Objectives. The CVS-Q, a self-administered research questionnaire, gauges the severity and frequency of 16 eye and vision issues linked to the utilization of digital devices. The study’s objective is to evaluate the computer vision syndrome questionnaire validation within the Saudi adult population. Methods. Responses to the CVS-Q from 634 participants. Rasch analysis used precision, separation index, and reliability for items and person, item and person fit statistics, the unidimensionality, and DIF stratified by age and gender. The reliability analysis, which evaluated the scale’s internal consistency, assisted the use of McDonald's ω, Cronbach's α coefficients, and item-rest correlations. It was carried out using the SPSS software to help analyze the severity of the symptoms. Results. The CVS-Q underwent analysis for both frequency and intensity items using a person separation index (PSI). The reliability measures were found to be robust, with values of 0.80 for frequency and 0.98 for intensity. The mean square infit and outfit statistics met acceptable criteria, demonstrating reliability in squared infit and outfit values. Principal component analysis (PCA) revealed an eigenvalue of 2.07 and a proportion of variance below 10% at 8.3%. Additionally, the first contrast in the PCA of unexplained variance exhibited an eigenvalue of 2.1 and a proportion of variance of 8.5%, below the 10% threshold. DIF analysis showed significant differences in DIF contrast for age groups (16-26 years) and (27-40 years) for questions 7, 11, 12, 13, and 15. The DIF contrast was also significant for questions 6, 12, and 16, and for questions 5, 6, 12, and 16, based on gender. Conclusion. Unidimensionality failed, and all goods displayed appropriate infit and outfits. The age-based CVS-Q frequency items DIF was significant for questions 7, 11, 12, 13, and 15. The age-based CVS-Q intensity DIF was significant for questions 7, 11, 12, and 13. For questions 6, 12, and 16, the CVS-Q frequency items based on gender DIF were significant, while the CVS-Q intensity DIF was significant for questions 5, 6, and 12. The CVS-Q frequency and intensity scale reliability data for Cronbach's scale show high internal consistency and reliability. This scale can be used confidently by academics and industry professionals as accurate and dependable CVS-Q frequency items. (Am J Public Health. 2024;114(3):139–148.
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