Face Validity Testing Research Articles

Face validity and reliability test of the Danish version of the compliance questionnaire rheumatology in patients with early rheumatoid arthritis

BackgroundSupporting adherence to medication is an essential part of the treatment and care of patients with rheumatic and musculoskeletal diseases. The Compliance Questionnaire Rheumatology (CQR) measures adherence in rheumatic diseases through 19 items covering drug-taking behaviour to identify the reasons for adhering to treatment and the factors that contribute to suboptimal adherence. The objective of this study was to present the translation of the CQR into Danish and the face validity and reliability test.MethodsThe CQR was translated into Danish according to international guidelines, followed by a face validity test among 10 patients with rheumatoid arthritis in 2009. The test–retest reliability of the Danish CQR was evaluated in 49 patients with rheumatoid arthritis in 2020 - 2021 using the standard error of the measurement (SEM) converted into the minimally detectable change (MDC) and the intraclass correlation coefficient (ICC). Questionnaires were administered with a minimum of 10 days between assessments.ResultsThe participants in the reliability test had a mean age of 57.4 years (SD 16.1) and a mean disease duration of 1.13 years (range 2 months–2 years). The mean CQR score in the test and retest was 62.7 (confidence interval (CI) 58.8; 66.6) and 62.5 (CI 58.9; 66.1), respectively, with a SEM of 8.59 (7.16; 10.73) and an MDC of 16.83. A satisfactory test–retest reliability was confirmed by an ICC value of 0.79 (CI 0.68; 0.89).ConclusionThe Danish CQR has satisfactory test–retest reliability in patients newly diagnosed with rheumatoid arthritis and is considered a reliable tool to measure adherence in this group.

Assessing a New Measure of State Policy Mood: Response to Lagodny, Jones, Koch, and Enns

AbstractThis article presents a short summary of the conclusions we report in a longer manuscript (available in our Supplementary Material) subjecting Lagodny et al.’s new measure of state policy mood to the same set of face validity and construct validity tests we applied earlier to Enns and Koch’s measure. We encourage readers to read this longer manuscript, which contains not only the conclusions herein, but also the evidence justifying these conclusions, before accepting or rejecting any claims we make. Our results show that the characteristics of Enns and Koch’s measure that led us to be doubtful that it is valid are also present in Lagodny et al.’s new measure – leaving us just as doubtful that Lagodny et al.’s measure is valid. Moreover, the low correlation between Lagodny et al.’s measure and Enns and Koch’s measure, combined with evidence from replications of seven published studies that the two measures frequently yield quite different inferences about the impact of policy mood on public policy, indicate that Lagodny et al.’s claim that both their measure and Enns and Koch’s measure are valid is wrong; either neither measure is valid, or one is valid and the other is not. Moreover, extending the replications to include not only Lagodny et al.’s and Enns and Koch’s measures, but also Berry et al.’s measure and Caughey and Warshaw’s measure of mass economic liberalism, shows that each of the four measures yields a substantive conclusion about the effect of policy mood that is dramatically different than each of the other three measures. This suggests that the goal of developing a measure of state policy mood that would be widely accepted as valid remains elusive.

CheckPOINT: a simple tool to measure Surgical Safety Checklist implementation fidelity

IntroductionThe WHO Surgical Safety Checklist (SSC) is a communication tool that improves teamwork and patient outcomes. SSC effectiveness is dependent on implementation fidelity. Administrative audits fail to capture most aspects...

Creation of a Quality Payment Program Measure for Mismatch Repair or Microsatellite Instability Biomarker Testing Status in Colorectal, Endometrial, Gastroesophageal, or Small Bowel Carcinoma.

Quality measures that are supported by evidence-based clinical practice guidelines are preferred for assessing the quality of pathologists' practices. Careful testing of a measure ensures that scores obtained by that measure reflect the quality of a pathologist's practice. To specify a new quality measure and to demonstrate through testing that it is suitable for measuring pathologists' appropriate incorporation of information regarding microsatellite instability (MSI) and/or mismatch repair (MMR) status in pathology reports for colorectal, endometrial, gastroesophageal, and small bowel carcinoma. The College of American Pathologists collaborated with the American Gastroenterological Association to specify and test the new measure. Face validity testing was used to investigate the validity of the measure. Feasibility testing was conducted to understand if data elements required by the measure specification were readily accessible. Signal-to-noise analysis was used to characterize the measure's reliability. Guideline recommendations for MSI and/or MMR testing supported specifications for the measure. Face validity testing indicated that the measure could distinguish the quality of care provided. Data elements required by the measure specification were found to be accessible, which supported the measure's feasibility. Reliability testing showed that differences in measure score were attributable to real differences in performance rather than random variation in scoring. The Mismatch Repair or Microsatellite Instability Biomarker Testing Status in Colorectal Carcinoma, Endometrial, Gastroesophageal, or Small Bowel Carcinoma measure was appropriately specified, and testing demonstrated that it is well suited for characterizing the quality of pathologists' communication of MMR and/or MSI status.

