and the data obtained were analyzed. With exploratory Factor Analysis (EFA), a two-dimensional structure consisting of 40 items in total revealed "Occupational Health and Safety Training Practices Applied in Schools" and "Occupational Health and Safety Practices Applied in Schools, Managerial Precautions and Precautions". It was determined that the goodness of-fit indices of the model were quite high. Confirmatory Factor Analysis (CFA) also confirmed the EFA results. The obtained correlation coefficients were examined. Item-total score correlation coefficients were between r = .878 and r = .650, and a significant relationship was observed at the p &lt; .01 level. The internal consistency coefficient obtained for the entire scale was .92. There was a significant (p&lt; 0.05) difference between the items and the total score between the 27% lower and 27% upper groups. It was determined that this difference was in favor of the upper 27% group. There was high reliability in the items on the scale, and the items were distinguishable on the basis of the characteristics the scorers of the scale were looking for.

Virtual Reality Applied to Heritage in Higher Education—Validation of a Questionnaire to Evaluate Usability, Learning, and Emotions

Cultural heritage is one of the areas where Extended Reality is having a significant impact nowadays. Although often associated with entertainment, this technology has enormous educational potential when applied to heritage. Therefore, it is essential to implement monitoring tools in educational practice to assess its actual effectiveness. This article presents the process of generating and validating a statistical data collection instrument developed to evaluate a virtual reality experience created using the archaeological heritage of the ancient Roman city of Augusta Emerita (Mérida, Spain). It can be easily adapted to evaluate similar experiences. The aim is to gauge the effectiveness of these experiences as a didactic resource. The questionnaire was subjected to an evaluation of its three dimensions. Content validity was analyzed through expert judgments, while applicability was tested by students. Finally, a series of statistical tests were conducted to verify construct reliability and internal consistency. Based on the results obtained and cross-referenced with the data provided by the literature, the suitability of this tool for collecting data on usability, learning, and emotions in virtual reality experiences is confirmed.

Psychometric Evaluation of the Persian Version of Spiritual Self-Care Practice Scale in Iranian Patients with Cancer.

Spiritual self-care is defined as a set of patient-centered or family-centered spiritual activities aimed at promoting health and well-being. In chronic diseases such as cancer, the responsibility for care typically falls on the patient or their family, necessitating an accurate assessment of the patient's self-care practices to achieve this goal. The objective of this study was to translate, culturally adapt, and examine the psychometrics of the Persian version of the spiritual self-care practice scale (SSCPS) in cancer patients. This scale is designed to be administered directly to patients to assess their spiritual self-care practices. This cross-sectional study was conducted at the oncology ward in Afzalipoor Hospital, Javad Al-Aemeh Clinic, and Physicians Clinics affiliated with Kerman University of Medical Sciences in Kerman, southeast Iran. The study included qualitative and quantitative assessments of face validity, content validity, item analysis, exploratory and confirmatory factor analysis (construct validity), and reliability. Data collection took place between March 20, 2023, and December 30, 2023. The scale's content validity index was calculated to be 0.948, with mostly minor revision comments for most items. The item-content validity indices ranged from 0.7 to 1. Exploratory factor analysis revealed a five-factor solution with 23 items, explaining 61.251% of the total variance. The identified factors were labeled as 'personal and interpersonal spiritual practices,' 'shaping and strengthening relationship practices,' 'religious practices,' 'physical spiritual practices,' and 'reshaping relationship practices.' Most of the confirmatory factor analysis indices were satisfactory (χ2/df = 1.665, CFI = 0.934, IFI = 0.935, RMSEA = 0.058). The Cronbach's α coefficient for the total scale was 0.89, while it ranged from 0.596 to 0.882 for the subscales. The Persian version of SSCPS with 23 items demonstrates reliability and effectiveness in assessing the spiritual practice performance of Iranian cancer patients. Compared to the original version, the Persian adaptation of SSCPS is concise, making it a suitable instrument for future research and practice on spiritual self-care among Iranian cancer patients.

Defining a set of teaching EPAs tailored to an undergraduate medical curriculum using a modified Delphi approach

BackgroundThe concept of entrustable professional activities (EPAs) has recently been extended to operationalize professional tasks in teacher training and faculty development in health professions education. The aim of this study is to report on the process and results of defining a set of teaching EPAs (t-EPAs) tailored to the local characteristics of a particular undergraduate medical program.MethodsThe undergraduate medical program at the Charité – Universitätsmedizin Berlin is competency-based, integrates thematic modules and spans 6 years. A writing team identified teaching EPAs based on the program’s study regulations and drafted content descriptions with titles, specifications and knowledge, skills and attitudes. Content validation involved a modified Delphi procedure with a systematic, iterative interaction between a panel of content experts consisting of purposively selected educators and physicians from our faculty (n = 11) and the writing team. The threshold for a consensus was an agreement of 80% of the participants.ResultsAfter two Delphi rounds, a consensus was reached regarding the teaching activities to be included and their content descriptions. The response rate was 100% in both Delphi rounds. The Delphi results include the content descriptions of a total of 13 teaching EPAs, organized into the two overarching EPA domains of classroom-based (n = 10) and workplace-based (n = 3) activities. Tailoring the classroom EPAs to small group teaching and the workplace EPAs to supervising medical students led to several distinct EPAs. Another feature was the development of 2 teaching EPAs for interdisciplinary teaching.ConclusionsIn systematic, Delphi-based process, we defined a set of 13 distinct teaching EPAs tailored to a specific undergraduate medical program that cover the core teaching tasks for faculty in this program. Our report on the principles of the process and the results may guide other medical schools and educators in defining and tailoring teaching EPAs according to their contexts.

