Content Validity Research Articles

Building Micro‐Foundations for Positive Workplace Relationships: Validation of a Strategic Relational Human Resource Management Measure

ABSTRACTA growing number of studies have recognized the pivotal role of relational Human Resource Management (HRM) systems in fostering positive interpersonal relationships in the workplace. These systems are tailored to fulfill specific relational objectives through collective‐level mechanisms. However, there has been a notable neglect of strategies for establishing the general foundations of positive workplace relationships and the contributions of individual actors in relationship‐building activities. Drawing upon the multilevel micro‐foundational structure framework and strategic human capital theory, this study introduces and validates a new measure of strategic relational HRM (SRHRM) systems. This measure incorporates a set of interrelated HRM practices aimed at reinforcing individual employees' relational knowledge, skills, and abilities, which serve as micro‐foundations for the development and maintenance of workplace relationships. Our methodology encompasses a meticulous validation process for the SRHRM measure. This involves employing four diverse samples from North America and Asia to assess its content validity, internal consistency, convergent and discriminant validity, as well as criterion‐related validity. Our findings provide substantial support for the application of the SRHRM measure in future empirical investigations.

Cultural adaptation and psychometric evaluation of the fear and avoidance of memory loss scale in a Chinese context

Objectives To cross-culturally adapt the Fear and Avoidance of Memory Loss (FAM) scale and assess the psychometric properties in the Chinese cultural context. Method Following Beaton’s guidelines, the FAM scale was translated and adapted. A cross-sectional study assessed its psychometric properties, including internal consistency (coefficient omega, Cronbach’s alpha), test-retest reliability (intraclass correlation coefficients), and criterion and content validity. Construct validity was assessed through exploratory factor analysis (EFA) using principal axis factoring with direct oblimin rotation, with the optimal number of factors determined by the Kaiser criterion and parallel analysis. Results The Chinese version of FAM showed satisfactory internal consistency, test-retest reliability, content validity and criterion validity. EFA revealed a two-factor solution of the Chinese FAM scale, leading to a refined 17-item version after excluding item 15 for low factor loading. Conclusion The adapted 17-item FAM scale can be used as a reliable and effective tool to evaluate fear avoidance specific to memory loss among Chinese middle-aged and older adults. The removal of item 15 suggests potential cultural influences on coping mechanisms and behaviors, indicating the need for further research.

Measuring the role of fathers on breastfeeding success: Psychometric properties of Ethiopia's Afaan Oromo version of the partner breastfeeding influence scale.

This study aimed to translate the partner breastfeeding influence scale (PBIS) to the Afaan Oromo language and determine its psychometric properties. A cross-sectional study involving 320 fathers of infants under six months old was conducted with a 4-week retest. The scale underwent translation and back-translation before its psychometric evaluation. Its content validity was determined using the Content Validity Index (CVI), while construct validity was assessed through Exploratory Factor Analysis (EFA). The scale's reliability was evaluated using Cronbach's alpha and intraclass correlation coefficient (ICC). Mean differences in father breastfeeding support by sociodemographic factors were analysed using independent t-tests and one-way ANOVA. The EFA conducted on the scale resulted in a 31-item with a five-component structure, demonstrating excellent reliability. The overall scale showed a Cronbach's alpha of 0.96, while the subscales for breastfeeding savvy, helping, appreciation, breastfeeding presence, and responsiveness recorded Cronbach's alpha values of 0.88, 0.92, 0.89, 0.89, and 0.74, respectively. The scale demonstrated high test-retest reliability (ICC=0.96) and strong content validity (item-level CVI: 0.86-1.00; scale-level CVI: 0.98). Father's age, number of children, education, employment, and income correlated significantly with their breastfeeding support levels. The study found that the Afaan Oromo version of the Partner Breastfeeding Influence Scale (PBIS-AO) is a reliable and valid tool for assessing father support for breastfeeding among Afaan Oromo-speaking fathers in Ethiopia. The validated tool can enhance evidence-based practice by providing healthcare professionals with reliable instruments to evaluate patient outcomes, interventions, and informed decisions on breastfeeding practices.

A CEFR-Informed English Test: How Content Validity Index and Content Validity Ratio are used for Content Validation

A CEFR-Informed English Test: How Content Validity Index and Content Validity Ratio are used for Content Validation

Development of novel patient-reported outcome instruments to assess atopic dermatitis-associated dyspigmentation and xerosis in patients with skin of colour.