SP7.3 Development of a Patient Reported Outcome measure for GastroIntestinal recovery: The PRO-diGI study

Abstract Background Patients undergoing abdominal surgery often experience gastrointestinal dysfunction. Recovery of gastrointestinal function is poorly measured. There is a need for a patient reported outcome measure to assess gastrointestinal recovery. The first stage of development requires qualitative work to identify key concepts. Methods The PRO-diGI study consisted of three phases: Phase 1: Qualitative interviews of patients admitted to hospital for major gastrointestinal, gynaecological, or urological surgery, or with intestinal obstruction. Phase 2: Development of questionnaire and face validity testing with patients as in Phase 1, and expert clinicians internationally. Phase 3: The questionnaire was distributed to eligible patients. Participants completed the questionnaire as soon after surgery as they were able. Exploratory factor analysis was performed to confirm the structure of the questionnaire and reduce the number of items. Results Phase 1: 29 patients were interviewed, and reported 26 key symptoms or experiences across 6 themes including impact on life, mental health, and general physical wellbeing, diet and appetite, abdominal symptoms, nausea and vomiting, and bowel function. Phase 2: 18 patients and 15 clinicians assessed a 44-item questionnaire, confirming good face validity. Phase 3: 297 participants were recruited. Factor analysis identified 20 questions related to enjoyment of food, ability to eat and drink, bowel function, nausea and vomiting, and general wellbeing, for inclusion in the final tool. The final tool shows correlation with self-rating of gut function, GI-2, and operative approach. Discussion This study has developed a multi-dimensional patient reported outcome measure which can be used in studies of gastrointestinal recovery.

Norwegian Version of the Chelsea Critical Care Physical Assessment Tool (CPAx-NOR): Translation, Face Validity, Cross-Cultural Adaptation and Inter-Rater Reliability.

Assessment of physical and respiratory function in the intensive care unit (ICU) is useful for developing an individualized treatment plan and evaluating patient progress. There is a need for measurement tools that are culturally adapted, reliable and easy to use. The Chelsea Critical Care Physical Assessment Tool (CPAx) is a valid measurement tool with strong psychometric properties for the intensive care population. This study aims to translate, adapt and test face validity and inter-rater reliability of the Norwegian version of CPAx (CPAx-NOR) for use in critically ill adult patients receiving prolonged mechanical ventilation. CPAx-NOR was forward backward translated, culturally adapted and tested by experts and patients for face validity. Thereafter tested by 10 physiotherapists in five hospitals for inter-rater reliability. The experts and pilot testers reached consensus on the translation and face validity. Patients were tested at time point A (n = 57) and at time point B (n = 53). The reliability of CPAx-NOR at "A" was 0.990 (0.983-0.994) and at "B" 0.994 (0.990-0.997). Based on A+B combined and adjusted, the ICC was 0.990 (95% CI 0.996-0.998). Standard error of measurement (SEM) was 0.68 and the minimal detectable change (MDC) was 1.89. The Bland-Altman plot showed low bias and no sign of heteroscedasticity. CPAx-NOR changed with a mean score of 14.9, and showed a moderate floor effect at the start of physiotherapy and low ceiling effects at discharge. CPAx-NOR demonstrated good face validity and excellent inter-rater reliability. It can be used as an assessment tool for physical function in critically ill adults receiving prolonged mechanical ventilation in Norway.

