Content Validity Ratio Values Research Articles

Developing a pediatric nursing simulation scenario template in South Korea: applying real-time Delphi methods.

This study aimed to describe the process of developing a validated pediatric nursing simulation scenario template using the real-time Delphi method. A panel of 13 pediatric nursing experts participated in a real-time Delphi survey conducted over two rounds. Initially, 83 items were included in the questionnaire focusing on the structure and content of the simulation scenario template. Data analysis involved calculating the content validity ratio (CVR) and the coefficient of variation to assess item validity and stability. Through iterative rounds of the Delphi survey, a consensus was reached among the experts, resulting in the development of a pediatric nursing simulation scenario template comprising 41 items across nine parts. The CVR values ranged from 0.85 to 1.0, indicating a high consensus among experts regarding the inclusion of all items in the template. This study presents a novel approach for developing a pediatric nursing simulation scenario template using real-time Delphi methods. The real-time Delphi method facilitated the development of a comprehensive and scientifically grounded pediatric nursing simulation scenario template. Our template aligns with the International Nursing Association for Clinical Simulation and Learning standards, and provides valuable guidance for educators in designing effective simulation scenarios, contributing to enhanced learning outcomes and better preparation for pediatric clinical practice. However, consideration of cultural and contextual adaptations is necessary, and further research should explore alternative consensus criteria.

Redefining assessment: Creating a groundbreaking prototype for domain affective in project-based learning

This research aims to design a prototype of affective domain self-assessment in project-based learning (PjBL). The design process of the instrument prototype in this study combines the aspects of the affective domain in Bloom’s taxonomy with PjBL stage. The design of this instrument is a self-assessment. The design method of the affective domain self-assessment instrument prototype for PjBL includes determining the objectives and specifications of the test, developing the framework, preparing the blueprint, and determining the measurement scale. The validity test used in the design of this instrument prototype is content validation conducted by experts’ validators from doctoral students in the field of educational research and evaluation and education management. Qualitative content validation using face validity to examine the appropriateness of the instrument prototype design with the purpose of the instrument developed. Secondly, quantitative content validity using Lawshe’s content validity ratio (CVR) and content validity index (CVI). The results obtained showed that CVR value of the panelists was scattered from zero, where half of the panelists stated that the item was relevant, to one, where all panelists stated that the item was relevant, the distribution of CVR ratio was mostly at 0.75. CVI index price is 0.6083, which is very favorable.

Human pregnancy and birth: The enrichment of a booklet with medicinal plants for postpartum wellness

The complexity of the reproductive system necessitates instructional media to facilitate comprehension, as its processes unfold internally and are not readily observable. This study aims to assess the viability of booklet sub-materials on fertilization, gestation, and childbirth, derived from the inventory findings of medicinal plants for postpartum care, as educational resources. The research and development used the Borg & Gall model which included identifying potential problems, data collection, product design, design validation, and product revision. The booklet media underwent validation by five validators using validation sheets, while the evaluation criteria encompassed format, content, and language proficiency. The validation data were analyzed using CVR (Content Validity Ratio) and CVI (Content Validity Index). The results of the booklet media validation obtained a CVR value on each criterion of 1.00 with a valid category and a CVI value of 1.00 with a valid category. The booklet on the subject of gestational fertilization and childbirth from the results of the inventory of medicinal plants for postpartum is suitable for use as a learning media.

Digital Health Literacy Instrument: Brazilian Version-Cross-Cultural Adaptation and Content Validity for Individuals With Heart Failure.

Background and purpose: Assessment of digital health literacy should be a major concern for healthcare providers. We aimed to translate and adapt the Digital Health Literacy (DHL) Instrument into Brazilian Portuguese and examine the content validity for individuals with heart failure (HF). Methods: The instrument was translated, back translated, and evaluated by a panel of six experts regarding linguistic equivalences. An agreement analysis was performed, with values ≥80% considered acceptable. The experts then evaluated clarity, theoretical relevance, and practical pertinence. The content validity index (CVI) was calculated for each item. A CVI ≥.83 was considered acceptable. The expert's opinions were also evaluated through the modified kappa coefficient for content validity studies. Values >.74 were considered excellent. The content validity ratio (CVR) was also calculated. A critical value of CVR of 1.00 was determined. Cognitive testing (understanding the meaning of each item and their respective answers) was performed with 33 individuals with HF. Results: The adapted version obtained an agreement of ≥83.3% for each item on linguistic equivalences. Total CVI was ≥0.83, kappa values for each item were >.74, and the CVR values were 1.00 for all items. After two rounds of evaluation, all patients were able to understand the items and response scale. Conclusions: The Brazilian version has satisfactory evidence of linguistic and content validity to measure DHL in patients with HF. Additional psychometric properties will be tested in the country.