The prevalence and burden of atopic dermatitis (AD) are disproportionately high in individuals with skin of colour (SOC). Previous research shows that risk for xerosis and/or dyspigmentation is heightened in this population and may be more bothersome. However, there are no patient-reported instruments developed specifically for these disease sequelae in patients with SOC. To develop and perform content validation of patient-reported outcome (PRO) questionnaires to assess AD-related xerosis and dyspigmentation in patients with SOC. A targeted literature review was conducted to understand and identify AD-related disease sequelae and quality-of-life impacts relevant to patients with SOC and any instruments used to assess AD in the target population. Two draft PRO questionnaires assessing xerosis (X-AD) and dyspigmentation (D-AD) were developed and refined following advice meetings with clinical experts (N = 3). Questionnaire content validity was explored during hybrid concept elicitation (CE) and cognitive-debriefing (CD) interviews with adult and adolescent patients with SOC who have moderate-to-severe AD (N = 15). Ten concept-focused articles, three websites, 17 labels, one United States Food and Drug Administration compendium and one clinical trial confirmed xerosis and dyspigmentation were important AD-related disease sequelae. Patients with SOC (46.7% female; age range 12.2-76.1 years) reported that each questionnaire was relevant to their AD experience in an appropriate recall timeframe, were readily understood and meaningful responses were easy to select. The final X-AD consisted of one 11-point numeric rating scale (NRS) assessing xerosis severity and two items assessing the level of bother associated with xerosis appearance and feeling over the past week (0-4 verbal rating scale). The final D-AD consisted of two 11-point NRS items assessing dyspigmentation severity and two items assessing the level of bother associated with how dyspigmentation looked over the past week. The X-AD/D-AD questionnaires were well understood and effective in capturing the experiences of xerosis and dyspigmentation in the target population in an appropriate and comprehensive way. The study supports the initial development of the questionnaires in accordance with regulatory guidelines and best practices, however psychometric validation is required to evaluate the properties of each questionnaire and develop score interpretation guidelines.

Developing the Mental Effort and Load–Translingual Scale (MEL-TS) as a Foundation for Translingual Research in Self-Regulated Learning

Assessing cognitive demand is crucial for research on self-regulated learning; however, discrepancies in translating essential concepts across languages can hinder the comparison of research findings. Different languages often emphasize various components and interpret certain constructs differently. This paper aims to develop a translingual set of items distinguishing between intentionally invested mental effort and passively perceived mental load as key differentiations of cognitive demand in a broad range of learning situations, as they occur in self-regulated learning. Using a mixed-methods approach, we evaluated the content, criterion, convergent, and incremental validity of this scale in different languages. To establish content validity, we conducted qualitative interviews with bilingual participants who discussed their understanding of mental effort and load. These participants translated and back-translated established and new items from the cognitive-demand literature into English, Dutch, Spanish, German, Chinese, and French. To establish criterion validity, we conducted preregistered experiments using the English, Chinese, and German versions of the scale. Within those experiments, we validated the translated items using established demand manipulations from the cognitive load literature with first-language participants. In a within-subjects design with eight measurements (N = 131), we demonstrated the scale’s criterion validity by showing sensitivity to differences in task complexity, extraneous load manipulation, and motivation for complex tasks. We found evidence for convergent and incremental validity shown by medium-size correlations with established cognitive load measures. We offer a set of translated and validated items as a common foundation for translingual research. As best practice, we recommend four items within a reference point evaluation.

Question the promise: validating the interprofessional attitudes scale in Vietnamese health students

ABSTRACT The Interprofessional Attitudes Scale (IPAS) is a promising tool for assessing interprofessional education (IPE) attitudes, especially in community-oriented initiatives. To meet the need for validated IPE tools in Vietnam, we translated the IPAS into Vietnamese (Viet-IPAS) and evaluated its psychometric properties. The preparatory phases included forward and backward translation, expert consultations, and student feedback, resulting in strong content validity, face validity, linguistic comprehensibility, and test-retest reliability. During the 2020–2021 academic year, health students from the University of Medicine and Pharmacy at Ho Chi Minh City were invited for the main phase. A total of 282 students from medical, nursing, pharmacy, and rehabilitation science programs completed an online survey using the Viet-IPAS. Cronbach’s alphas for the Teamwork, roles and responsibilities (TRR), Patient-centeredness, Interprofessional biases (IB), Diversity and ethics, and Community-centeredness subscales were .84, .79, .56, .86, and .81, respectively. Confirmatory factor analysis indicated an acceptable fit (normed χ2: 2.618, RMSEA: .076, CFI: .874, AGFI: .77). Factor loadings were above .70, except for IB3 and TRR8 items. Modified models by removing IB subscale and TRR8 item showed slightly improved fit. We recommend using the Viet-IPAS with modifications in Vietnamese health student populations and encourage further review and refinement of the instrument.

