Evaluation Of Content Validity Research Articles

Are remote health clinics primary health care focused? Validation of the Primary Health Care Engagement (PHCE) Scale for the Australian remote primary health care setting.

To test and validate a measure of primary health care (PHC) engagement in the Australian remote health context. PHC principles include quality improvement, community participation and orientation of health care, patient-centred continuity of care, accessibility, and interdisciplinary collaboration. Measuring the alignment of services with the principles of PHC provides a method of evaluating the quality of care in community settings. A two-stage design of initial content and face validity evaluation by a panel of experts and then pilot-testing the instrument via survey methods was conducted. Twelve experts from clinical, education, management and research roles within the remote health setting evaluated each item in the original instrument. Panel members evaluated the representativeness and clarity of each item for face and content validity. Qualitative responses were also collected and included suggestions for changes to item wording. The modified tool was pilot-tested with 47 remote area nurses. Internal consistency reliability of the Australian Primary Health Care Engagement scale was evaluated using Cronbach's alpha. Construct validity of the Australian scale was evaluated using exploratory factor analysis and principal component analysis. Modifications to suit the Australian context were made to 8 of the 28 original items. This modified instrument was pilot-tested with 47 complete responses. Overall, the scale showed high internal consistency reliability. The subscale constructs 'Quality improvement', 'Accessibility-availability' and 'population orientation' showed low levels of internal consistency reliability. However, the mean inter-item correlation was 0.31, 0.26 and 0.31, respectively, which are in the recommended range of 0.15 to 0.50 and indicate that the items are correlated and are measuring the same construct. The Australian PHCE scale is recommended as a tool for the evaluation of health services. Further testing on a larger sample may provide clarity over some items which may be open to interpretation.

Design and Validation of an Acceptance and Commitment Therapy-Based Intervention Package for Mothers of Children with Intellectual Disabilities

Objective: The present study was conducted with the main objective of explaining the content validity of the ACT-based intervention package for mothers of children with intellectual disabilities, which was designed by the researcher. Methods and Materials: This research is exploratory in terms of its objective and is classified as qualitative in nature. The study population consisted of all books, articles, and dissertations in Persian and English regarding ACT-based therapeutic programs for mothers of children with intellectual disabilities, considering the research’s dependent variables over the last 20 years. Additionally, the population included all experts in the psychology department of Islamic Azad University, Shiraz Branch, who are specialists in the field of intellectual disabilities. The sample from the study population, which included books, articles, and dissertations, was selected using purposeful sampling, and the sampling continued until theoretical saturation was reached. Additionally, from the psychology department of Islamic Azad University, Shiraz Branch, eight psychology professors (experts in the field of special education) were selected. A researcher-made content validity evaluation questionnaire was used to collect experts’ opinions regarding the content validity of the ACT-based intervention program. Findings: The findings showed that the ACT-based intervention package had an acceptable level of content validity, with the CVR (Content Validity Ratio) of all sessions in the intervention program ranging between 0.75 and 1, indicating appropriate content validity for this program. Conclusion: It is recommended that therapists and counselors in the field of therapy use this approach at both educational and therapeutic levels to improve self-compassion, hope, and acceptance in mothers of children with intellectual disabilities.

Investigating the Development and Psychometric Testing of the Information and Communication Technology Use Scale in Iranian Patients With Chronic Conditions

Background: The high prevalence and associated costs of chronic diseases have challenged global community health. The use of information and communication technology offers patients and healthcare providers the ability to respond to healthcare needs. This study develops an information and communication technology use scale for patients with chronic diseases and evaluates its psychometric properties. Methods: This exploratory sequential mixed-method study was conducted in Kashan City, Iran from September 2020 to July 2021. In the qualitative phase, 18 patients with chronic conditions were recruited via the purposeful sampling method. The initial pool of 33 items was extracted in this phase. Psychometric evaluation of the scale was examined through face, content, and construct validity. The internal consistency of the scale was assessed with the Cronbach α and its stability was examined by the test re-test. To evaluate the scale’s construct validity, a cross-sectional study was performed with 300 patients referring to hospital wards and private centers that provide services to patients with chronic diseases. A sequential sampling method was used to select the subjects. The exploratory factor analysis was performed using principal component analysis and the varimax rotation method in the SPSS software, version 16. Results: The initial version of the scale consisted of 33 items. A total of 6 items were removed in the face and content validity evaluation phase. Factor analysis with the removal of 4 items resulted in the extraction of 4 factors that explained 67.45% of the variance in the total scale score. The Cronbach α coefficient and intra-class correlation coefficient were estimated at 0.93 and 0.88, respectively. Conclusion: The scale developed in this study is a valid and reliable tool for measuring formation and communication technology use (including its dimensions) in patients with chronic diseases.