Adaptation of the Child sexual abuse myth scale to Turkish culture: A reliability and validity study

This study aims to analyze the reliability and validity of the Child Sexual Abuse Myth Scale (CSAMS) in Turkish society. This methodological and cross-sectional study was conducted with 334 individuals between the ages 19 to 65. Data were collected through the Personal Information Form and the Child Sexual Abuse Myth Scale. Content Validity Ratio values of the scale items in the study ranged between 0.500 and 1.00, and the Content Validity Index was found to be 0.68. Exploratory Factor Analysis was appropriate based on Kaiser-Meyer-Olkin Measure of Sampling Adequacy (KMO = 0.809) and Barlett's Test of Sphericity (X2 = 1269, p < 0.001). Factor Analysis resulted in 4 sub-scales (Accusation, Causality, Normalization, and Sexist Approach). Item factor loads of the scale were found to range between 0.501 and 0.839, and the total explained variance was 59.4 %. Pearson correlation coefficients of all the items ranged between 0.32 and 0.60, and Cronbach's alpha coefficient was 0.81. Accusation, Normalization, and Sexist Approach sub-scale scores were found to increase with age. Sub-scale scores were found to demonstrate significant differences by gender, marital status, education level, working or not, income level, family type, number of siblings, and number of children (p < 0.05). The findings of this study show that the CSAMS is valid and reliable for Turkish culture in its 14-item and 4 sub-scale form.

Development and Psychometrics of Safe Anesthesia Evaluation. Three-Step Checklist (Pre-Induction of Anesthesia, Maintenance of Anesthesia, Post-Anesthesia): A Cross Sectional Study

Background: Patient safety is one of the main elements of the quality of health services. Our aim of this study was to compile a complete checklist for the three stages of anesthesia.&#x0D; Methods: This research was a cross-sectional descriptive-analytical study. First, an internet search was conducted in databases to identify checklists related to safe Anesthesia. The WHO Safe Anesthesia Checklist was designated as the main checklist. Then, a brainstorming session was held with experts and according to the determined fields, the initial draft was compiled. Face and content validity were conducted. The reliability of the checklist was measured with Cronbach's alpha and intra class correlation index (ICC) methods.&#x0D; Results: The initial draft was compiled with 34 items. 29 items scored higher than 0.79 in terms of CVI (content validity index) The value of CVI of 5 items was less than the permissible limit and the edge of the border, which was revised and corrected by the research group. 2 items were returned to the research process according to the survey of experts and their necessity CVR (content validity ratio) (value &gt;0/62) and 3 items were removed from the research process. Cronbach's alpha was calculated as 0.876 for the first evaluator and 0.870 for the second evaluator, and the percentage of agreement between the evaluators was 0.956 (P&lt;0.001).&#x0D; Conclusion: We developed and evaluated a checklist for the three stages of anesthesia through an evidence-based study. We hope this checklist can reduce and prevent clinical errors.

Feasibility of a Pocket Book on Breast Milk and Family Planning Sub Materials Based on an Inventory of Plants that Facilitate Breast Milk

In study of biology, explore the concepts rather than just memorise them is important. That's why use of media can make learning process more attractive and easy to understand for students. This study aimed to determine the feasibility of using breastfeeding and family planning sub-material pocket book media based on an inventory of breastfeeding-promoting plants in Pasti Jaya Village, Bengkayang Regency, West Kalimantan Province. The research and development process included identifying potential benefits and problems of media as a support for learning, gathering information on the plants, designing the product, and assessing the pocketbook with five validators. The pocket book was evaluated based on its presentation, content, and language, and the results showed that it's suitable for use as a learning tool. The validation results were then analyzed by Lawse calculations. The results showed that of the three aspects with twelve criteria, the validation content validity ratio value was 1.00 with a valid category. The average of all content validity index criteria obtained a value of 1.00 with a valid category, which shows that the breastfeeding and family planning sub-material pocketbooks are suitable for use as learning media

Psychometric testing of anesthesia nursing competence scale (AnestComp)