Validity and Reliability of Dementia Knowledge Assessment Scale and Dementia Attitude Scale in the Indonesian Language among Nursing Students

BACKGROUND: The population of persons with dementia (PwD) in Indonesia is increasing. As future nurses, it is important to evaluate the knowledge and attitudes of nursing students because they can affect the quality of health services for PwD. However, no instrument is available in the Indonesian language through a good, valid, and reliable translation process. AIM: The aim is to report the translational process and determine the validity and reliability of the Indonesian dementia knowledge assessment scale (DKAS) and dementia attitude scale (DAS) questionnaires in nursing students. METHODS: A quantitative cross-sectional study was conducted involving 486 nursing students from two universities in Yogyakarta, Indonesia. The Brislin method was used to translate DKAS and DAS, then continued with content (involved four experts using items-content validity index [I-CVI]), face, and construct validity tests, as well as reliability tests using Cronbach’s alpha. RESULTS: The I-CVI results were 1.00 for DKAS and 0.98 for DAS, demonstrating a good construct validity index. In addition, the reliability testing had good results, whereas Cronbach’s alpha of the DKAS was 0.713, while DAS was 0.779. CONCLUSION: DKAS and DAS in the Indonesian language are considered valid and reliable to measure nursing student’s knowledge and attitudes toward PwD.

Korean Version of the Nursing Student Attitudes and Knowledge toward Lesbian, Gay, Bisexual, and Transgender Patients Scale.

This study aimed to analyze the reliability and validity of a Korean version of the Nursing Student Attitudes and Knowledge Toward Lesbian, Gay, Bisexual, and Transgender Patients (K-NAKL) Scale, which measures health and heterosexual attitudes toward LGBT individuals. Lesbian, gay, bisexual, and transgender (LGBT) individuals often face discrimination and a lack of care experience on the part of healthcare professionals. In South Korea, the current knowledge and attitude measurement tools for medical staff regarding LGBT individuals are limited, as they only focus on homosexuality and do not account for different sexual orientations. The participants were 217 nursing college students aged 18-25. The item-total correlations method and Cronbach's alpha coefficient were used to analyze internal consistency reliability. Face validity, content validity, construct validity, and criterion validity testing were conducted to establish scale validity. We made sure to follow STROBE guidelines when carrying out this research. The K-NAKL is a culturally appropriate instrument used to measure the attitudes and knowledge of Korean nursing students when it comes to LGBT health. As LGBT health is increasingly gaining social interest, the nursing education curriculum needs to produce culturally competent graduates to meet the health needs of this vulnerable and marginalized population. The current study contributes to that goal. The K-NAKL is a valid and reliable tool with which to measure attitudes and knowledge regarding LGBT health among Korean nursing students. The K-NAKL can enable Korean nursing students to increase their knowledge and improve their attitudes when caring for the LGBT population. The study highlights the importance of incorporating LGBT-related health education into nursing curricula and developing inclusive policies to improve the quality of care and health outcomes for LGBT individuals.

Face Validity, Content Validity, and Psychometric Testing of the Hospital Survey on Patient Safety Culture Among Undergraduate Nursing Students.

Background and Purpose: Nursing students have an essential role in patient safety. The purpose of this study was to evaluate the face validity, content validity, and psychometric properties of the Hospital Survey on Patient Safety Culture for Nursing Students (HSOPS-NS). Methods: The cross-sectional study was carried out between January and October 2021. The participants were undergraduate nursing students (N = 482) from 16 Czech nursing faculties. Results: Exploratory factor analysis revealed an eight-factor structure, which was verified by confirmatory factor analysis using the optimization process that results in adequate goodness-of-fit indices (root mean squared error approximation = .037; standardized root mean squared residuals = .056; comparative fit index = .935; Tucker-Lewis index = .926; incremental fit index = .936). The internal consistency of a new model was excellent (α = .914). Conclusion: The results indicate that the HSOPS-NS shows evidence of reliability and validity and is a valuable measure of safety culture as perceived by nursing students.

Validation of a Specific Phobia Questionnaire by University Students in Malaysia

Specific phobia is a subcategory of anxiety disorders that remains poor understanding due to inadequate screening tools. This study aimed to develop and validate a new Specific Phobia Questionnaire (SPQ). This SPQ was developed based on literature reviews and inputs from related experts for content validity. The SPQ questionnaire consisted of 14 items and after content validity and face validity testing procedure, 12 items were chosen for the final questionnaire. The questionnaire was then distributed via Google form to university students in Klang Valley. A total of 267 students participated in this study with 70.8% were female with mean age of 23.28 (Standard deviation of 4.98) years. Validity analysis using exploratory factor analysis from the final study indicated that the Kaiser-Meyer-Olkin value was 0.77 and extracted three domains; animals, blood injection injury and situational-environment. Reliability analysis showed that Cronbach’s α values were 0.84, 0.86, 0.78 and 0.72 for the total items, animal, blood injection injury and situational-environment domains, respectively. The newly developed SPQ showed good reliability and validity for evaluating specific phobia.