Cross-Cultural Validation of Knowledge About Atrial Fibrillation and Stroke Prevention Questionnaire: A Cross-Sectional Study Among Chinese Patients With Atrial Fibrillation.

To cross-culturally adapt the Knowledge about Atrial Fibrillation and Stroke Prevention Questionnaire (KAFSP-Q) for Chinese AF patients and validate its effectiveness. Instrument adaptation and cross-sectional validation. The KAFSP-Q was translated into Chinese by using the forward and back translation method. Experts and patients were invited to revise the questionnaire domains and items. The psychometric properties of the Chinese version of the KAFSP-Q were evaluated, that is, its construct validity, discriminant validity, convergent validity, internal consistency and test-retest reliability. The Chinese version of the KAFSP-Q consists of 41 items and six domains, namely, bleeding knowledge, AF complications, stroke risk and stroke prevention, stroke symptoms, AF symptoms and general AF knowledge. The Chinese version of the KAFSP-Q demonstrated acceptable content validity (scale-content validity index = 0.859). The exploratory factor analysis revealed six factors, which accounted for 65.725% of the total variance, and the confirmatory factor analysis revealed acceptable fit indices. The convergent validity was poor, because the average variance extracted coefficient of the six domains was lower than 0.500. The square root of the average variance extracted coefficients was higher than the bivariate correlation between the domains, which indicated an acceptable discriminant validity. Meanwhile, the internal consistency and test-retest reliability were satisfactory (Cronbach's α coefficient = 0.973, intraclass correlation coefficient = 0.872). The Chinese version of the KAFSP-Q demonstrates acceptable validity and reliability and can be used as a valuable instrument for AF and stroke prevention knowledge evaluation. In clinical practice, the Chinese version of the KAFSP-Q can be used to help patients increase their disease management knowledge and engage in effective disease management behaviour. Future research is necessary to confirm the psychometric properties of the questionnaire with samples that are highly representative. No patient or public contribution.

Validation of the advance care planning engagement survey in Singapore

BackgroundSingapore has an ageing population. End-of-life care and advance care planning are becoming increasingly important. To assess advance care planning engagement, valid tools are required. The primary objective of the study is to validate the 15-, 9- and 4-item versions of the ACP Engagement Survey in Singapore.Methods10 inpatients in a Singapore community hospital were purposively sampled for a cognitive debriefing interview on the ACP Engagement Survey. We recruited patients 21 years and older, who were able to understand and speak English, without a diagnosis of dementia, and who were not admitted under the palliative care service. Next, 150 inpatients and caregivers were recruited using convenience sampling across 2 Singapore community hospitals to complete the 15-item ACP Engagement Survey. We assessed content validity, internal consistency with Cronbach’s alpha, construct validity with hypotheses testing and test-retest reliability using intraclass correlation coefficients.ResultsThe ACPES scores were significantly higher for those who reported yes for pre-planning activities such as making a will, making a lasting power of attorney, telling one’s doctor about end-of-life care preferences, and telling family or loved ones about end-of-life care preferences. Cronbach’s alpha was 0.945 for the 15-item version, 0.915 for the 9-item version, and 0.912 for the 4-item version. Intraclass correlation coefficient was 0.933 for the 15-item version, 0.938 for the 9-item version and 0.865 for the 4-item version.ConclusionsThis study provided good psychometric support for the validity of the 15-item, 9-item and 4-item versions of the ACP Engagement Survey in Singapore.Trial registrationSingHealth Centralised Institutional Review Board (CIRB) approved this study (reference 2022/2025).

Validity and Reliability of the Tampa Scale for Kinesiophobia for Adolescents with Heart Disease.