Development and Validation of Female Psychosexual Problems Scale (FPPS)

The goal of the current study was to address married women's psychosexual difficulties in the context of Pakistani culture. Semi structured interviews were conducted on 35 married females as part of the study's initial phase in order to explore phenomenology, and 34 items were created as a result. Furthermore, 34 items were initially provided to experts for the evaluation of content validity. Repetitive statements were discarded after evaluation, and a scale of 32 items was kept and approved by professionals related to psychology field. 160 married female participants were given the final 32 item scale for data collection. Factor analysis revealed a strong KMO value, and Bartlett's test of sphericity revealed a substantial connection between the items. Kaiser's criteria were used to conduct a one factor analysis and only factors with Eigen values of .4 or higher were kept, while factors with Eigen values lower than .4 were removed from the sample. Three key themes found were problems with relationships, personal suffering, and religious concerns by component analysis. Data from sample of 50 married females underwent Confirmatory Factor Analysis (CFA) to verify the variables identified through Exploratory Factor Analysis (EFA), which overall demonstrated a strong construct validity of the scale and model fit. The constructed scale's Cronbach alpha value of .97 indicates a significant inter-item correlation. The research demonstrates information on a wide range of interventions.

Psychometric properties of a Turkish version of the social activities scale for community-dwelling older people requiring support.

Social activities decelerate the deterioration of mental capacity in older people and improve their physical and psychosocial health. Valid and reliable measurement tools are needed to determine the social activity status of older people and plan health services to protect their mental health. This study aimed to adapt the Social Activities Scale for Community-Dwelling Older People Requiring Support (SASOS) into Turkish. This methodological study was conducted in Northern Cyprus between January and June 2022. Convenience sampling was used to recruit 155 community-dwelling older people who needed support. Expert opinion, item-content validity index, and scale-content validity index were used to evaluate content validity. Internal consistency and test-retest reliability tests were used to evaluate reliability. Exploratory factor analysis was used to evaluate construct validity. The Loneliness Scale for Elderly was used to evaluate concurrent validity. The Cronbach's alpha of SASOS was 0.90. Additionally, correlation coefficients of all items ranged between 0.61 and 0.79. Exploratory factor analysis revealed a three-factor structure. 'Interactions with friends and neighbors' was the factor that explained the highest variance (46%). There was a negative, weak, and statistically significant relationship between the scores obtained from the social loneliness subscale of LSE and all three subscales of SASOS. The Turkish version of SASOS is a valid, reliable instrument to evaluate social activities in community-dwelling older people who needed support. The SASOS has been identified as a valuable measure for assessing the social support needs of older individuals. It serves as a guide for both planning and evaluating interventions to enhance their health.

Validating the COVID Check-In: A co-produced online platform enabling integrated care for people with Long COVID