Development and validation of a survey designed to measure patient experience of and preference for surgical wound care discharge education: A pilot study

Aim of the studyTo develop and undertake validation testing of a survey designed to measure patients’ experiences of and preferences for surgical wound care discharge education. Materials and methodsA literature review and content analysis was undertaken on patients' experiences of and preferences for surgical wound care discharge education. Four themes were uncovered in the literature (wound care discharge education, preferences for discharge education delivery, participation in wound care decisions and patient ability to manage their surgical wound to prevent wound complications), which guided item generation. Three types of validity testing occurred including: 1) face validity testing by the research team; 2) content validity testing (using Delphi study) with an international panel of experts including patients, clinicians and researchers; and 3) content validity (using pilot-testing) of the survey with seven patients from the target population. ResultsInitially 106 items were generated from the literature, and of these, 55 items were subjected to content validity testing by an international panel of 41 experts. After two Delphi rounds, 18 items were retained. Most patients provided limited and very minor feedback during pilot-testing. However, pilot-testing resulted in a revised survey administration plan to deliver the survey via telephone, including adding prompts and preambles to items. ConclusionAn 18-item survey comprised of three groups of items and an individual item was rigorously developed. The survey requires further testing among a larger sample of patients to confirm the items reflect important aspects of patients’ experiences of and preferences for surgical wound care discharge education.

Face Validity

Face Validity

Knowledge, attitudes, behavioral and organizational factors of health professions students for a competent smoking cessation practice: An instrument adaptation and psychometric validation study in Spanish and English samples

BackgroundTo improve smoking cessation, training of health professions students is essential. However, no specific instrument is available to assess factors that may affect students' learning about smoking cessation practice. AimTo adapt and validate the Knowledge, Attitudes, Behaviors and Organization questionnaire in the population of undergraduate health professions students. DesignMethodological research. MethodsThe researchers conducted this study with 511 Spanish and 186 English health professions students from four different universities. We used a four-step approach: 1) adaptation of the items to the target population and validation of the content by a panel of experts; 2) a pilot study to test face validity; 3) linguistic adaptation of the Spanish version to English; and 4) the psychometric assessment based on construct validity, criterion validity and internal consistency. ResultsExploratory factor analysis revealed four subscales for the Spanish version, namely ‘Individual knowledge and skills’, ‘Individual attitudes and beliefs’, ‘Organizational support’ and ‘Organizational resources’, which accounted for 85.1% of the variance. Confirmatory factor analysis in the holdout Spanish and English samples revealed adequate goodness-of-fit values, supporting the factor structure. Hypotheses testing demonstrated significant differences by capacitation in smoking cessation interventions and degree courses, providing further evidence regarding construct validity. All the subscales correlated positively with the criterion variables (5 A’s smoking cessation model), except for the ‘Organizational resources’ subscale, which was not significantly correlated with the 5 A's. The overall Cronbach’s alpha was.83 for the Spanish version and.88 for the English one. ConclusionsOur results provide empirical support for the use of the Knowledge, Attitudes, Behaviors and Organization questionnaire for Students as a reliable and valid instrument to assess knowledge, attitudes, behaviors and organization perceptions in health professions students, which is essential for competent smoking cessation practice. Interestingly, ‘Organizational resources’ subscale presented the lowest correlations among factors and did not correlate with any component of the 5 A's, suggesting the need of enhancing students' responsibility and involvement during their internships, as well as the interest of some organizations.

Multidimensional Health Literacy Scale: Development and Psychometric Properties

Health literacy (HL) is often discussed in the context of school curricula, however there is a lack of published and varified instruments for evaluating HL in schoolaged children in Russia. This article presents the step-by-step development of a multidimensional assessment method of health literacy (MMHL) for middle-school children. The conceptual model is based on a review of international experience of HL measurement and includes three functional sections — autonomy, motivation, and practice; and four themes — hygiene, daily routine, nutrition and physical activity. The final version of the instrument consists of 54 questions in 9 scales: access to information, beliefs, trust, amotivation, extrinsic motivation, intrinsic motivation, critical thinking, communication, and action. Work was carried out in five stages: 1) expert evaluation and verification of content validity; 2) small pilot study (N = 92) to test face validity; 3) large pilot study (N = 313) for the primary assessment of psychometric characteristics; 4) final study on a larger sample (N = 1095) to confirm the psychometric characteristics and to explore the factor structure of the instrument; 5) analysis of the distribution of test scores and the establishment of threshold values for interpreting the results. The developed instrument has good indicators of validity and reliability. The Confirmatory Factor Analysis shows that the data corresponds with the theoretical model. Threshold values allow using this instrument not only in theoretical studies but also for solving practical pedagogical tasks. Therefore this instrument can be recommended for use in educational institutions as a diagnostic tool for assessing the motivation and HL of students.