Kinesiophobia (KP) is the fear of movement or physical activity (PA) that is related to a medical condition. In adolescents, KP is associated with depression, anxiety, and impaired quality of life (QoL). Adolescents with heart disease (HD) often avoid PA. Factors that may moderate PA avoidance, such as KP, have not been adequately studied in this population. Purpose: To assess the validity and reliability of a newly adapted Tampa Scale for KP for adolescents with HD (TSK-Heart-A). Methods: The TSK-Heart-A survey consists of 17 Likert scale items, producing a summary score (SS) ranging from 17 (low KP) to 68 (high KP). Following content and face validity, adolescents (age 12-18 years) with arrhythmia disorders or Fontan palliation were recruited. The PROMIS pediatric anxiety and depression short forms, PedsQL generic core and cardiac module, and a PA questionnaire for adolescents (PAQ-A) were used for criterion validity. The TSK-Heart-A was completed twice (20.4 ± 6.3 days apart) for assessment of internal and test-retest reliability. Pearson correlations and Cronbach's alpha determined validity and reliability, respectively. Results: Adolescents (n = 63) were 15.5 ± 1.8 years-old, 50.8% female, and 69.8% had arrhythmia disorder. Mean TSK-Heart-A SS was 33.8 ± 7.8 (range: 20 to 56). The TSK-Heart-A SS correlated significantly with PROMIS T-scores (anxiety: 49.7 ± 12.2, r = 0.48; depression: 46.9 ± 12.7, r = 0.41), PedsQL score (generic QoL: 75.2 ± 18.9, r = -0.61; cardiac QoL: 74.7 ± 17.5, r = -0.56), and PAQ-A (score: 2.0 ± 0.7, r = -0.35). Test-retest and internal reliability had a total score of r = 0.77 (p = 0.89). Conclusions: The new TSK-Heart-A survey is valid and reliable and suggests KP is present in some adolescents with HD.

Exploring Canadian Dietitians' Knowledge Attitude and Practices Providing Culturally Safe Care to Muslims who fast During the Month of Ramadan: A Cross-sectional Study.

Fasting during Ramadan involves abstaining from food and drink from dawn to dusk for 29 to 30 days, annually. Dietitians, experts in food and nutrition, play a vital role in fostering the well-being of Canadians. Given that 1 in 20 Canadians are Muslim, access to culturally safe care is essential for their health. The consumption of adequate nutrients during the non-fasting hours is important for Muslims well-being. It is unknown whether dietitians in Canada feel comfortable and knowledgeable providing safe care during Ramadan. An online survey, was developed using the World Health Organization's Knowledge Attitude and Practice Protocol, and then reviewed for content validity by 6 dietitians. From March 5, 2023 to April 1, 2023, 159 Canadian dietitians, from a variety of practice areas including acute care, community health, and private practice, completed the online survey. Descriptive statistics, cross tabulations, and chi-square tests, enhanced by post hoc analyses with Bonferroni correction, were employed to determine any relationship between categorical variables and identify significant associations or differences. While most participants demonstrated an adequate understanding of Ramadan fasting practices, including its duration and restrictions, 91% reported not receiving information on how to provide culturally safe care during their university degree. Many dietitians expressed discomfort providing care (43.7%, 69/158) and lacked adequate resources (51.3%, 81/158). Among the 37% of dietitians who did offer care to Muslims (58/157), the majority felt comfortable (72.1%, 44/58). This study reveals a gap in capacity to provide culturally safe care, highlighting the need for training interventions for nutrition professionals, and curriculum for dietetics programs.

Cultivating Excellence: Development and Validation of a Bilingual Competency Self-Assessment Tool for Infection Prevention and Control Practitioners.

The study aimed at developing and validating a bilingual competency self-assessment tool for infection prevention and control practitioners based on the core competencies proposed by the World Health Organization (WHO). The study was conducted from December/2021 to June/2023. The bilingual tool (Brazilian Portuguese and English versions) was developed according to four stages: 1) conceptual framework establishment and item generation; 2) content validity; 3) response process validity; and 4) internal structure validity. The Brazilian Portuguese version of the tool was organized into five areas, 36 items, and a Cronbach's alpha coefficient between 0.89 and 0.97; the English version of the tool was organized into five areas, 37 items, and a Cronbach's alpha coefficient between 0.91 and 0.98. The bilingual tool gathers evidence of content validity and internal structure validity. The current evidence suggests that these are the first self-assessment tools that have utilized the core competencies proposed by the WHO as a conceptual basis. Such tools can be applied in countries of all income classifications, which makes it possible to design educational initiatives and enhance core competencies.