Introduction: ‘Long COVID’ describes the sustained and debilitating symptoms experienced by many people following acute COVID-19 infection. This study builds on previous work by Deakin University and the Western Health COVID-19 Recovery Collaboration (WHCOVRE). In this previous work, a team of 4 health researchers and 6 consumers with Long COVID co-designed the COVID Recovery (or DisCOVeRY) model of care. This model provides a framework for appropriate and effective care by providing an integrated pathway that incorporates existing community supports, tailored to individual consumer need. Consumers receive a comprehensive biopsychosocial assessment using a co-designed patient rated outcome measure (PROM) called the ‘COVID Check-In’ (CCI), the World Health Organisation Disability Assessment Schedule (WHODAS-36), EQ-5D and the 100-point Goal Attainment Scale (GAS). Assessment outcomes determine which clinical stream is offered – self-managed (DisCOVeRY-SM) or intensive rehabilitation (DisCOVeRY-IR).
 Aim: The aim of this project was to validate the automated component of DisCOVeRY-SM for people with Long COVID. Is the CCI a valid, reliable, relevant and accessible Patient Rated Outcome Measure (PROM) for people with Long COVID?
 Methods: A quantitative descriptive approach was adopted, providing a psychometric analysis of the validity of the CCI. The CCI was delivered using “Platform O”; a flexible online research tool developed at Deakin University to meet both end-user and researcher needs. The interactive content builder fully integrates with questionnaire applications, online video platforms, animated content, and third-party interactive applications. “Platform O” also includes engagement tools (e.g., star ratings, personalised reminders) and security features to support user testing, continuous quality improvement and communication between end-users and the project team.
 All Australians meeting the World Health Organisation case description of Long COVID aged over 18 years were eligible to participate. For divergent validity analysis, a separate sample of Australians diagnosed with chronic fatigue syndrome (CFS) aged over 18 years were also eligible to participate. Participants were invited to complete the comprehensive baseline assessment outcome measures only on a single occasion on Platform O. Brief ‘pop’ up questions about the comprehensiveness, relevance and comprehensibility of the CCI were included to evaluate content validity. Correlations between CCI scores, WHODAS-36, EQ-5D and the GAS assessed convergent validity. While Long COVID and chronic fatigue syndrome share some symptoms, they are distinctive syndromes whose differences were used to assess divergent validity.
 Results: The face and construct validity of the CCI was tested in a small sample (n=20) at Western Health. Further validation is currently underway (n=260 consumers) to ensure its quality prior to broader scale up of the DisCOVeRY-SM, and these results will be reported in this conference paper. 
 Conclusion: The CCI is the first co-produced PROM for people with Long COVID, and specifically reflects their needs and priorities. Rigorous validation of this measure will support its broader dissemination both within and outside of Australia, to enable people with this syndrome to receive integrated, high quality and individually tailored care.

Psychometric evaluation and cross-cultural adaptation of the Australian Pelvic Floor Questionnaire (APFQ-IR) in Iranian reproductive age women

Pelvic floor disorders (PFDs), as a silent alert, is one of the pervasive debilitating health concerns among women all over the world, such that in developed countries, one in four women, suffers from PFDs. Validity and reliability of the Australian Pelvic Floor Questionnaire (APFQ) has not been determined in Iran, so to determine APFQ’s psychometric characteristics, we decided to conduct this study on women of reproductive age in Tabriz city, Iran. This methodological cross-sectional study was intended to determine the psychometric properties of the Persian version of the APFQ-IR in 5 steps including “translation process, content validity, face validity, construct validity (exploratory and confirmatory factor analyses and examination of ceiling and floor effects) and reliability” on 400 reproductive age women referring to health centers in Tabriz city, Iran, with cluster random sampling method in the period between May 2022 to September 2022. The translation process was done based on two approaches, Dual panel, and Beaton et al.’s five steps. Then, in order to evaluate content validity, face validity, and construct validity, 10 instrument and PFDs experts, 10 women from the target group investigated the instrument's items, and 400 eligible women completed the instrument. Finally, to determine the reliability, two internal consistency methods, (Cronbach's alpha and McDonald's omega) and test–retest method (ICC) were used. In the present study, content validity assessment of APFQ-IR, showed a good level of validity (CVR = 0.96, CVI = 0.94). To assess construct validity, exploratory factor analysis results on 36 items, led to the identification of 4 factors including bladder function, bowel function, prolapse symptom and sexual function, which explained 45.53% of the cumulative variance and indicated the sufficiency of the sample size (Kaiser–Meyer–Olkin = 0.750). Implementing confirmatory factor analysis, (RMSEA = 0.08, SRMR = 0.08, TLI = 0.90, CFI = 0.93, χ2/df = 3.52) confirmed the model fit indices. Finally the internal consistency and reliability was high for the entire instrument (Cronbach’s alpha = 0.85; McDonald's omega (95% CI) = 0.85 (0.83–0.87) and Intraclass Correlation Coefficient (95% CI) = 0.88 (0.74–0.94)). The Persian version of the APFQ-IR, has a good validity and reliability and has acceptable psychometric properties, thus can be used both for research purposes and for clinical evaluation of pelvic floor disorders symptoms in health centers.