Development of a Self-Evaluation Instrument with Programmatic Assessment Components for Undergraduate Medical Students

<p style="text-align: justify;">This study aimed to develop and test a student self-assessment instrument based on the programmatic assessment (PA) components. We applied a series of psychometric research methods by (a) conducting a literature study to find PA constructs, (b) developing the students' self-questionnaires, (c) ensuring content validity, (d) testing face validity, and (e) conducting reliability tests that involve medical students, medical teachers, medical educationalist, and an international PA expert. Face validity (readability test) was conducted with 30 medical students from an Indonesian university who were in their last year of pre-clinical education and had average scores above or equal to their classmates. The confirmatory factor analysis (CFA) was used to report the instruments’ validity and reliability. The final instrument was tested on 121 medical students with excellent GPAs from another medical school with a middle-level accreditation. The PA consists of five components: ‘learning activities’, ‘assessment activities’, 'supporting activities’, 'intermediate evaluations’, and ‘final evaluations'. These components are conveyed through 41 relevant statements with a four-point Likert scale and three yes/no statements. According to the respondents, there was a lack of 'supporting activities' and 'intermediate evaluation' components in the PA in their universities. This study has developed and tested a five-component evaluation instrument based on medical students' perceptions regarding PA implementation.</p>

Web-Based Patient Recommender Systems for Preventive Care: Protocol for Empirical Research Propositions

Preventive care helps patients identify and address medical issues early when they are easy to treat. The internet offers vast information about preventive measures, but the sheer volume of data can be overwhelming for individuals to process. To help individuals navigate this information, recommender systems filter and recommend relevant information to specific users. Despite their popularity in other fields, such as e-commerce, recommender systems have yet to be extensively studied as tools to support the implementation of prevention strategies in health care. This underexplored area presents an opportunity for recommender systems to serve as a complementary tool for medical professionals to enhance patient-centered decision-making and for patients to access health information. Thus, these systems can potentially improve the delivery of preventive care. This study proposes practical, evidence-based propositions. It aims to identify the key factors influencing patients' use of recommender systems and outlines a study design, methods for creating a survey, and techniques for conducting an analysis. This study proposes a 6-stage approach to examine user perceptions of the factors that may influence the use of recommender systems for preventive care. First, we formulate 6 research propositions that can be developed later into hypotheses for empirical testing. Second, we will create a survey instrument by collecting items from extant literature and then verify their relevance using expert analysis. This stage will continue with content and face validity testing to ensure the robustness of the selected items. Using Qualtrics (Qualtrics), the survey can be customized and prepared for deployment on Amazon Mechanical Turk. Third, we will obtain institutional review board approval because this is a human subject study. In the fourth stage, we propose using the survey to collect data from approximately 600 participants on Amazon Mechanical Turk and then using R to analyze the research model. This platform will serve as a recruitment tool and the method of obtaining informed consent. In our fifth stage, we will perform principal component analysis, Harman Single Factor test, exploratory factor analysis, and correlational analysis; examine the reliability and convergent validity of individual items; test if multicollinearity exists; and complete a confirmatory factor analysis. Data collection and analysis will begin after institutional review board approval is obtained. In pursuit of better health outcomes, low costs, and improved patient and provider experiences, the integration of recommender systems with health care services can extend the reach and scale of preventive care. Examining recommender systems for preventive care can be vital in achieving the quadruple aims by advancing the steps toward precision medicine and applying best practices. PRR1-10.2196/43316.