Addressing Vaccine Hesitancy: Validating the PACV Survey for Croatian Parents.

Background/Objectives: Vaccine hesitancy, recognized by the WHO as a significant global health threat, undermines vaccination efforts. This study aimed to adapt and validate the Parent Attitudes about Childhood Vaccines (PACV) Survey for Croatian parents to understand vaccine hesitancy better. Methods: A cross-sectional study with 1814 Croatian parents was conducted using the PACV survey, translated using a double-back translation method. The psychometrics of the questionnaire were examined, including content validity, dimensionality, construct validity, discriminant validity, and reliability. Confirmatory factor analysis (CFA) assessed the original model's validity, but the original model fit poorly, prompting exploratory factor analysis (EFA) to identify latent factors. Reliability was measured using Cronbach's alpha and McDonald's omega. Results: EFA identified a five-factor model with factors labeled "Safety", "Schedule", "Attitudes", "Behavior", and "Trust". Subsequent CFA confirmed this model with acceptable to good fit indices. Discriminant validity was also confirmed. Reliability analyses indicated high internal consistency, with total Cronbach's alpha at 0.926 and McDonald's omega at 0.931. Conclusions: The adapted PACV is a valid and reliable tool for identifying vaccine hesitancy among Croatian parents. This study revealed high vaccine hesitancy among Croatian parents, emphasizing the need for targeted interventions.

The Bimanual Observation of The Hands (BOTH): Development, reliability, and validity for stroke rehabilitation.

To efficiently perform bimanual daily tasks, bimanual coordination is needed. Bimanual coordination is the interaction between an individual's hands, which may be impaired post-stroke, however clinical and functional assessments are lacking and research is limited. To develop a valid and reliable observation tool to assess bimanual coordination of individuals post-stroke. A cross-sectional study. Rehabilitation settings. Occupational therapists (OTs) with stroke rehabilitation experience and individuals post stroke. The development and content validity of BOTH included a literature review, review of existing tools and followed a 10-step process. The conceptual and operational definitions of bimanual coordination were defined as well as scoring criteria. Then multiple rounds of feedback from expert OTs were performed. OTs reviewed BOTH using the 'Template for assessing content validity through expert judgement' questionnaire. Then, BOTH was administered to 51 participants post-stroke. Cronbach's alpha was used to verify internal reliability of BOTH and construct validity of BOTH was assessed by correlating it to the bimanual subtests of The Purdue Pegboard Test. Expert validity was established in two-rounds with 11 OTs. Cronbach's alpha was α = 0.923 for the asymmetrical items, 0.897 for the symmetrical items and 0.949 for all eight items. The item-total correlations of BOTH were also strong and significant. The total score of BOTH was strongly significantly correlated with The Purdue-Both hands placement (r = .787, p < .001) and Assembly (r = .730, p < .001) subtests. BOTH is a new observation tool to assess bimanual coordination post-stroke. Expert validity of BOTH was established, excellent internal reliability and construct validity were demonstrated. Further research is needed, so in the future, BOTH can be used for clinical and research purposes to address bimanual coordination post-stroke.

Development of organizational healing scale: validity and reliability study.

Adverse and destructive situations can have a significant and long-lasting impact on organizational members, resulting in considerable disruption to organizational functioning. The occurrence of negative or traumatic events in organizations can be attributed to a range of factors, including natural adversities, as well as intentional or human-induced crises. The concept of organizational healing encompasses both the processes that enable an organization to regain functionality following adversity and the strategies that facilitate enhanced performance in the period following trauma or harm. Recent advances have highlighted the topic of organizational healing, particularly in relation to how organizations can recover from significant traumatic events and return to their pre-disaster state. This study aimed to develop the Organizational Healing Scale by verifying its reliability and validity. The item pool for the organizational healing scale was developed with the objective of ensuring its applicability for researchers and participants by adhering to the principles of scientific rigor and practicality. In this context, an item pool of 32 items was created. To ensure construct validity, EFA and CFA were conducted, and for content and face validity, expert opinion was consulted. Validity was also ensured through convergent and discriminant validity. Reliability was tested using Cronbach's alpha coefficient value. The two components (individual priority, organizational priority) identified through EFA as contributing to the construct validity of the scale were subsequently confirmed by CFA. The fit indices for the scale were at satisfactory level. The Cronbach Alpha coefficient value demonstrated that both components were reliable. A review of the results indicated that the organizational healing scale is a valid and reliable instrument for measuring the healing levels of organizations with respect to the component under consideration.

