Item Generation Research Articles

Antecedents For the Adoption of Telemedicine in India: Scale development and validation

Background: Telemedicine is increasingly recognized as a promising solution to healthcare challenges in India, particularly in remote areas. However, the country's vast population and geographic diversity present significant obstacles to providing accessible and high-quality healthcare services to all citizens. By leveraging technology, telemedicine has the potential to bridge this gap and enable remote delivery of medical services. Objective: This study aims to develop and validate a scale that assesses the factors influencing the adoption of telemedicine in the Indian context. Understanding these factors is crucial for identifying key drivers and barriers to telemedicine adoption in India. Design: Quantitative methods were employed for scale development. The instrument development process involved several stages: factor identification, item generation, pre-testing, pilot testing, and scale validation. A structured questionnaire was administered to healthcare professionals, industry experts, and patients who have used or intend to use telemedicine. Setting: Confirmatory factor analysis and subsequent tests, such as reliability and validity tests were conducted to establish the internal consistency of the scales. These statistical analyses aimed to identify underlying factors and ensure accurate measurement of latent variables that affect the adoption of telemedicine. Results: The study established a robust scale to assess the five key factors, which are the vital explanatory variables in telemedicine adoption in India. These meticulously validated scales, encompassing technology, government policy, user attitudes, societal demand, and healthcare professional perspectives, demonstrate high reliability and validity in understanding the adoption dynamics of telemedicine in the context of India. Conclusion: This research offers a validated scale for assessing telemedicine adoption in India, crucial for healthcare service providers, policy makers, and researchers in this field. It enables informed decisions in implementing telemedicine, addressing unique challenges and opportunities, and significantly contributing to optimizing healthcare delivery across India's diverse socio-economic and geographical landscape.

Development and validation of a broadly applicable instrument to measure patients' health promotion and empowerment process in chronic disease.

This study aimed to develop and validate a generic, non-disease-specific, self-assessment measure that recognizes patients' health capacities and their empowering process of health promotion in chronic illness by using Bodyknowledging as the theoretical frame. Item generation and expert content validity analysis were the first steps in instrument development. Potential items were then validated in focus group interviews with six patients diagnosed with various chronic diseases. The research team reviewed the resulting items and undertook item reduction. A sample of adults (n = 357) with chronic disease surveyed the instrument items. Exploratory factor analysis with Oblimin rotation was conducted. A 3-factor solution was identified: nine items on the regaining health and wellness subscale, seven items on the uncertainty and bereavement subscale, and eight items on the loss of control and distancing subscale. Cronbach alpha for the scale was .92. The final 24-item instrument is non-disease-specific and broadly applicable for use in health promotion within the context of chronic disease. The instrument demonstrates high internal consistency reliability with initial face and construct validity. The new instrument has the potential for measuring patients' empowering process of health promotion in chronic disease and the outcomes of person-centered interventions and may guide clinicians in tailoring individual support.

Community SDG Readiness Scale: A Strategic Tool for Bringing Stakeholders Togethe

Our aim is to create a tool for identifying early adopters of SDG projects among key community stakeholder groups, thereby enhancing community readiness and improving the success rate of SDG project implementation. Methods To develop the Community SDG Readiness Scale (CSRS), we employed a three-step instrument development method that involves item generation, questionnaire design, and the creation of an actionable visual interface. Discussion While still in its early stages, the CSRS tool shows promise by taking a systematic approach to SDG advancement, guiding innovators through stakeholder evaluation and providing a clear path for project implementation, while emphasizing both organizational and socio-emotional factors to foster collective mindsets and optimize time and emotional energy for sustainable community transformation.

Development, Validity, and Reliability of Adolescent Motivation Inventory-Cerebral Palsy

Objectives: Motivation is the most influential factor in the drive and performance of adolescents with cerebral palsy (CP). As identification and analysis of volition in Iranian adolescents with CP seem to be essential, designing appropriate tools for assessing their motivation is crucial. To achieve this goal, we developed an adolescent motivation inventory-CP (AMI-CP) and evaluated its psychometric properties. Methods: In the first phase, item generation was conducted. Next, in the second phase, face and content validities of the items were assessed. Moreover, construct validity was assessed by exploratory factor analysis (EFA) and confirmatory factor analysis (CFA). A total of 304 adolescents with CP participated in the EFA, while 210 adolescents with CP participated in the CFA. Afterward, convergent and discriminant validities of the inventory were measured. Moreover, reliability was evaluated by calculating Cronbach α, McDonald’s omega, average inter-item correlation, composite, and test re-test reliability. Lastly, the standard error of measurement (SEM) and the minimum detectable change (MDC) were applied. Results: Five factors with 22 items were extracted by EFA, accounting for 50.42% of the variance. The results of model fit indexes confirmed the goodness-of-fit of the final model with 20 items. In addition, the AMI-CP had a Cronbach α value of 0.75 and an intra-class correlation coefficient of 0.94. Moreover, the SEM and MDC of the inventory were 2.63 and 7.31, respectively. Discussion: The AMI-CP is a helpful measure of motivation in adolescents with CP. This inventory can enhance the assessment of the CP adolescents’ motivation by evaluating values, interests, personal causation, and physical and social environments.