Designing and Validation of the Leadership Competency Scale in Medicine

Background: Leadership competencies in medicine are the key factors in improving the performance of physicians and the health system. The aim of the present study was to design and validate the leadership competencies scale in medicine.
 Methods: This research was conducted with a qualitative-quantitative approach. The research sample consisted of 12 physician managers in the qualitative stage and 15 people in the content validity evaluation stage using purposive sampling method. In the preliminary implementation stage of the questionnaire, 35 people were selected by convenience sampling and the main implementation stage of the questionnaire 306 students, faculty members, and medical graduate managers were selected using relative stratified random method. Qualitative data were collected by semi-structured interview and quantitative data by questionnaire. To analyze the qualitative data, the Esterberg analysis method was used, and to evaluate the construct validity, confirmatory factor analysis with Smart-PLS3 software was used. To evaluate the validity of quantitative data, content validity index, content validity ratio, Cronbach's alpha coefficient, convergent validity, and structural equation model fit indices were used. The criteria of credibility, transferability, dependability, and conformability were used using triangulation to evaluate the validity of the qualitative research data.
 Results: Competencies and parameters of the questionnaire were extracted into 17 competences and 123 concepts through the coding of interview texts and converted into a questionnaire in 101 items. The content validity of 100 items was valid. The results of factor analysis showed that the factor load of 99 items was valid and 17 components explained the structure of leadership competencies. Based on the fit indices of the model, the measurement scale of leadership competencies in medicine was valid in 17 components and 99 items. These components include perception and impression management, professional ethics, conflict management, problem solving, discipline, informal organization, public communication skills, interpersonal relationship skills, listening, cultural management, professional culture, innovation and creativity, motivation, emotional intelligence, change management, feeling management, participative management.
 Conclusion: Attention to the curriculum of leadership competencies in medical education and the application of this scale can improve the quality of leadership in the health system.

Validity and reliability of the Arabic version of knowledge, attitudes, and practices toward COVID-19 preventative behaviors (KAP COVID-19).

Even though the innovation of COVID-19 vaccination effectively protects against the virus, practicing preventative behaviors is still essential. However, public adherence to preventive behaviors relies mainly on the individuals' knowledge, attitudes, and practices (KAP) toward COVID-19 preventative behaviors. Therefore, it is crucial to evaluate these aspects. Nevertheless, there is no validated scale that assesses KAP toward COVID-19 preventative behaviors. To evaluate the psychometric properties of the Arabic version of knowledge, attitudes, and practices toward coronavirus disease 2019 (COVID-19) preventative behaviors. A quantitative descriptive cross-sectional design was used to develop and evaluate the psychometric properties of KAP through specific stages: item development, face, content, convergent and construct validity evaluation, and internal consistency. Data were collected online through "google forms" from June 2020 to July 2020. Both exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) were used to assess the construct validity. A total of 1,363 participants completed the scale. The overall Cronbach's alpha was 0.83, indicating good internal consistency. Exploratory factor analysis supported structural validity for all the scale items with KMO 0.78, 0.60, and 0.81, respectively, and Bartlett's Test of Sphericity = (p < 0.05). Convergent validity was confirmed by a moderate correlation between the KAP scale items, knowledge ranging from r = 0.11 (p < 0.01) to r = 0.62 (p < 0.01), attitude ranging from r = 0.158 (p < 0.01) to r = 0.584 (p < 0.01), and practice ranging from r = 0.383 (p < 0.01) to r = 0.774 (p < 0.01). The psychometric properties of the scale indicate that the KAP is a valid and reliable scale that can be utilized to evaluate the level of KAP toward COVID-19 preventative behaviors among the population in Saudi Arabia.

