Discriminant Validity Research Articles

Psychometric properties of the Death Reflection Scale - Indian version

Contemplation of mortality often helps people to become more mindful of their living, cherishing relationships, experiences and opportunities. Therefore, the present study aims to evaluate the validity of the Death Reflection Scale within the Indians. A non-clinical sample of 381 participants age ranges from 19 to 90 years participated in this study. The Death Reflection Scale is a widely recognized tool to gauge positive aspects on reflecting about mortality. The scale's validity and reliability throughout the German population was demonstrated to be appropriate and relevant. Given the shared cultural similarities among diverse Eastern ethnicities, this validation offers the potential for application across various countries. However, it is crucial to research its validity and reliability using confirmatory factor analysis (CFA) in the Indian population. The validity of the scale was confirmed using Confirmatory Factor Analysis (CFA), yielding a CFI of 0.951. The Goodness Fit Index of 0.929 and RMSEA of 0.07 indicating a reasonably good fit. The scale's discriminant, convergent, and factorial validity were all proven by the results, which also showed its reliability (α =0.92). These results imply that the Death Reflection Scale's Indian validation satisfies the fundamental requirements for psychological evaluations, proving its appropriateness for use in scholarly research.•Quantitative method used in validating the questionnaire.•Cultural validation has been done to ensure cultural relevance and appropriateness.•Reliability and consistency have been established.

Young Children's Participation and Environment Measure (YC-PEM): Cross-Cultural Adaptation, Reliability, and Validity of Turkish Version.

We investigated the psychometric properties of a Turkish version of the Young Children's Participation and Environment Measure (YC-PEM-T). Our participants were 367 children (212 children with disabilities and 155 children without disabilities; M age = 40.76 months, SD = 20.33; range 0-71 months) and their parents, who were selected by a convenience sampling method. We translated and cross-culturally adapted the original YC-PEM from English to Turkish (YC-PEM-T). We found the internal consistency and test-retest reliability of the YC-PEM-T to be good with a Croanbach's alpha ranging from .68 to .94, and intraclass correlation coefficients ranging from .69 to .89 after the YC-PEM-T was administered twice to 100 parents within a three week period. In a two-way analysis of variance (ANOVA) we compared YC-PEM-T scores between children with and without the presence of a disability and found significant differences (p < .05). While we found significant differences between three different age groups, they did not follow consistently. To evaluate discriminant validity, we followed up these ANOVAs with post-hoc analyses when results were statistically significant. Regarding concurrent validity, there were strong to very strong relationships between scores on the participation part of the YC-PEM-T and both the Pediatric Evaluation of Disability Inventory (PEDI; .701 < r < .854, p < .001), and the European Child Environment Questionnaire (ECEQ; - .632 < r < - .690, p < .001). We concluded that the YC-PEM-T is a valid, reliable, and culturally adapted tool for evaluating daily life participation and adaptation to environmental factors in young Turkish children. We can recommend the YC-PEM-T for use in clinical settings and for epidemiological research to assess young children's participation in activities in the home, preschool and community. We also recommend that future investigators examine other psychometric properties of this scale, including its interpretation and capacity to differentiate varied diagnostic and disability groups.

The psychometric properties of the Persian version of the innovation support inventory (ISI-12) in clinical nurses: a methodological cross-sectional study

BackgroundInnovation in nursing involves applying new knowledge to create novel ideas, methods, or technologies, resulting in higher-quality care and improved patient outcomes. Adequate support for innovation is crucial for progress in nursing. This study aimed to translate the Innovation Support Inventory (ISI-12) into Persian and assess its psychometric properties specifically among clinical nurses.MethodsA methodological cross-sectional study was conducted from September 2022 to July 2023 to evaluate the face, content, and construct validity of the ISI-12. Construct validity was assessed through confirmatory factor analysis (CFA) and convergent and discriminant validity evaluation using data obtained from 321 clinical nurses. The test–retest stability and internal consistency of the ISI-12 were also evaluated to assess its reliability.ResultsThe Persian version of the ISI-12 validation through confirmatory factor analysis has confirmed its fit with the proposed three-factor model. The ISI-12 demonstrated high reliability, as evidenced by a Cronbach's alpha coefficient (α = 0.969), McDonald's omega coefficient (ω = 0.922), coefficient H (H = 0.979), and mean inter-item correlation (ρ = 0.418). Additionally, the stability of the ISI-12 during two weeks among 40 clinical nurses was found to be excellent, with an ICC of 0.951.ConclusionThe Persian version of the ISI-12 is a valid inventory for evaluating the innovation Support of clinical nurses.