The Mastocytosis Control Test: A Patient-Reported Outcome Measure Assessing Disease Control

BACKGROUNDMastocytosis is characterized by expanding neoplastic mast cells in organs such as the skin, bone marrow, and gastrointestinal tract. The release of mast cell mediators triggers cutaneous, gastrointestinal, and other symptoms. Currently, no validated mastocytosis-specific patient-reported outcome measure (PROM) exists to assess disease control. OBJECTIVEHere, we developed a disease-specific instrument, the Mastocytosis Control Test (MCT), for evaluating and monitoring disease control in patients with non-advanced disease. METHODSSix potential MCT items were generated using a combined approach consisting of a literature review, patient interviews, and expert input. Item selection and reduction were performed by impact analysis and inter-item correlation, followed by expert reviews and cognitive debriefings. In a validation study, the resulting MCT was tested for validity and reliability by assessing internal consistency, test-retest reliability, convergent validity, known-groups validity, and receiver operating characteristics (ROC) analysis. RESULTSTen patients participated in the item generation phase and 101 in the item reduction and validation phase. The final MCT consisted of five items. Our methods showed a valid total score, high internal consistency, and test-retest reliability. Convergent and known-groups validity demonstrated a strong correlation with related anchors. The ROC curve analysis suggested a cutoff value of ≥13 points to identify patients with good disease control. CONCLUSIONSThe MCT is a disease-specific, valid, and reliable PROM for adult patients with non-advanced disease. It may measure and monitor disease control in routine daily practice and clinical trials.

Automatic item generation in various STEM subjects using large language model prompting

Automatic item generation in various STEM subjects using large language model prompting

Generative AI for Culturally Responsive Science Assessment: A Conceptual Framework

In diverse classrooms, one of the challenges educators face is creating assessments that reflect the different cultural background of every student. this study presents a novel approach to the automatic generation of cultural and context-specific science assessments items for K-12 education using generative AI (GenAI). We first developed a GenAI Culturally Responsive Science Assessment (GenAI-CRSciA) framework that connects CRSciA, specifically key cultural tenets such as indigenous language, Indigenous knowledge, ethnicity/race, and religion, with the capabilities of GenAI. Using the CRSciA framework, along with interactive guided dynamic prompt strategies, was used to develop the CRSciA-Generator tool within the OpenAI platform. The CRSciA-Generator allows users to automatically generate assessment item that are customized to align with their students’ cultural and contextual needs. We conducted a pilot demonstration of item generation between the CRSciA-Generator and the base GPT-4o (using standard prompts), both tools were tasked with generating CRSciAs that aligned with the Next Generation Science Standard on predator and prey relationship for use with students from Ghana, the USA, and China. The results showed that the CRSciA-Generator output assessment items incorporated more tailored cultural and context assessment items for each specific group with examples, such as traditional stories of lions and antelopes in Ghana, Native American views on wolves in the USA, and Taoist or Buddhist teachings on the Amur tiger in China compared to the standard prompt output within the base GPT-4o. However, due to the focus on nationality in the pilot demonstration, the CRSciA-Generator output treated the countries as culturally homogeneous, overlooking subcultural diversity in these countries. Therefore, we recommend that educators provide detailed background information about their students when using the CRSciA-Generator. We further recommend future studies involving expert reviews to assess the cultural and contextual validity of the assessment items generated by the CRSciA-Generator.

Developing and validating Questionnaire for Knowledge, Attitude and Practices among the caretakers for Risk factors in Otitis media (RFOMQ-24) in children.