Psychometric evaluation of the culturally adapted interprofessional socialisation and valuing scale (ISVS)-19 for health practitioners and students in Indonesia

ABSTRACT We aimed to develop a culturally appropriate psychometrically robust measure for assessing interprofessional socialization for health practitioners and students in Indonesia. The COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) were used as guidelines. Our study was organized in three phases (a) translation, (b) cross-cultural validation by evaluating the content validity and internal structure of the translated instrument (i.e. structural validity, internal consistency reliability, and measurement invariances), and (c) hypotheses testing for construct validity. A total of 266 health practitioners and 206 students from various professional backgrounds participated. The Indonesian ISVS-19 was confirmed unidimensional. Content validity evaluation confirmed the inclusion of relevant, understandable items and was comprehensive. Factor analysis supported removal of two items. Configural, metric, and scalar tests confirmed the invariance of the 1-Factor 19-Items model in practitioner and student cohorts. Age was a differentiating factor in both cohorts; length of work was only significant for practitioners, and educational background was significant for students (80% of assumptions were accepted, fulfilling COSMIN requirement for construct validity). The Indonesian ISVS-19 has good psychometric properties regarding content validity, internal structure, and construct validity and, therefore, is a psychometrically robust measure for assessing interprofessional socialization for health practitioners and students in Indonesia.

Development and validation of child’s food texture preference questionnaire and associations with oral tactile sensitivity and food fussiness in children

This study aimed to 1) develop a parent-reported child’s food texture preference questionnaire, 2) assess content validity and inter-rater reliability among parent-, child-report and the child report after tasting and 3) validate the questionnaire with oral tactile acuity and food fussiness in 5 to 12-year-old Australian children. Parents rated their child’s preference for 29 pairs of foods selected as they were different in texture but similar in other sensory attributes. A subset of these food pairs (10 pairs) was used for child reported preference and preference after tasting (4 pairs). Content validity was rated by 7 experts and expressed as the content validation index for items. Grating orientation task was used to measure oral tactile sensitivity. Parents reported fussiness on the Children’s Eating Behavior Questionnaire fussiness subscale. A total of 154 caregivers and 251 children (129 boys, 122 girls) participated. Content validation resulted in the elimination of 9 items. Child-rated texture preference was positively correlated with preference after tasting (r = 0.55) and parent-reported scores (r = 0.31). A moderate positive correlation was found between preference after tasting and parent reported scores (r = 0.20). Child's food texture preference was positively associated with child’s age (p < 0.05) but not correlated with measured oral tactile sensitivity or food fussiness. This is the first study to evaluate content validity and inter-rater reliability of parent-report child’s food texture preference measure. There still remains opportunities for improvements of both food texture preference measure and oral tactile sensitivity.

Evaluation and modification of the 10‐item short form Communicative Participation Item Bank for persons with primary progressive aphasia

AbstractBackgroundPrimary progressive aphasia (PPA) is a dementia syndrome characterized by language and communication impairments with relative sparing of other cognitive domains. Given the language difficulties associated with PPA, it is important to develop outcome measures relevant to the communication experiences of persons with PPA (PwPPA). The 10‐item Communicative Participation Item Bank (CPIB) has been used as a measure of communication participation in PPA. However, the CPIB was validated as a disorder‐agnostic measure of communication participation and the content validity has not been evaluated for PPA. The purpose of this study is to evaluate the face and content validity of the 10‐item CPIB for individuals with PPA and their communication partners (CP).MethodPhase one of this project focused on conducting cognitive interviews with participants who had previously completed the CPIB during the Communication Bridge randomized controlled trial (NCT03371706). PwPPAs and CPs each completed the CPIB during a semi‐structured cognitive interview designed to evaluate the measure format, instructions, response options, item comprehension, and relevance of each item to PwPPA experiences. To evaluate content validity, participants were asked open‐ended questions to elicit relevant communication participation experiences missing from the questionnaire. Responses to closed‐ended questions (e.g., clarity, relevance) were tabulated and open‐ended responses (e.g., item comprehension, missing content) were analyzed via thematic analysis. Summaries of measure format, instructions, and response options were generated, as well as item‐level findings regarding comprehension, relevance, and missing content.ResultPreliminary findings revealed both PwPPAs and CPs: a) considered the instructions to be clear (N = 12, 100%); b) recommended adding a fifth response option (e.g., “Somewhat) to better represent the range of communication situations; c) reported all items except one (“persuade…to see a different point of view”) were relevant (N≥10; ≥83%, for 9 items); and d) talking on the phone was the most reported missing communicative participation situation (N = 8; 66%). Further, 2 of 5 PwPPAs reported talking over videochat, and 2 of 5 CPs reported email/texting as missing.ConclusionPreliminary findings indicate that modifications to the 10‐item CPIB short form may be needed for use with PwPPA and their CPs to more fulsomely capture communication participation in PPA.