New norm values of the brief resilience scale (BRS) from the German general population with new post-COVID-19 data

BackgroundThe concept of psychological resilience has spurred extensive research across various fields, with the Brief Resilience Scale (BRS) emerging as a concise tool to measure an individual’s ability to rebound from stress. It has been translated into multiple languages, including German, but the validation of the German version occurred prior to the COVID-19 pandemic. Therefore, the main objective of this study was to examine new norm values and psychometric properties of the BRS.MethodsNorm values, the factor structure, reliability and validity of the BRS were examined using data from a representative survey of the German general population (N = 2522).ResultsThe results indicated that the method-factor model showed the best fit, suggesting a nuanced understanding of resilience beyond a single-factor approach. The BRS demonstrated good convergent and discriminant validity based on both latent and manifest correlations. Moreover, the study revealed increasing postpandemic resilience scores.ConclusionsThe results of this study provide support for the psychometric reliability and validity of the German version of the BRS after the COVID-19 pandemic and underscore the importance of assessing resilience amidst evolving societal challenges and highlight the need for further exploration in diverse populations.

Translation, cultural adaptation and validation of the Tamil version of the Cardiff Acne Disability Index (CADI) in Sri Lanka

BackgroundAssessment of QoL has become an essential component in the holistic care of patients with acne. The Cardiff Acne Disability Index (CADI) is used globally to assess quality of life (QoL) in patients with acne. This study was done to validate CADI in Tamil, as 90 million of the global population are native speakers and Tamil is an official language of several countries.MethodsCADI was translated and validated into Tamil according to published guidelines. The Tamil versions of both CADI and Dermatology Life Quality Index (DLQI), was administered to 150 Sri Lankan young adults with acne. The clinical severity was assessed using the Global Acne Grading System (GAGS). Discriminant validity was tested by comparing the results of CADI with those of GAGS and DLQI, using reliability, validity, Cronbach’s alpha, and Spearman’s correlation coefficient measurements. Construct validity was assessed by factor analysis.Results70% were female, and the mean age was 25.1 (SD, 5.2). The majority (91.3%) had acne of mild to moderate severity when measured by GAGS. CADI-Tamil showed high internal consistency and reliability (Cronbach’s alpha coefficient = 0.83). The CADI total score showed a strong correlation (0.86) with that of DLQI. The correlation between CADI and GAGS was low, whereas CADI had a high and significant correlations with the DLQI. The construct validity explained 61% of the variability.ConclusionsThe CADI-Tamil is a reliable and valid tool for assessing the QoL of Tamil speaking patients with acne. This tool will help clinicians understand the patient’s perspective on acne.

Initial development of a sleep health literacy scale

ObjectivesHealth literacy includes the skills necessary for effective communication with health professionals, understanding health instructions, and recognizing health needs. Our study aimed to create a novel measure of sleep health literacy—an individual's capacity to comprehend sleep-related information and navigate sleep-related healthcare services. MethodsThe Sleep Health Literacy scale consists of two subscales: “Sleep Health Communication” (11 Likert-scale items assessing access to resources and communication with healthcare providers) and “Sleep Health Knowledge” (46 true/false items assessing specific knowledge of sleep health). The Sleep Health Literacy scale was completed by 154 undergraduate students (mean age=20.96years; 79.87% female) in study 1. In study 2, an additional sample of 251 participants (mean age=20.23years; 79.87% female) completed the Sleep Health Literacy scale, along with measures of convergent and discriminant validity. ResultsExploratory factor analysis results in study 1 revealed a two-factor structure for the “Sleep Health Communication” subscale (“comprehension” and “critical application”). The subscale demonstrated good internal consistency (α = 0.81) and inter-item and item-total correlations. On the “Sleep Health Knowledge” subscale, participants answered 76.36% of items correctly. In study 2, the Sleep Health Literacy had good convergent validity with Sleep Beliefs Scale and the All Aspect of Health Literacy Scale. ConclusionsThe Sleep Health Literacy scale offers a standardized measure to assess sleep health literacy, an understudied domain that has important links to health. This measure may allow researchers and clinicians to better understand how to improve sleep health. Further validation of the Sleep Health Literacy scale is warranted in more diverse samples.