An Immersive Virtual Reality Simulation for Cross-Cultural Communication Skills: Development and Feasibility

Educational approaches proven to produce cultural competence among nurses, consistently and cost-effectively, are not yet widely available. This study describes the development and feasibility of an immersive virtual reality simulation to improve cross-cultural communication skills. We used a multi-methods approach, recruiting 15 nursing students from a nursing college in South Korea to assess the simulation's feasibility according to sense of presence, usability, simulation design, task difficulty, and satisfaction. This theory-based immersive virtual reality simulation was developed through content and face validity testing by expert panels. We identified high levels of usability, simulation design, and satisfaction, a low level of task difficulty, and a good level of sense of presence. Participants were satisfied with the simulation “feeling real and immersive,” “improved cultural competence,” “useful for repetitive learning,” “appropriate difficulty for learning,” and “easy to control.” Reports of “insufficient prior information,” “insufficient cognitive fidelity,” “limited to dialogue selection,” and “discomfort for wearers of glasses” indicate needed improvements. Virtual reality simulation could contribute to filling a critical gap in cultural competence in nursing education.

Knowledge for awareness on early recognition of stroke among public (SKTQ-BM): Validation of questionnaire

Stroke is a significant public health problem in Malaysia. The public needs to be educated and advocated for an early visit to the emergency department for treatment and rehabilitation to minimize the risk of disability and death. One way to increase the public’s awareness is by strengthening their knowledge of the recognition of stroke. The purpose of this study is to validate the content, face, and construct of the Stroke Knowledge Test Questionnaire (SKTQ-BM), a newly revised and improved stroke knowledge questionnaire in Bahasa Melayu aimed at the public in Malaysia. This study has two phases. Item adaptation and modification, content validity testing with expert panels, and face validity testing with 10 respondents comprised the first phase. The second phase, which included 201 responders, consisted of a psychometric test based on Item Response Theory (IRT). IRT revealed that the knowledge section consisted of 4 domains, with a total of 29 items being unidimensional, after removing items with high difficulty coefficients (outside the range of −3 to +3) and items with shallow discrimination values (0.35). The SKTQ-BM is a well-validated and dependable tool for evaluating the knowledge of early stroke recognition, which can be used to build future population stroke intervention programs that enhance effective knowledge conversion.

The Design and Psychometric Properties of a Peer Observation Tool for Use in LMS-Based Classrooms in Medical Sciences

In peer observation of teaching, an experienced colleague in the educational environment of a faculty member observes the educational performance of that faculty member and provides appropriate feedback. The use of peer review as an alternative source of evidence of teaching effectiveness is increasing. However, no research has been done in the field of tool design and development to peer review in classrooms that use a learning management system (LMS). This study used mixed methods. In the qualitative stage, after studying sources and interviewing professors active in virtual education, a question bank was prepared and a 26-item initial questionnaire created. In the quantitative stage, the psychometric properties of the developed instruments, such as the face, content, and structural validity, were examined, and reliability tests were performed. IBM SPSS Statistics (Version 20) was used for analysis. Five categories, including content preparation, content presentation, effective interactions, motivation management, and support services, and 26 subcategories were determined to be effective indicators in peer observation in LMS-based classes in medical sciences. During content analysis, 9 items were removed due to lack of necessary criteria. Then, using principal component analysis and varimax rotation in the present mode )Watkins, 2018), 5 components with eigenvalues ​​higher than 1 were extracted, which explained a total of 70.55% of the total variance. The inter-cluster correlation coefficient (ICC) was 0.88. Thus, the peer observation measurement tool, designed with 17 expressions using the answer method “yes/no”, showed good validity and reliability. The research results demonstrate that the evaluation of virtual classes of professors by their peers is effective and that the results can be used in e-learning promotion plans.

Psychometric Properties and The Best Form of the Revised Short-form Mc-Gill Pain Questionnaire in Iranian Burn Patients.

Pain is the most important factor that forces patients to seek help from health care systems. Burn injuries are associated with severe pain and the assessment and interventions are a focus of nursing care. The aim of this study was to evaluate the psychometric properties of the revised short-form McGill Pain Questionnaire in burn patients. The present study is a methodological study in which 153 burn patients were included by convenience sampling. To evaluate the psychometric properties of the 22-item revised McGill Pain Questionnaire, face validity, construct validity (exploratory factor analysis) and reliability were determined by Cronbach's Alpha coefficient and split-half method. Data analysis was performed using SPSS22.0 software. During the quantitative face validity test, 4 items were removed from the instrument due to the impact score of less than 1.5 by burn patients. The results of exploratory factor analysis showed 5 factors (emotional, neuropathic, continuous, stimulatory, and shooting), which explained 72.32% of the total variance. The overall Cronbach's instrument was 0.836 and the coefficient obtained by the split-half method was 0.81. According to the validity and reliability, the 18-item McGill Pain Questionnaire obtained in the present study can be used to assess pain in Persian-speaking adult burn patients.