The objective of this study was to develop and validate a questionnaire for analyzing Knowledge, Attitude, and Practices (KAP) about risk factors in otitis media (OM) in children among their caretakers. The questionnaire was developed following a standardized protocol that consisted of a literature search, peer review, item generation, and expert validation, for construct, content and face validity of items in the questionnaire followed by a cross-sectional survey on 100 caretakers, this was followed by the reliability test of the items in Questionnaire. A KAP questionnaire with 24 items categorized under three domains knowledge, attitude, and practices was developed. The KAP sections have 12, 5, and 7 items, respectively. The Content validity ratio (CVR) of our questionnaire was 0.>0.49, Item -Content Validity Index (I-CVI) was 0.78, Scale content Validity Index average (SCVI a) was 0.9. indicating that all items of the questionnaire could be retained. The Independent Cronbach's α for KAP domains were 0.658, 0.731, and 0.522, respectively, and for the total questionnaire was 0 0.730, indicating good internal consistency. The developed questionnaire will help achieve a better understanding of the caretakers' KAP about risk factors in otitis media in children. This RFOMQ-24 has satisfactory validity and good internal consistency.

Keeping humans in the loop efficiently by generating question templates instead of questions using AI: Validity evidence on Hybrid AIG

Background Manually creating multiple-choice questions (MCQ) is inefficient. Automatic item generation (AIG) offers a scalable solution, with two main approaches: template-based and non-template-based (AI-driven). Template-based AIG ensures accuracy but requires significant expert input to develop templates. In contrast, AI-driven AIG can generate questions quickly but with inaccuracies. The Hybrid AIG combines the strengths of both methods. However, neither have MCQs been generated using the Hybrid AIG approach nor has any validity evidence been provided. Methods We generated MCQs using the Hybrid AIG approach and investigated the validity evidence of these questions by determining whether experts could identify the correct answers. We used a custom ChatGPT to develop an item template, which were then fed into Gazitor, a template-based AIG (non-AI) software. A panel of medical doctors identified the answers. Results Of 105 decisions, 101 (96.2%) matched the software’s correct answer. In all MCQs (100%), the experts reached a consensus on the correct answer. The evidence corresponds to the ‘Relations to Other Variables’ in Messick’s validity framework. Conclusions The Hybrid AIG approach can enhance the efficiency of MCQ generation while maintaining accuracy. It mitigates concerns about hallucinations while benefiting from AI.

Brand Corporateness: Measurement and Symbolic Meaning of an Unfavorable Brand Association

Abstract This research establishes brand corporateness as a novel brand association that most consumers find unfavorable. Exploratory focus group findings first illuminate consumer meaning structures and attitudes around brand corporateness. An inductive grounded theory approach suggests three core (hierarchical, mechanistic, opaque) and three ancillary (ubiquitous, traditional, strategic) dimensions of the construct, informing a subsequent literature review that theoretically confirms this structure. Our theorizing also suggests that greater corporateness diminishes consumers’ self-brand connection because the symbolic meanings of its core dimensions clash with several fundamental human values, a negative effect that is heightened among more politically liberal consumers. The main empirical work then develops and validates a measure of brand corporateness across eleven studies using best practices in scale development. After a rigorous item generation and refinement process, our studies provide converging evidence for the scale’s structural, nomological, discriminant, predictive, and ecological validity.

Development and evaluation of a caregiver checklist for primary care.

Family caregivers serve vital functions in older adults' health care, but their own needs are not systematically assessed in routine care delivery. The present study employed a user-centered approach to develop and evaluate a pragmatic checklist to support proactive identification and discussion of caregivers' concerns in primary care. Checklist development proceeded according to a preestablished methodology involving domain identification, item generation, overall construction, and revision. The checklist subsequently underwent formal evaluation by 25 subject matter experts (SMEs), including primary care clinicians, family caregivers, and health services researchers who assessed the checklist's content validity and appraised its overall utility, ease of use, and mode of administration. The checklist showed excellent content validity. None of the items were found to be superfluous, indicating that the checklist covered relevant content domains. Subject matter experts reported that the checklist was easy to use, just the right length, and would be helpful in identifying and prompting a discussion about caregivers' needs. Their preferences regarding how the checklist should be administered were variable. Minor revisions to the checklist focused on enhancing its applicability to caregivers from low- and middle-income families and those from underrepresented backgrounds. Results indicate that the checklist is an appropriate tool for identifying caregivers' needs and concerns. Findings lay the groundwork for pilot testing in primary care to confirm the checklist's clinical feasibility and evaluate its preliminary impact on family-centered care quality and outcomes for primary care clinics. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Measuring Technology-Facilitated Sexual Violence and Abuse in the Chinese Context: Development Study and Content Validity Analysis.