Awareness of everyday effects of climate change: The climate change perceptual awareness scale (CCPAS)

Climate change is intrinsically complex and demands a certain degree of abstraction. However, different individuals report a wide range and degree of tangible and sensory experiences of climate change. As perceptual and sensory awareness of climate change has important consequences for the promotion of sustainable behaviors, pro-climate policies, and clinical interventions for climate-related disorders such as climate anxiety, new specific tools are required: herein we detail the development of a psychometric measure of perceptual awareness of climate change, as well as provide evidence for its discriminant, convergent, and predictive validity for sustainable behaviors. The administration of this scale on a representative sample of the UK population (Study 1) yielded a 4-factor structure, with items measuring perception of temperature changes and those measuring perception of humidity changes loading on separate factors, and two additional factors identifying the awareness of own feelings and perception of media attention on climate change. A second administration (Study 2) to an independent sample gathered from the Italian population supports the reliability of this factorial structure. As the rising field of climate neuroscience starts to investigate the determinants of perceptions of climate change, this novel scale will allow assessing the perceptual features affecting awareness of climate change.

Vaccine hesitancy as indecision: Creation and evaluation of the Unidimensional Vaccine Hesitancy Scale.

Several authors have argued that vaccine hesitancy should be conceptualized as indecision in the vaccination decision-making process, but no established measure with support for its psychometric properties and validity has been created from this operational definition. To resolve this tension, this article undergoes a four-study scale development process to create the 4-item Unidimensional Vaccine Hesitancy Scale (UVHS). We conduct four survey studies utilizing a total sample size of 884. In Studies 1 (n = 297) and 2 (n = 298), we provide psychometric support for the measure via exploratory and confirmatory factor analysis. In Studies 3 (n = 193) and 4 (n = 106), we support the concurrent and discriminant validity of the measure by assessing its relations with relevant constructs, such as vaccination readiness and acceptance, and we also provide initial indicators of the scale's possible predictive qualities by testing its time-separated effects with vaccination willingness, receipt and word-of-mouth. We leverage these results to provide a number of theoretical insights and suggestions for future practice. Of note, we highlight that different conceptualizations and operationalizations for the same construct can produce notably differing empirical findings, and vaccine hesitancy is no different. Our cumulative efforts indicate that the UVHS is an appropriate measure to assess vaccine hesitancy as indecision.

Testing the Construct Validity and Reliability of the Student Learning Interest Scale Using Confirmatory Factor Analysis (CFA)

Learning interest is one of the determining factors of student learning success. The low interest of students in learning process is caused by several problems that occur. Thus, learning interest is very important in learning progress, namely to bring out students' interest and activeness in learning. To support learning and increase students' interest in learning, teachers should not only master the material but also create interesting learning to help arouse curiosity, enjoyment and interest in learning in them. This study aims to test the validity and reliability of the construct of the developed learning interest scale. A researcher needs 250 to 500 respondents. This study involved 300 random samples of fifth grade elementary school students in Berbah District, Sleman, Yogyakarta, Indonesia. Data were analyzed with second-order confirmatory factors assisted by IBM SPSS version 26 software. This study measures the validity and reliability of elementary school students' interest in learning science. So the data analysis in this study measures validity and reliability. So this study uses second order confirmatory factor analysis (nd order CFA). The results showed that the developed learning interest scale had met the criteria of suitability, convergent validity, discriminant validity, construct reliability. Therefore, the developed scale is feasible to use.

Technological work burnout: conceptualization, measure development and validation

PurposeAs workplaces increasingly integrate digital technologies, understanding their impact on employee burnout has become imperative. This paper introduces the Technological Work Burnout Scale (TWBS), an innovative tool developed to measure the influence of technology on workplace burnout.Design/methodology/approachTo bridge the existing gap in this area of study, our research employed Hinkin’s (1998) psychometric methodologies, creating a structured process for developing the TWBS, which included initial item generation, item reduction with reliability estimation, confirmatory factor analysis and tests for both convergent and discriminant validity. By applying these procedures, we validated the scale across various professional settings (in three different samples), ensuring its robustness and applicability in diverse technological work environments.FindingsThe TWBS demonstrates a consistent unidimensional structure, effectively capturing the multifaceted nature of burnout in the digital age.Originality/valueThrough this scale, we provide insights into how technology influences employee well-being and organizational health, offering a valuable tool for organizations to assess and manage the growing issue of technological work burnout. Our study not only enriches the academic understanding of burnout in the context of technological integration in workplaces but also offers practical implications for addressing this critical concern.