Background & AimThe competence of anesthesia nurse has a significant association with patient health and safety, reduction of medical errors, hospital infections, and postoperative complications. However, there is no instrument available to measure the competence of anesthesia nurse Iran. Anesthesia Nursing Competence Scale (AnestComp) is a self-assessment tool that measures the competence level of anesthesia Personnel. The present study sought to assess the psychometric properties of the Persian version of AnestComp in the Iranian anesthesiology community. Materials & MethodsThis cross-sectional study aimed to assess the psychometric properties of the Persian version of AnestComp in a sample of 362 anesthesia nurse from hospitals affiliated with the University of Medical Sciences. After translating the original version of the scale, the face, content, and structural validity as well as the reliability of the scale were evaluated. Data analysis was performed using SPSS-16 and AMOS-24 software. ResultsThe assessment of the face validity of AnestComp showed that the impact score for each item was greater than 3.13. Moreover, the average content validity ratio (CVR) for 38 items was 0.91 and the corresponding value for each item was greater than 0.54. The average content validity index (CVI) for 38 items was 0.93 and the related value for each item was greater than 0.73. In addition, item 39 was removed due to low CVR and CVI values. The construct validity of the scale was checked using confirmatory factor analysis and the factor loading values for the items varied from 0.82 to 0.91, confirming that the seven factors of the scale were within acceptable ranges. Moreover, the reliability of the scale was confirmed with Cronbach's alpha of 0.981 and the correlation of 0.94 between the scores from the re-administration of the scale, indicating that the scale has acceptable internal consistency. ConclusionThe Persian version of AnestComp has acceptable psychometric properties and it can be used as a valid tool to measure the competencies of anesthesia Personnel.

Innovative Bamboo Bowling Game to Improve Motor Skills in Early Childhood

The need for educational game tools to stimulate children's gross motor skills is one of the limitations of teachers. This research aims to create an innovative bamboo bowling game to improve children's gross motor skills. The research method uses the ADDIE approach development method. Observation, interviews, and literature collected data. The research subjects consisted of 3 experts in relevant fields. The tool used to analyze research results is a questionnaire. This research was analyzed descriptively and quantitatively using Lawshe's content validation formula, the Content Validity Ratio (CVR). From the results of the expert assessment, the CVR value obtained was 0.99, and the CVI value was 0.99. All media experts gave a CVR value of 0.99. Therefore, Innovative Bamboo Bowling is considered valid. Based on these findings, Innovative Bamboo Bowling is suitable for early childhood learning activities in developing gross motor skills and can have goals that focus on improving children's physical and cognitive skills in a fun and beneficial environment. The implications of this research can be the basis for developing intervention programs or gross motor stimulation activities that are more effective and targeted.

Translation and Psychometric Evaluation of the Perceived Stress Scale–Child

Background: Precise assessment of chronic stress is a key prerequisite to effective stress management among children. Nonetheless, there are limited valid and reliable instruments for this purpose. This study was conducted to translate the Perceived Stress Scale–Child (PSSC) into Persian and evaluate its psychometric properties. Methods: This methodological study was conducted in 2020. The 14-item PSSC was translated into Persian using the forward–backward translation method. Item impact score was calculated for face validity assessment, and content validity ratio (CVR) and content validity index (CVI) were calculated for content validity assessment. Construct validity was also assessed using exploratory and confirmatory factor analyses. For factor analysis, 140 children were purposefully selected from two specialty psychology clinics in Sari, Iran, to complete PSSC. Reliability of PSSC was evaluated through the internal consistency and composite reliability methods. SPSS (v. 26.0) and the SmartPLS software were used for data analysis at a significance level of less than .05. Results: Most participants were male (50.7%) and aged 10–12 years (62.2%). The mean of participants’ age was 9.56 ± 1.68 years. The impact score, CVR, and CVI values of all PSSC items were more than 1.5, 0.42, and 0.79, respectively. Exploratory factor analysis indicated that the Persian PSSC had two factors that explained 67.24% of its total variance. Confirmatory factor analysis also confirmed this factor structure. Cronbach’s alpha values of PSSC and its two factors were 0.916, 0.840, and 0.824, respectively. Conclusion: The Persian PSSC has acceptable validity and reliability and can be used for stress assessment and screening among children.