Postintensive care syndrome: Development and psychometric validation of a knowledge test.

Postintensive care syndrome (PICS) is a combination of short-, medium-and long-term morbidities that occur in patients discharged from the Intensive care unit (ICU). ICU professionals have a crucial role in managing and understanding the PICS. This study aimed to develop the PICS Knowledge Test (PICS-KT), which measures ICU professionals'awareness and knowledge levels regarding PICS, and to determine its validity and reliability. The databases were searched in detail, scientific research related to PICS was analyzed, and the draft scale was created accordingly. A total of 117 doctors and nurses who had been working in the ICU for at least 6 months were included in the study. For the validity and reliability analysis of the test, content validity ratio, item difficulty index, item discrimination index values and Cronbach α were examined. The Cronbach's α reliability coefficient for the 46-item PICS-KT is 0.93, indicating high reliability. Scores range from 0 to 46, with 32 or higher considered successful, suggesting adequate knowledge of PICS among ICU professionals. Scores of 14 or less indicate minimal knowledge. Those with scores between 14 and 32 possess some knowledge but need improvement. PICS-KT assesses knowledge in four main areas: general information, risk factors/causes, symptoms and findingsand interventions. ICU professionals show high awareness of interventions for preventing and treating PICS, as indicated by a high mean score in the interventions subdimension. The PICS-KT is crucial in assessing healthcare professionals'understanding of the various short-, medium-and long-term morbidities associated with PICS. The study ensures that the test is a robust and dependable instrument for evaluating ICU professionals'knowledge about PICS.

Measurement properties of patient-reported outcome measures for women with dysmenorrhea: A systematic review.

Dysmenorrhea, or menstrual pain, is a subjective experience, and can only be assessed by patient-reported outcomes. These instruments should be reliable, valid and responsive. To identify and critically appraise the available evidence for the measurement properties of specific patient-reported outcome measures used for dysmenorrhea. The PRISMA statement was used to report this systematic review. Databases searched were PubMed, SCOPUS, CINAHL, Web of Science, ScienceDirect and Google Scholar (April 2021; updated on February 2023). Original studies with primary data collection, with no restriction on language and publication date that reported psychometric properties of one or more dysmenorrhea-related patient-reported outcome measure. The literature searches, selection of studies, data extraction and assessment of the risk of bias were performed independently by two reviewers and followed the COSMIN guidelines. Thirty studies were analysed in this review, and 19 patient-reported outcome measures were evaluated. The instruments varied in relation to the measured construct and measurement properties (validity, reliability and responsiveness). The methodological quality of the studies and the quality of evidence of the patient-reported outcome measures were variable. Among the 13 studies that reported the development of patient-reported outcome measures, most had inadequate methodological quality, and the overall rating was insufficient or inconsistent. The Dysmenorrhea Symptom Interference (DSI) scale was the only identified patient-reported outcome measure that has the potential to be recommended because of its sufficient rating combined with moderate quality of evidence for content validity. Future studies should further evaluate the measurement properties of the existing patient-reported outcome measures, or develop new patient-reported outcome measures following the COSMIN methodology. Not applicable as this is a systematic review. PROSPERO protocol: CRD42021244410. Registration on April 22, 2021.

Development and Standardisation of Scale to Measure Attitude of the Farmers towards Natural Farming: A Sustainable Environmental Approach

Attitude is defined as the degree of favourable or unfavourable feeling of the farmers towards natural farming. Natural farming, a sustainable agricultural practice that eschews synthetic inputs, has garnered significant interest globally for its potential to enhance soil health, biodiversity and crop resilience. Understanding farmer’s attitude towards natural farming is crucial for its widespread adoption. It is the accepted fact that attitude of an individual plays an important role in determining ones behaviour. Keeping this in view a standardized scale has been developed to assess the attitude of the farmers towards natural farming. The Likert’s summated rating method was used to construct the scale. The process started with collection of items followed by relevancy testing and item analysis and checking the reliability and validity for precision and consistency. A total of twenty four statements were finally retained for measuring attitude of the farmers towards natural farming, out of which fourteen statements were positive and ten statements were negative. The reliability was checked using split-half method and validity was examined through content validity. The scale developed was found highly reliable and valid.