ORGANIZATIONAL EFFECTIVENESS FOR ACCOUNTING IN-FORMATION SYSTEM PRACTICE: A STUDY ON SOME SELECT-ED READY-MADE GARMENTS FACTORIES OF CHATTOGRAM IN BANGLADESH

In today's rapidly evolving global business environment, implementing Accounting Information Systems (AIS) effectively is essential for improving financial reporting accuracy and operational efficiency. Despite its importance, the relationship between AIS practices and organizational effectiveness remains insufficiently explored, particularly within Bangladesh's ready-made garments (RMG) industry. This study aims to examine the impact of AIS on organizational effectiveness within the RMG sector of Chattogram, Bangladesh. Data were collected from 400 respondents using a purposive sampling method, with responses measured on a five-point Likert scale. The study evaluated AIS across multiple dimensions, including financial reporting accuracy, timeliness of decision-making, data security, ease of accessibility, regulatory compliance, and user satisfaction. Organizational effectiveness was assessed in terms of cost efficiency, integration with other systems, decision support, adaptability to change, training and support, innovation, and system upgrades. Factor analysis was performed to validate the data, and reliability was tested through Cronbach's Alpha. A structural equation model (SEM) was developed using IBM SPSS AMOS 22 to analyze the relationship between AIS and organizational effectiveness, ensuring that the model met convergent and discriminant validity requirements. The results revealed a significant positive relationship between AIS practices and organizational effectiveness. AIS contributed to improved decision-making, enhanced financial reporting accuracy, streamlined operational processes, and greater overall efficiency. These findings underscore AIS's crucial role in promoting organizational success within the RMG sector, highlighting its potential to boost performance, productivity, and overall effectiveness.

What leader behaviors evoke employee innovative work behavior in Asia? Validation of a new survey scale

Abstract In Asian workplaces, effective innovative work behavior (IWB) presents challenges. Knowledge on how Asian leaders can promote employee IWB through their behavioral repertoire is needed. This assumption prompted us to develop and validate the so-called Innovative Leader Survey (ILS), covering a repertoire of leader behaviors by which employee IWB is stimulated in Asia. Study 1 interviewed 60 high-performing leaders and employees on such behaviors, bringing forth three leader-behavioral dimensions and survey items for fostering employee idea generation, promotion, and implementation, labeled Envisioning, Energizing, and Enabling. Study 2 involved 1,037 survey respondents through which we validated these three sets of specific leader behaviors. Study 3, with 287 respondents, established ILS’s discriminant validity while all of its 11 operationalized leader behaviors were found to predict their followers’ IWB after 4 months. Future research with the ILS is proposed to enrich theory and empirical research on the relationship between effective leadership and employees’ IWB in Asian organizations.

The Social Motivational Orientations in Sport Scale (SMOSS): Validation for Portuguese Physical Education Students

Social goals are increasingly seen as motivational factors for youth sports participation and can strongly motivate participation and engagement, not only in structured sports contexts but also in physical education (PE), given the opportunities for social interaction with peers and the presence of skills like communication, cooperation, and competition within groups. The Social Motivational Orientations in Sport Scale (SMOSS) measures three types of social goals in sports participation: affiliation, status, and recognition. The current study aimed to adapt and validate the SMOSS for the Portuguese context, using a sample of 460 PE students (14–19 years old, 58.9% female). The confirmatory factor analysis results supported the three-factor model (affiliation, recognition, and status), after excluding two items. This adapted 13-item SMOSS demonstrated invariance across genders and showed good internal consistency across its three dimensions. It also exhibited convergent, discriminant, and concurrent validity. These findings indicate that the Portuguese version of the SMOSS is a valid and reliable instrument. It is now well suited for use by schools, teachers, and psychologists to effectively assess PE students’ social goals. Additionally, the SMOSS can assist in evaluating intervention programs aimed at enhancing students’ social motivation, thus contributing to more effective educational and developmental strategies in PE settings.

Psychometric Properties of Telugu Version of Scale of Oral Health Outcomes for 5-year-old Children.