The Scale of Perceptions and Self-Participation in Hemodialysis: Development and Psychometric Evaluation

Hemodialysis patients undergo hemodialysis two to three times a week and must live together with the dialysis machine. The patient’s self-participation is to combine the patient’s own experience and professional knowledge to influence the care. A successful self-participation experience empowers patients to adapt to living with hemodialysis. However, few studies have been conducted regarding the subjective experiences of such patient participation. There is a lack of a self-participation dialysis life scale for hemodialysis patients. Therefore, this study aims to develop and evaluate a self-participation dialysis life scale for hemodialysis patients. The items for the self-participation dialysis life scale were confirmed through qualitative interviews based on grounded theory. After expert content validity evaluation, 435 hemodialysis patients were purposively sampled from hemodialysis centers in two regional teaching hospitals in Taiwan. Descriptive statistics, principal axis factoring, reliability analysis, Pearson’s correlation, and one-way ANOVA were used for data analysis. The results show that the item- and scale-content validity indices are 0.96 and 0.73, respectively. This scale is divided into two scales. The first part is “Scale of Perceptions of Hemodialysis”, including two factors. The overall can explain 66.34% of the cumulative variances. The second part is the “Scale of Self-Participation in Hemodialysis”, including four factors. The overall can explain 58.91% of the cumulative variances. The Cronbach’s α is 0.812 for “Perceptions of Hemodialysis” and 0.959 for “Self-Participation in Hemodialysis”, respectively. The self-participation dialysis life scale has good reliability and validity and can be used to evaluate the implementation of a patient’s self-participation in their hemodialysis life. Discussing or consulting with patients based on their characteristics, life priorities, and their desired life on dialysis is essential for a high-quality of clinical care among hemodialysis patients.

Qualitative and psychometric evaluation of the PROMIS®-Fatigue SF-7a scale to assess fatigue in patients with moderately to severely active inflammatory bowel disease

BackgroundThis study evaluated the content validity and psychometric properties of the Patient-Reported Outcomes Measurement Information System® (PROMIS)-Fatigue Short Form 7a (SF-7a) v1.0 scale to determine its suitability in clinical trials to assess fatigue in patients with moderately to severely active Crohn’s disease (CD) and ulcerative colitis (UC).MethodsA qualitative interview assessed patients’ experience living with CD (N = 20) and UC (N = 19). The contents of the SF-7a scale were cognitively debriefed to evaluate content validity. A psychometric evaluation was performed using data from clinical trials of patients with CD (N = 360) and UC (N = 214). Correlations with Inflammatory Bowel Disease Questionnaire (IBDQ), Crohn’s Disease Activity Index (CDAI; CD only), and Mayo score (UC only) determined validity. The Patient Global Impression of Change (PGIC) was used to evaluate reliability and responsiveness to change. Using PGIC as an anchor, a preliminary threshold for clinically meaningful change was identified to define fatigue response in both CD and UC patients.ResultsAll patients reported fatigue as a common symptom. Patients confirmed SF-7a items were relevant to assessing fatigue, instructions and response options were clear, and its 7-day recall period was appropriate. Higher SF-7a scores were associated with higher disease activity (CDAI and Mayo score) and lower health-related quality of life (IBDQ), confirming known groups validity. The correlation of the SF-7a scale was higher with fatigue-related items. (rs ≥ -0.70) than with items not directly associated with fatigue. Test-retest reliability was moderate to good (0.54–0.89) among patients with stable disease, and responsiveness to change in disease severity was demonstrated from baseline to Week 12. A ≥7point decrease was identified as a reasonable threshold to define clinically meaningful improvement.ConclusionThe SF-7a scale is a valid, reliable, and sensitive measure of fatigue in patients with moderately to severely active IBD and can be used to evaluate treatment response.