Development, Implementation and Initial Evaluation of the Blueprint for MBBS Theory Exams in a Private Medical College of Pakistan

Objective: This study aimed to enhance the validity of the exam bank at Liaquat National Medical College (LNMC), Karachi, through the development and evaluation of the exam blueprinting process as part of an ongoing quality assurance initiative. Study design and setting: This study was conducted at Liaquat National Medical College (LNMC), Karachi. Participants included key stakeholders i. faculty members, ii-officials from the examination department (involved in the development of the fourth-year MBBS neuroscience exam blueprint), and iii-students. Methodology: Ethical approval for this study was taken by the LNMC Ethics Review Committee. For the ease of understanding, this article was divided into two sections: In first section, the stepwise approach of blueprint development was discussed whereas the second section dealt with feedback from 105 Year 4 MBBS students, feedback from faculty involved in this process and lastly, the experiences of examination unit personnel were explored. Results: Following the Calgary model by Coderre et al., blueprint for undergraduate MBBS theory exam was developed. Students (85%) agreed that the exam accurately assessed the taught content. Faculty expressed satisfaction with the blueprinting process, noting improvements in exam quality, topic representation, and the elimination of redundant questions. Examination unit personnel reported better time management and improved alignment with curricular objectives. Initial challenges, such as faculty’s lack of training and resistance were also identified. Conclusion: The blueprinting process significantly enhanced alignment of theory exam with educational objectives thereby ensuring the content validity. Continued training and institutional support are vital to overcoming initial challenges

Development and validation of a Malay version questionnaire for assessing risk perception of type 2 diabetes (RPDM).

The burden of type 2 diabetes is increasing globally. Risk perception of type 2 diabetes plays an important role in motivating adoption of healthy lifestyle and preventive health interventions. To address the increasing burden of type 2 diabetes in Malaysia, a better understanding on its risk perception is needed as a guide for preventive interventions. This study was aimed at developing and validating a Malay-language questionnaire to assess the risk perception of type 2 diabetes (RPDM) among Malaysians. The questionnaire (RPDM) was developed based on the Health Belief Model and previous literature. A 59-item question pool was initially developed, reviewed by experts for content validity and pretested on five respondents. Different samples were used for pilot study (n = 100) and subsequent validation study (n = 158). Exploratory factor analysis (EFA) and Confirmatory factor analysis (CFA) were used to evaluate construct validity and construct reliability of the questionnaire. The EFA yielded five-factors model, including 48 items with good factor loadings of > 0.40. CFA was carried out using item parceling. The final model shows acceptable model fit and had sufficient convergent and discriminant validity. The value of construct reliability ranged between 0.76 and 0.90. This newly developed and validated Malay-language RPDM questionnaire is valid and reliable for measuring the five constructs (perceived self-efficacy, perceived severity, perceived benefit, perceived susceptibility and perceived barrier) of risk perception of type 2 diabetes among Malaysians. This Malay-language questionnaire may contribute to a better understanding of risk perception of type 2 diabetes among Malaysians, as well as enhancement of diabetes prevention communication between healthcare providers and their clients.

The Most Important Measures in Reducing Infection Control in the Anesthesia Work Environment: An Evidence-Based Study