Translation, cultural adaptation, and validation of Numerical Pain Rating Scale and Global Rating of Change in Tibetan musculoskeletal trauma patients

Tibetan-speaking patients seeking care in predominantly Mandarin-speaking healthcare settings frequently face communication barriers, leading to potential disparities and difficulties in accessing care. To address this issue, we translated, culturally adapted, and validated the Numerical Pain Rating Scale (NPRS) and the Global Rating of Change (GRoC) into Tibetan (NPRS-Tib and GRoC-Tib), aiming to facilitate cross-linguistic and cross-cultural interactions while examining potential challenges in the adaptation process. Using standard translation-backward translation methods, expert review, pilot testing, and validation through a cross-sectional study with a short-term longitudinal component, we engaged 100 Tibetan patients with musculoskeletal trauma for psychometric validation, including 37 women (aged 22–60 years, mean age 39.1 years). The NPRS-Tib and GRoC-Tib exhibited outstanding psychometric properties, with an Intraclass Correlation Coefficient (ICC) of 0.983 for NPRS-Tib indicating superb test–retest reliability, and expert review confirming good content validity for both instruments. A Spearman's correlation coefficient (Rho) of -0.261 (P = 0.0087) revealed a significant, albeit weak, correlation between changes in NPRS-Tib scores and GRoC-Tib scores. The adaptation process also presented notable challenges, including translation discrepancies from translators' diverse backgrounds and levels of expertise, ambiguity in scale options, and the lack of established tools for criterion validity assessment in Tibetan.

Examining tools for assessing the impact of chronic pain on emotional functioning in children and young people with cerebral palsy: stakeholder preference and recommendations for modification.

To firstly identify tools for assessing the impact of chronic pain on emotional functioning in children and young people with cerebral palsy (CP), and secondly identify suggestions to improve their relevance, comprehensiveness, comprehensibility and feasibility for the CP population. Improving assessment of the impact of pain on emotional functioning can enhance quality of life by improving access to interventions for pain-related physical disability, anxiety and depression. Ethics approval was granted through the Women's and Children's Health Network Human Research Ethics Committee (2022/HRE00154). A mixed methods study with people with lived experience and clinicians, and guided by the Consensus-based Standards for Measurement Instruments (COSMIN), was undertaken. An online survey identified the highest rated tools for validation and/or modification for young people with CP and chronic pain. Focus groups and interviews investigated content validity and feasibility of the tools identified as highest rated. The Fear of Pain Questionnaire for Children-SF (FOPQ-C-SF) and Modified Brief Pain Inventory (mBPI) were the highest rated for pain coping and multidimensional assessment (respectively) from the online survey (n = 61) of eight tools presented. Focus group and interview data (n = 30), including 58 unique modification suggestions, were coded to six categories: accessibility, comprehensibility, feasibility, relevance, presentation and comprehensiveness. Potential modifications have been identified to improve the appropriateness and feasibility of the FOPQ-C-SF and mBPI for children and young people with CP. Future research should implement and test these modifications, prioritising the involvement of people with lived experience to ensure their needs are met alongside clinicians.

Developing and Validating an Assessment Instrument for Organizational Performances of Construction Organization

Evaluating the performance of construction organizations is important for ensuring the success of construction projects-based nature. However, there are no standardized instruments and a single way to measure how well construction organizations perform, making it difficult for researchers and practitioners to get an accurate picture of their performance. This study aims to develop and validate an instrument for assessing organizational performances of construction organizations. The instrument was reviewed by an eight (8) panel of experts, who rated the items on their relevance (essential) to the construct of organizational performance. The Content Validity Ratio (CVR) results showed that 21 of 59 items were considered the most critical by the content experts, and the results for Item Level Content Validity Index (I-CVI) showed that 46 items were considered appropriate. These results showed that the instrument has adequate content validity. The outcomes of this study have important implications for the use of this instrument in organizational performance assessment for the construction industry. The instrument can be used to measure construction organizational performance in a comprehensive and systematic way. This will help researchers and practitioners to better understand the factors that contribute to construction organizational performance and to develop interventions to improve this construct.

Development of a Ramayana-based Counseling Module for Persons with Common Mental Health Disorders

Background: Common mental health disorders (CMDs) affect nearly 10% of the population, with the majority (80%) remaining untreated. Culturally relevant counseling approaches can be a means to reach many untreated persons. We describe the development and validation of a socioculturally relevant counseling module based on the Ramayana for persons with CMDs. Methods: The study employed an exploratory research framework to design the counseling module. The module underwent a comprehensive review of the Valmiki Ramayana to ensure its cultural relevance. Content validation was performed by mental health professionals from the field of Indian psychology. Concurrently, a panel of 15 experts from diverse backgrounds in Indian psychology validated the counseling module based on the Ramayana. Results: Based on the results of expert interviews ( n = 15), the counseling techniques, encompassing concepts, anecdotes, and narratives, were finalized. These interviews also contributed to the refinement of the counseling module. The primary objective of the content validation process was to systematically assess the appropriateness, accuracy, and practicality of the various components within the module. The content validation demonstrated that all items contained within the module exceeded the established threshold of p = .59. Conclusions: The developed counseling module based on the Ramayana is feasible to be implemented as a sociocultural intervention for persons with CMDs. By assisting persons to enhance coping abilities and improve overall well-being, this module offers a valuable resource for mental health intervention in the Indian sociocultural context. It fosters a culturally sensitive and practical approach to address the diverse mental health needs of the population.