Development and Perception of Trainee Teachers on Salt-UNO Card Game for Salt Topic

Game-based learning is an effective teaching strategy to improve students’ academics, increase motivation and involve students more actively during learning and facilitation. This study was conducted to develop Salt-UNO Card game for Form Four Salt topic. This study also aims to determine the value of game content validity, game feature validity and game perception from the aspects of design, content and usability. The research design of this study is developmental study. Instructional design model used to develop Salt-UNO Card game is the ADDIE Model. The instruments used in this study are game content validity evaluation form, game feature validity evaluation form and game perception questionnaire. A total of two chemistry lecturers were appointed to assess the validity of the game content and two game field lecturers were appointed to assess the validity of the game feature. The respondents for the pilot study were 31 semester seven trainee teachers of the Bachelor of Education (Chemistry) programme. A total of 201 semester one until semester six trainee teachers of the Bachelor of Education (Chemistry) programme were involved in the field study to identify the perception of the game. Cohen kappa value for content validity of the game is 1.00 and the validity of the game feature is 0.84. Field study findings show that trainee teachers' perceptions of game design, game content and game usability is good. In conclusion, the Salt-UNO Card game has a satisfactory values of game content validity and game feature validity. Perceptions of the game also gained good feedback from the trainee teachers. Implication of the study is the use of Salt-UNO Card game during the learning and facilitation process is very suitable and useful to help students in the learning of Chemistry subject especially in Salt topic.

Development and Validation of a Family Participation Scale for School Education

This article presents the creation and validation of a scale designed to measure family participation in school education. Recent research has highlighted  the challenges that schools face in establishing effective relationships between families and the educational institution, often resulting in low engagement and ineffective communication. Furthermore, the absence of valid tools for assessing family participation and guiding interventions in this domain has been identified. A set of indicators categorized into three dimensions has been developed: support in education from home, democratic participation, and communication with the school, drawing from various models of family participation. These indicators underwent content validity evaluation with input from thirteen academic experts. Subsequently, the instrument was applied to a sample of 308 parents from a public school to assess its reliability and construct validity. The results indicate that the scale is suitable for use in the context of primary education in Chile and aligns with the initial theoretical framework, rendering it ready for application in the context of Chilean primary education.

Design and validation of a structured instrument to assess the influence of sustainable supply chain management practices on sustainable performance in hospitals

PurposeThe purpose of this paper is to design and validate a reliable and comprehensive instrument to assess the influence of sustainable supply chain management (SSCM) practices on sustainable performance in hospitals.Design/methodology/approachA systematic and mixed-method approach was used to create and validate an instrument for assessing the level of implementation of hospital SSCM practices and the perceived extent of environmental, social and economic performance. This includes the development of preliminary items and the evaluation of content and construct validity. Data from Colombian hospitals was collected. Structural equation modeling was used to test the structural model.FindingsDuring the content validity phase, an initial version of the questionnaire consisting of 88 items was generated. This version was qualitatively and quantitatively reviewed and assessed by six academicians and two hospital practitioners, based on criteria of sufficiency, clarity, relevance and coherence. The computation of both individual and scale content validity indices, along with the qualitative feedback, led to the refinement of the questionnaire. The subsequent phase of construct validity involved the implementation of a pilot test with 55 responses gathered from Colombian hospitals. By considering the metrics of convergent validity and discriminant validity derived from the analysis of structural equation modeling, the final instrument was composed of 59 items. The results reveal that hospital SSCM practices can be conceptualized and measured through two dimensions: environmental and social. The former includes the underlying constructs of internal environmental management, green purchasing and green operations. The latter encompasses the constructs of working conditions and employee well-being, equity management, social purchasing and community development and participation. Sustainable performance is defined by its environmental, social and economic dimensions.Practical implicationsThis study is intended to provide useful insights for hospitals, researchers and policymakers to measure and develop strategies to enhance the implementation of SSCM practices, thereby improving sustainable performance. As a matter of fact, the instrument has already been applied in a recent empirical study conducted in Colombia, aimed at addressing the influence of SSCM practices on sustainable performance in hospitals.Originality/valueTo the best of the authors’ knowledge, this is the first study to develop and empirically test an instrument for measuring the influence of SSCM on sustainable performance, both in the hospital setting and in an emerging country.