Background: Anesthesia providers cross-contaminate their work environment. The hands of anesthesia providers are vectors for the transmission of infection between medical equipment in the anesthesia work environment and patients. The high work density of anesthesia providers around the patient has made it important to monitor infection control in the work environment and anesthesia procedures. This research aimed to find the best evidence for preventing or reducing infection in the anesthesia work environment. Methods: The measures required for the guidelines in the field of infection control in the anesthesia work environment were determined according to the available resources and the use of expert opinions of anesthesiologists and faculty members. Then, the guidelines for infection control in the anesthesia work environment were designed based on the evidence-based method (Stettler model). Also, it has been implemented in a limited way in the operating room. To assess the validity of the approach used in calculating the content validity coefficient (CVR) and the content validity index (CVI), Finally, the Test-Retest method, and Cronbach's alpha coefficient were used to determine reliability. Results: The guidelines for infection control in the anesthesia work environment were designed using evidence-based methods (Stettler's model). The content validity of anesthesia procedures requiring infection control guidelines was reported with a content validity index (CVI) of more than 0.79 and a content validity ratio (CVR) of more than 0.59. The reliability test was measured by Cronbach's alpha coefficient (0.806). Conclusion: Based on this study, the use of global infection control guidelines changes the attitude of anesthesia nurses and reduces the rate of infection in the anesthesia work environment. Also, the use of evidence-based methods facilitates the implementation of guidelines in the target environment.

Patient‐Reported Outcome Scale for Allergic Rhinitis (AR‐PRO): Development and Validation in China

ABSTRACTBackgroundPatient‐reported outcomes (PROs) have become indispensable measures in allergic rhinitis (AR) clinical trials. However, there is currently no scale specifically designed for the Chinese population. This study aimed to develop and validate the patient‐reported outcome scale for allergic rhinitis (AR‐PRO) to provide a reliable tool for AR patients in China.MethodsWe analyzed the relevant literature and medical records, and conducted interviews and panel discussions to develop the conceptual framework and generate the item pool. We subjected the collected items to removal, mergence, or modification to form the initial scale through a qualitative review by experts and patients. Subsequently, we conducted two field surveys to select items for the final scale based on the classical test theory and item response theory (IRT). Finally, we conducted a formal survey to assess the measurement properties of the AR‐PRO.ResultsThe AR‐PRO comprised 20 items across four domains, including physiology, psychology, environment, and satisfaction. The Cronbach's α coefficient and intraclass correlation coefficient (ICC) between two AR‐PRO‐based measurements were 0.910 and 0.950, respectively. The content validity, structural validity, criterion validity, and discriminant validity all met relevant standards. The item analysis results based on IRT were acceptable. Both the response rate and completion rate of the scale were 100%, and the average completion time was 380.4 ± 123.6 s.ConclusionThe 20‐item AR‐PRO developed may be a reliable and scientific measure for AR clinical trials as it exhibited good reliability, validity, and feasibility.

The roadblocks to business ownership: Analyzing the challenges Thai physical therapists face despite entrepreneurial education

Background: The field of entrepreneurship poses significant challenges for undergraduate students and physical therapists in Thailand. Entrepreneurial intention, entrepreneurial courses in the physical therapy curriculum, and personality qualities are likely the prominent influencers. The social-environmental factors, access to resources, and perceptions of opportunity are also suggested to play a role of the secondary influencers on entrepreneurship. Regrettably, there is a lack of empirical evidence about the impact of these effects on entrepreneurial concepts within physical therapy. Objective: This study aimed to ascertain the mutual correlation and assess the primary and secondary influencers for entrepreneurship among undergraduate students and physical therapists. Materials and methods: A cross-sectional study was conducted on 120 physical therapy students and general physical therapists. An online, structured questionnaire with a five-point Likert scale for primary and secondary influencing factors was designed. All questions’ content validity and reliability were determined before being applied to all respondents, and a significant relationship was identified with Barlette’s test. The Kaiser-Meyer-Olkin Measure (KMO) and the measure of sample adequacy (MSA) were used to assess the overall feasibility of factorial analysis. Finally, the IBM SPSS AMOS program analyzed the influence on entrepreneurship with structural equation modeling (SEM). Results: The results from 120 responses (74 females and 46 males), 64 undergraduate students, and 56 general physical therapists were 25.81±6.62 years (21-51 years old). All questions showed good reliability. All influencing factors showed a significant relationship and feasibility through factor analysis (FA). Furthermore, the primary factors showed that personality traits strongly influenced entrepreneurship compared to entrepreneurial intention. However, the curriculum had a meager impact. In addition, secondary influencing factors, such as opportunity perception, access to resources, and social-environment factors, highly influence entrepreneurship. Conclusion: Personality traits and entrepreneurial intention are the most influencing factors, but the course in the curriculum is less influential for entrepreneurship. On the other hand, opportunity perception, access to resources, and social/environmental factors are also the secondary strong influencing factors among physical therapy students and general physical therapists.