Measuring the Content Validity of Middle Leadership Competence Model using Content Validity Ratio (CVR) Analysis

This study aims to examine the content validity of Middle Leadership Competence Model using Lawshe’s CVR analysis. The study was carried out quantitatively using survey method. The four main competency constructs comprise of Leadership, Instructional, Governance and Self-emotional. A total of 109 items were formed and evaluated by nine field experts. The experts were purposely selected based on their expertise in educational leadership, competency development and psychometric. The results showed that 91 items met the minimum CVR value of 0.78 and were retained. While, 18 items were rejected from the item pool. The mean judgement of 0.89 (CVI) for the retained items shows that the instrument has the potential to be promoted as an effective tool to measure the middle leadership competence in school. Subsequently, in the future, it is recommended to conduct more sophisticated statistical analysis such as exploratory factor analysis (EFA) to scrutinize the factor structure and Structural Equation Modelling (SEM) for model development.

Development of Portable Massage Bed

The development of various models of massage beds, ranging from simple to new innovations that provide more comfort and facilities that can be adjusted to your needs. The frequently used massage beds have a permanent shape, so they are difficult to carry and move when used. Portable massage beds are designed to make it easier to use from one location to another, save space, and can be adjusted according to the masseur's needs. This research aims to find out the specifications of portable massage bed products that are suitable for masseurs and patients. The sample in this study was a small scale trial of 6 masseurs at the massage clinic at Bina Darma University, Palembang, and subjects for a large scale trial were 10 people consisting of 6 masseurs and 4 patients at the massage clinic at Bina Darma University, Palembang. The stages of model development carried out are the model analysis, design and development (ADD) stages. The instrument used in this research was a questionnaire. The expert validity test results used the Content Validity Index (CVI) and Content Validity Ratio (CVR) with an average CVR value of 0.35. Based on the results of this research, it was found that the development of the portable massage bed model had good product quality as a place for patient massage. Then this model can be tested in the field on either a small or large scale (empirical validation).

VALIDITY AND RELIABILITY: QUESTIONNAIRES FOR UNDERSTANDING AND INTERPRETATION TOWARDS THE MALAYSIAN HEALTHIER CHOICE LOGO

Development and administration of the HCL by the Ministry of Health was a major step and initiative in reducing the number of non-communicable diseases related death cases in Malaysia. However, there needs to be more on how the consumers understand and interpret the HCL as it reflects the quality and uses of the invented HCL. Hence, this study aimed to develop a validated reliability questionnaire in assessing the understanding and interpretation of HCL among consumers. One set of questionnaires consisting of 26 questions was designed and validated by 13 experts. The content validity index (CVI) and content validity ratio (CVR) were decided in validating each question. As well as the reliability of the questions was determined by finding the internal consistency value and test-retest method. Eighteen (18) questions from the initial 26 questions made it through to the finalised questionnaire. Almost all the questionnaire’s items had CVR values above 0.54, except for the same for CVI value which only five questions had a value of below 0.79. The Cronbach’s alpha coefficients value for domain understanding and interpretation were 0.502 and 0.503, respectively. The ICC scores of the questions in the questionnaire ranged between 0.682 and 1.000 (moderate to excellent reliability). This study conveys the good validity and reliability of the questionnaire, which can be used in determining the understanding and interpretation of HCL among consumers in Malaysia.

Adaptation of the International Fitness Scale and Self-Perceived Health-Related Physical Fitness Questionnaire into Turkish.

This study aims to investigate the Turkish validity and reliability of the International Fitness Scale (IFIS) and the Self-Perceived Health-Related Physical Fitness Questionnaire for Children (SPHQ-C) aged 10-17. The measurement tools were translated into Turkish by two independent researchers and back-translated. Then, the content validity was established with a group of 13 individuals (Sample 1) who presented to the sports medicine clinic. The pilot application phase was initiated. A sample of 372 individuals (Sample 2) studying in the provincial center was selected for piloting the measurement tools with the ALPHA-FIT Test Battery. The test-retest application of the measurement tools with a 15-day interval was carried out with 207 individuals (Sample 3) not included in Sample 2. The authors calculated that the content validity ratio values for the items in the IFIS ranged from 0.85 to 1.00, with a content validity index of 0.94 for the scale. In the SPHQ-C, these values were found to be between 0.92 and 1.00, with a content validity index of 0.99. According to the Z-score difference analysis for both measurement tools, the construct validity of all items was achieved (p < 0.05). In the Bland-Altman plot test conducted for the IFIS-TR, the mean difference was calculated as 0.11, the standard deviation of the differences was 1.57, and the p-value was determined as 0.31. For the SPHQ-C-TR, the mean difference was -0.15, the standard deviation of the differences was 1.95, and the p-value was determined as 0.26. The Kappa coefficients for the items of the IFIS-TR ranged from 0.45 to 0.52, while for the SPHQ-C-TR, the Kappa coefficients ranged from 0.47 to 0.75. Confirmatory factor analysis conducted on Sample 2 confirmed model fit indices with covariance among some items of the measurement tools (IFIS-TR: e1-e3; SPHQ-C-TR: e1-e2, e1-e3, e2-e3, e3-e4, e6-e7, e8-e9). The IFIS and SPHQ-C measurement tools have been adapted into Turkish, and their validity and reliability have been established.