Only a finite number of standard oral health-related quality of life (OHRQoL) measures are available for young children. However, instead of using parents as proxies to report a child's oral health status, children's self-reported oral health measures would be more accurate in providing their own perceptions of oral impacts. The study aimed to evaluate the psychometric properties of the Telugu version of the scale of oral health outcomes (SOHO-5T) for 5-year-old children in Telangana. The forward-backward translated SOHO-5T was pilot-tested among thirty children. The tested questionnaire was administered to 419 children, followed by a clinical oral examination using dentition status to evaluate dental caries (DC). Children (n = 30) were readministered the same questionnaire after a 2-week interval to test reliability. Internal consistency and test-retest reliability were determined by Cronbach's α and intraclass correlation. Correlation with global ratings of oral health questions was done to assess construct validity. Discriminant validity was evaluated based on the presence or absence of DC. A p < 0.05 was considered statistically significant. The mean SOHO-5T score was 4.70, and the mean decayed teeth score was 2.48, with 49.16% of children having DC. Cronbach's α scores and the intraclass correlation (ICC) coefficient for overall SOHO-5T were 0.90 and 0.91, respectively. SOHO-5T also demonstrated good construct validity with a significant positive correlation with global ratings of oral health. SOHO-5T showed good discrimination between the presence (9.43 ± 3.10), or absence (0.14 ± 1.01) of DC. This study shows good internal consistency and test-retest reliability. It also exhibited good construct and discriminant validity. Meghana D, Sukhabogi JR, Doshi D, et al. Psychometric Properties of Telugu Version of Scale of Oral Health Outcomes for 5-year-old Children. Int J Clin Pediatr Dent 2024;17(8):933-937.

Consumer Locus of Control Scale: Validity, and Measurement Invariance Evidence in Low and High Socioeconomic Status Groups

Consumer locus of control is a key factor in purchase decisions, where consumers perceive outcomes as either dependent on or external to their own actions. These beliefs vary among individuals from different socioeconomic backgrounds, except when it comes to consumption. However, the assumption of measurement invariance across all socioeconomic groups has not been proven. To address this, a study was conducted to develop, validate, and test the invariance of the Consumer Locus of Control Scale. The first study (n = 300) involved exploratory factor analysis and reliability testing. The second study (n = 309) examined confirmatory factor analysis, convergent and discriminant validity, and measurement invariance. Results showed high explained variance and internal consistency. The five-factor structure demonstrated a good fit, supporting the scale's structural validity. Furthermore, the scale was invariant between high and low socioeconomic groups. This study provides valuable evidence for the reliability and validity of the Consumer Locus of Control Scale.

Measuring psychache as a suicide risk variable: A Mokken analysis of the Holden's Psychache Scale

BackgroundThe Psychache Scale (PAS) is a questionnaire measuring trait-level psychological pain with satisfactory internal consistency and a strong correlation with suicidal ideation severity. However, inconsistent results have been reported for the PAS dimensionality. In the present study we used a non-parametric item response theory model, called Mokken Scale Analysis (MSA), to refine an unidimensional version of the PAS. MethodsThe sample was composed of 400 Italian adults (312 females and 88 males) nonrandomly recruited from the general population. ResultsA final set of 10 items satisfied the unidimensionality, local independence, and monotonicity assumptions, although it did not satisfy the double monotonicity assumption. The internal consistency of the PAS-10 was satisfactory (ordinal alpha = 0.98, ω = 0.97, and AVE = 0.82), and ROC curves analysis indicated good discriminant validity when differentiating participants with higher suicide risk from those with lower suicide risk. LimitationsStructural invariance between nonclinical and clinical samples was not investigated, and the presence of suicide ideation and behaviors was assessed with self-report measures with potential under-reporting of the phenomenon. ConclusionThe PAS-10 resulted to be a potentially valid and unidimensional measure of psychological pain (i.e., psychache) that could be used to screen adults at higher risk for suicide. Future studies are needed to investigate psychometric properties of the PAS-10 in clinical samples and to replicate results in independent samples.

Customer Experience Rating for Achieving Loyalty &amp; Satisfaction

Business organizations are turning to innovative goods, new markets, and inorganic growth prospects to generate income as global marketplaces change dramatically and player competition heats up. However, providing a superior and distinctive customer experience for financial services represents the biggest chance for long-term revenue development. Creating a Customer Experience Rating (CXR), a measurement of customer experience in the Malaysian banking industry is the primary goal of this project. According to the statistical analysis findings, the CXR had a high degree of reliability and proved construct validity by reaching both convergent and discriminant validity. The Malaysian population enjoys positive bank experiences, as indicated by the customer experience rating 7.37. The results of this study can be used by practitioners, managers, and regulators to better understand customer experiences and create marketing strategies that will enhance the operational environment, increase customer loyalty and satisfaction, and foster positive word-of-mouth.