Psychometric of the Persian Version of Shift Work Disorder Questionnaire in Employee Women

Introduction: Shift work disorder (SWD) is a sleep disorder that affects the circadian rhythm and is characterized by symptoms such as excessive daytime sleepiness and insomnia. This condition can significantly increase the risk of accidents and diminish the overall quality of life for individuals affected by it. Therefore, using the four-question of shift work disorder questionnaire (SWDQ) can be useful for identifying people at risk of SWD. In this research, we evaluated the accuracy and consistency of the Persian adaptation of the SWDQ among female employees.&#x0D; Methods: In this descriptive cross-sectional investigation, a sampling available method was employed to select employed women who were referred to Royan Institute, Arash Hospital, and Gynecological Office in Tehran. It was used translated and reverse translation methods for the questionnaire of SWDQ. Statistical analysis was performed by using the Statistical Package for the Social Sciences (SPSS version 16, Inc. Chicago, IL, USA).The tests used in this study were Cronbach's alpha, internal correlation, and confirmatory factor analysis.&#x0D; Results: In terms of content validity rate (CVR) with an average of 70% (questions 80%, 80%, 60% and 60%, respectively) and content validity index (CVI) with an average of 87.5% (questions 100%, 90%, 80% and 80%, respectively) was acceptable. The internal homogeneity of the SWD questionnaire with Cronbach's alpha was 63.4% and deleting each of the four items of the questionnaire reduced it. Moreover, the range of total correlated changes for the questionnaire was from 0.339 to 0.488, which was more than the minimum of 0.3.&#x0D; Conclusion: Overall, the validity and reliability of the Persian version of SWDQ (the four-item) have acceptable.

Validating the Arabic version of the Connor-Davidson resilience scale among university students.

The Connor-Davidson Resilience Scale (CD-RISC) stands out as a widely used measure of psychological resilience. The original CD-RISC consists of 25 items, commonly referred to as CD-RISC-25. This study aims to validate the Arabic version of the CD-RISC-25 involving a sample size of 1220 participants from three universities in Jordan. The researcher conducted a methodological investigation to examine the validation process. This included an examination of the translation process and an evaluation of content validity, which was assessed using the content validity index (CVI). Construct validity was assessed through exploratory factor analysis and confirmatory factor analysis, while convergent and discriminant validity were both evaluated using composite reliability (CR) and the square root of the average variance extracted. Results showed a prominent level of psychological resilience 76.74±15.2 among the participating university students. Regarding the validity of the Arabic version of CD-RISC-25, the CVI yielded a value of 0.88, signifying a robust level of content validity. The analysis identified four constructs that accounted for 56.26% of the total variance. The goodness-of-fit indices, including goodness of fit index of 0.91, comparative fit index of 0.91, incremental fit index of 0.93, Tucker-Lewis index of 0.94, and root mean square error of approximation of 0.048, provided strong evidence supporting the alignment between the observed data and the hypothesized constructs. Discriminant and convergent validity were found to support the validity of the Arabic version of CD-RISC-25. Regarding the reliability, it demonstrated excellent reliability, with a total Cronbach's alpha of 0.934 and all CR values surpassing the threshold of 0.70, thereby further establishing its overall robustness. The results provide substantial evidence for the validity and reliability of the translated Arabic CD-RISC-25.

Development of a vaccine hesitancy scale for childhood immunization in China

ObjectiveVaccine hesitancy is a primary factor that influences vaccine uptake; however, no specific measurement tool to accurately assess vaccine hesitancy is available in China. This study aimed to develop a general vaccine hesitancy scale for childhood immunization. MethodsWe adopted a three-phase process with nine steps to develop and finalize our scale. The scale framework and initial item pool were determined by a literature review. Expert consultation and cognitive interviews with parents were conducted to evaluate content validity. Questionnaire surveys involving parents of children aged <6 years were conducted to select items. Exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) were employed to identify and validate the scale factor structure. The scale’s reliability and validity were assessed using multiple indicators. ResultsOf the initial 38 items, 21 were retained after expert consultation and cognitive interviews. In survey 1, the number of scale items decreased to 16 following item analysis and EFA. In survey 2, four items were added and EFA identified four factors. In survey 3, CFA confirmed the four-factor structure and the reliability indicators were satisfactory for the total scale. The level of vaccine hesitancy assessed by our scale was positively associated with vaccination refusal behavior and the Vaccine Hesitancy Scale score. The final scale comprised four dimensions (confidence, complacency, convenience, and calculation) with 17 items. ConclusionsWe developed a validated and reliable measurement to assess vaccine hesitancy among parents of children, which promises to be suitable for wide use in China.