Community pharmacists' skills and practice regarding dispensing fiscalized substances: a cross-sectional survey.

Background: The use of drugs containing fiscalized substances is essential in different medical areas, including pain management, obstetric emergencies, and the treatment of mental disorders. However, due to their potential for abuse and negative health effects, the dispensing of these substances demands pharmacists with the requisite skills and practice. Objective: This study assesses the skills and practices of pharmacy personnel in the United Arab Emirates (UAE) regarding the dispensing of tramadol, a medication containing fiscalized substances, in community pharmacies. Methodology: A cross-sectional study was conducted. Community Pharmacies were chosen via random sampling, and seven well-trained final year pharmacy students visited them and conducted face-to-face interviews. The survey tool covered items highlighting the demographic data of the subjects, and items on the practice and skills regarding dispensing the fiscalized substances. The content validity ratio values of all tool questions were more than 0.78, suggesting acceptable validity and the Cronbach's α of 0.75 showed as acceptable internal reliability. The primary outcome measures of interest were the skills and practice regarding dispensing Fiscalized substances. Results: A total of 612 pharmacists were recruited in the study. The average practice score was 80%. There was a statistically significant association (p < 0.05) between practices about dispensing fiscalized substances and gender, age group, pharmacy type, work experience, university of graduation, and receiving training on epilepsy and antiepileptic drugs. Conclusion: The results implied that competency and experience are vital factors for the dispensing of tramadol. Contextually, the majority of the pharmacists evidently have the requisite competencies to provide high-quality and proper medical care, with regards to dispensing tramadol, which will minimize drug abuse and medication errors, and assist outpatients to manage their drugs containing fiscalized substances.

Malay-Translated Version and Content Validation of Parent Goals for Shared Reading Questionnaire

The interaction between adults and children during shared reading contributes to the conversation and reading in hand and makes the activity interactive. It is, therefore, imperative to understand parents’ goals for shared reading with their children as it will influence their behaviour and, in turn, affect their children’s development of language and literacy skills. In Malaysia, no local psychometric instrument identifying parent goals for shared reading is available. This study aims to translate the English version of the Parent Goals for Shared Reading Questionnaire (PGSRQ) into Malay and validate the translated questionnaire. Four qualified translators carried out the translation processes, and a panel of eight experts subsequently validated the Malay-translated version of PGSRQ. Of 33 items, the validation assessment revealed that 17 items had a content validity ratio (CVR) value of 1.0, while 12 items had a CVR value of 0.8. Only four items had a CVR value lower than 0.78 and were retranslated and modified. The findings of this study can pave the way for more research efforts in the field of shared reading in Malaysia. The questionnaire can also assist a speech therapist in assessing the goals that parents have on shared reading to come up with better designs for shared book reading intervention.

Misconception Analysis of Cell Material Using Four-Tier Multiple Choice Diagnostic Test

Misconception Analysis of Cell Material Using Four-Tier Multiple Choice Diagnostic Test

A Preliminary Content Validity Study of the Malay Version of READI-SF (Kajian Awal Kesahan Kandungan Versi Bahasa Melayu bagi READI-SF)

Readiness for treatment reflects the individual’s motivation to seek help and preparedness to engage in treatment activities. The READI-SF aimed to assess parental readiness to engage in treatment. The present study aimed to translate the English version of READI-SF into the Malay language and subsequently assess its content validity using the content validity ratio (CVR), content validity index (CVI) and modified kappa analyses. Four independent translators carried out the translation procedures. Eight clinical professionals were involved as content experts. Of 17 items, six items needed to be revised due to low CVR values (&lt; 0.75). Based on unfavourable individual CVI (I-CVI) results (&lt; 0.78), two items (for item relevancy) and six items (for item clarity) had to be modified. The overall CVI of the questionnaire (S-CVI) was found to be good (i.e., 0.91 for item relevancy and 0.83 for item clarity). Nine items needed to be revised, and the modifications were carried out accordingly. At the end of the study, a valid Malay-translated READI-SF was produced. It has good potential to serve as a clinical tool to assess the readiness of Malay-speaking parents to engage in treatment. However, prior to its intended clinical application, further research is warranted to assess other aspects of validity (e.g., face validity, construct validity, and criterion-related validity), as well as READI-SF reliability.