Validation of tele-assessment of disability and health after stroke using WHODAS 2.0 through video call in a middle-income country

ABSTRACT Background The validity, reliability, and accuracy of the World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0) for face-to-face assessment in the stroke population are well established. However, the validity and reliability of WHODAS 2.0 through tele-assessment remain uncertain. OBJECTIVE: To assess the reliability, agreement, internal consistency, criterion and discriminant validity of WHODAS 2.0 when administered through video calls. Methods A longitudinal methodological study included fifty individuals with chronic stroke. Both in-person and video call assessments were conducted, and their sequence was randomized. The reliability was determined using the Intraclass Correlation Coefficient (ICC2,1). Measurement errors were assessed using the standard error of measurement (SEM) and smallest detectable change (SDC). Internal consistency was assessed using Cronbach’s α. Criterion validity was determined by conducting Pearson’s correlation coefficient analysis between in-person and video call assessments. Discriminant validity was examined using the Receiver Operating Characteristic (ROC) curve to distinguish disability levels, with the Modified Rankin Scale as the reference standard. Results The participants had a mean age of 56.10 ± 10.8 years, with an equal distribution of genders. Adequate reliability was observed between the two methods (ICC2,1 = 0.88; 95% CI = 0.79-0.93; p < 0.001), and internal consistency was also adequate (Cronbach’s α = 0.88). The criterion validity revealed a strong correlation (r = 0.78; p < 0.001). Discriminant validity demonstrated satisfactory accuracy in distinguishing disability levels via video call (AUC = 0.67; p = 0.04). Discussion This study offers evidence supporting the validity and reliability of the WHODAS 2.0 assessment through video call. Teleassessment using WHODAS 2.0 proves suitable for individuals who have had a stroke, enabling remote evaluation and care

Understanding emotional well-being of teachers: Development and validation of Teacher Emotions in Teaching Scale in Hong Kong using a mixed-methods approach

In view of lacking in a holistic, indigenous measure to the affective well-being of teachers in Hong Kong, this study utilizes a mixed-methods approach to develop and validate the Teacher Emotions in Teaching Scale (TETS) which assesses positive and negative emotions teachers experience in teaching. The process of scale development and construct validation involving three samples of 726 in-service teachers from Hong Kong was reported. Results of this study supported the five-factor model of the TETS and its convergent, discriminant and criterion validity. This study highlights the use of the TETS to understand and promote emotional well-being of teachers.

Development of theoretical framework and digital competence assessment checklist (DCAC) for nursing students

BackgroundThe rapid development of digital technology impacts all aspects, including nursing education. Nursing programs are tasked with equipping graduates with both clinical skills and digital competence. However, inconsistencies in the conceptual understanding of digital competence in nursing literature, underscore the need to refine the concept. DesignThis study involved two phases including a modified Delphi approach and psychometric testing. In Phase 1, the panel of experts in nursing was invited to evaluate the theoretical framework, domain, and item of assessment checklist. In Phase 2, the psychometric properties of the assessment checklist were tested using a quantitative survey. SettingThe study was conducted in Taiwan, Indonesia, and Vietnam. ParticipantParticipants included 12 nursing experts from Taiwan, Indonesia, and Vietnam during the development phase and 417 nursing students from these countries in the validation phase. MethodsPhase 1 utilized a modified Delphi approach establishing a theoretical framework and assessment checklist. Experts provided feedback on a Likert scale, aiming for consensus. Phase 2 involved a quantitative survey where graduate nursing students rated the DCAC. The analysis process following the recommendation of the COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN). ResultsThe theoretical framework defined digital competence across four domains. In the first Delphi round, all items were rated above the consensus threshold. After two rounds, the CVI ranged from .8 to 1.0, suggesting strong agreement among experts. The second phase revealed high discriminant validity among survey items, with Cronbach's alpha indicating high internal consistency. The refined 22-item DCAC showed improved fit indices, confirming the assessment checklist's structure. ConclusionThe developed 22-item DCAC is a valid and reliable tool for measuring digital competence among nursing students. Integration of digital competence into nursing education is essential for preparing students to excel in the healthcare environment.