Pengembangan Instrumen Tes Kimia Berbasis Literasi Sains untuk Mengukur Literasi Sains Siswa

The purpose of this study was to develop a scientific literacy-based test instrument to measure students' scientific literacy at SMA Negeri 9 Bengkulu City in thermochemistry material. The development model used is the ADDIE model (Analysis, Design, Development, Implementation, Evaluation). The research subjects were classes XI MIPA 3 and XI MIPA 2 at SMA Negeri 9 Bengkulu City for the academic year 2022/2023 which were selected based on a purposive sampling technique with a population of 3 classes, which was then subjected to a homogeneity test so that a homogeneous class was obtained, namely class XI MIPA 2 for large scale test and XI MIPA 3 for small scale test. The research period starts from January to September 2022. The research data was obtained from interviews, expert validation sheets, empirical test analysis, reliability, level of difficulty, discriminating power, and analysis of students' scientific literacy levels. The number of instruments developed is 6 items in the form of essays. The research results were obtained using the Ministep application, so that the items developed were declared valid by the validator with a CVR (Content Validity Ratio) value of at least 0.78 for each question, and the CVI (Content Validity Text) value obtained was 0. 94 with very good category. The results of the empirical validity test were carried out on 15 students of class XI MIPA 3 and obtained 8 valid questions. The developed scientific literacy-based test instrument has a reliability value of 0.85 in the very good reliability category so that it can be used to measure students' scientific literacy level. The results of implementing the development of scientific literacy-based test instruments obtained 1 student who had a high level of scientific literacy, 2 students who had a moderate level of scientific literacy, and 23 students with a scientific literacy level at the nominal scientific Literacy level. The results of the development of scientific literacy-based test instruments have proven to be accurate and reliable so that they can be used to measure students' scientific literacy, especially in thermochemical material.&#x0D; Keywords: development, chemical test instrumen, scientific literacy, and thermochemistry

Validation of the Persian Version of the Engagement in E-Learning Scale in Students of the School of Nursing and Midwifery in Iran

Background: Engagement in e-learning is undesirable in Iranian students, and there is no valid scale to assess its status. Objectives: This study was conducted to validate the scale of "participation in e-learning scale" among students of nursing and midwifery schools in Iran. Methods: In this cross-sectional study, validation was conducted on 1014 students from 51 universities of medical sciences in Iran. The samples were selected using the cluster sampling method in 2022. The scale was translated into Persian by the forward-backward method. Validity was evaluated as face validity, content validity, and construct validity. Face validity was assessed by qualitative interviews with the participants and by calculating the impact scores of each item. Content validity was assessed using the content validity ratio and content validity index. Exploratory factor analysis and confirmatory factor analysis were used for construction reliability. Convergent validity was calculated by average variance extract (AVE) and composite reliability (CR). Concurrent validity was checked by comparing the correlation between the Lee scale and the educational engagement questionnaire of Schaufeli’s study. Reliability was evaluated by calculating Cronbach's alpha and test-retest reliability. The data were analyzed using SPSS version 18 and LISREL version 8.8. The level of significance was considered 0.05. Results: In this study, 579 (66.86%), 569 (65.7%), and 679 (78.41%) of the students were under the age of 22 years, women, and passing an undergraduate or associate degree, respectively. Based on the results, the items were revised with face validity. The content validity ratio value of the questionnaire items was estimated between 0.76 and 1, and the content validity index was estimated at 0.79. According to the factor analysis, four factors were extracted ((1) psychological motivation; (2) management and effective communication; (3) cognitive problem-solving; and (4) peer collaboration). Regarding the convergence validity results, AVE values were greater than 0.5, and CR values were greater than 0.7. The concurrent validity results were calculated at 0.61. The Cronbach's alpha obtained for the whole scale was 0.95. Conclusions: Our findings showed that the e-learning scale is valid and reliable for measuring the participation of nursing and midwifery students in e-learning, and this scale can improve academic engagement in online classes in nursing and midwifery schools.