Technology-facilitated sexual violence and abuse (TFSVA) encompasses a range of behaviors where digital technologies are used to enable both virtual and in-person sexual violence. Given that TFSVA is an emerging and continually evolving form of sexual abuse, it has been challenging to establish a universally accepted definition or to develop standardized measures for its assessment. This study aimed to address the significant gap in research on TFSVA within the Chinese context. Specifically, it sought to develop a TFSVA measurement tool with robust content validity, tailored for use in subsequent epidemiological studies within the Chinese context. The first step in developing the measurement approach for TFSVA victimization and perpetration was to conduct a thorough literature review of existing empirical research on TFSVA and relevant measurement tools. After the initial generation of items, all the items were reviewed by an expert panel to assess the face validity. The measurement items were further reviewed by potential research participants, who were recruited through snowball sampling via online platforms. The assessment results were quantified by computing the content validity index (CVI). The participants were asked to rate each scale item in terms of its relevance, appropriateness, and clarity regarding the topic. The questionnaire was reviewed by 24 lay experts, with a mean age of 27.96 years. They represented different genders and sexual orientations. The final questionnaire contained a total of 89 items. Three key domains were identified to construct the questionnaire, which included image-based sexual abuse, nonimage-based TFSVA, and online-initiated physical sexual violence. The overall scale CVI values of relevance, appropriateness, and clarity for the scale were 0.90, 0.96, and 0.97, respectively, which indicated high content validity for all the instrument items. To ensure the measurement accurately reflects the experiences of diverse demographic groups, the content validity was further analyzed by gender and sexual orientation. This analysis revealed variations in item validity among participants from different genders and sexual orientations. For instance, heterosexual male respondents showed a particularly low CVI for relevance of 0.20 in the items related to nudity, including "male's chest/nipples are visible" and "the person is sexually suggestive." This underscored the importance of an inclusive approach when developing a measurement for TFSVA. This study greatly advances the assessment of TFSVA by examining the content validity of our newly developed measurement. The findings revealed that our measurement tool demonstrated adequate content validity, thereby providing a strong foundation for assessing TFSVA within the Chinese context. Implementing this tool is anticipated to enhance our understanding of TFSVA and aid in the development of effective interventions to combat this form of abuse.

Development of the Indonesian sexual quality of life scale for women (ISQOL-W)

Sexual quality of life is greatly influenced by sexual function, yet thorough measures remain limited and vary across regions. In Indonesia, diverse cultural and religious contexts notably shape sexual quality of life. Thus, it is important to have a tool that considers both internal and external aspects. The aim of this study was to develop a valid and reliable scale that specifically measures Indonesian sexual quality of life for women (ISQOL-W), considering cultural and social factors. A total of 228 participants were recruited from April 30, 2023, to September 30, 2023. The ISQOL-W was developed through two phases: item generation and psychometric evaluation. In the first phase, 68 items were drafted based on definitions and dimensions of sexual quality of life. In the second phase, exploratory factor analysis resulted in 34 items with a loading factor greater than 0.4 (ranging from 0.41 to 0.84) which were categorized into four domains/factors: sexual-related emotion, sexual fantasy, sexual arousal, and sexual relationship. The Cronbach’s α coefficient for the overall questionnaire was 0.915, with subscale reliability ranging from 0.826 to 0.903. Further analysis revealed significant differences in ISQOL-W scores across relationship status, educational level, history of last sexual activity, and type of sexual activity. In conclusion, the ISQOL-W demonstrated robust psychometric properties, supporting its use in future studies. This study represents the first effort to develop and validate a sexual quality of life scale specifically for Indonesian women.

Precision oncology implementation in a regional-based health care system: A professional consensus to define the pathway

ObjectivePrecision Oncology requires deep changes in organizational settings but little evidence has been identified about the best strategy to guarantee the delivery of this innovation to patients. In the Italian health care system, high heterogeneity could jeopardize equal access opportunity for patients. Following a consensus method, we aim to define shared solutions to address these issues in clinical practice. MethodA Delphi RAND method was chosen to record the consensus among involved health care professionals in the Italian region of Friuli Venezia Giulia. The item generation phase was conducted following a bottom-up approach. ResultsTen statements were defined on the main topics that emerged from the direct observation of the current practice, focusing on Molecular Tumor Board organization, massive parallel sequencing technology application, laboratory report content and informed consensus submission. All the statements reached a strong consensus and have been shared with the health care government authorities of our region. ConclusionsThe direct observation of the current practice in different health care authorities allowed to define ten statements as solution proposals to solve the identified complexities. This methodological approach could be applied in different organizational models but aiming to achieve a homogeneous clinical outcome for patients.

Interdisciplinary Operating Room Ergonomics Needs and Priorities: A Survey of Operating Room Staff.

To examine perceived OR ergonomics facilitators and barriers, with a focus on the interdisciplinary team. Poor ergonomics causes musculoskeletal injuries affecting all operating room (OR) staff with repercussions on patient care, outcomes, and sustainability. Lack of ergonomic awareness and education are risk factors. We conducted a self-administered web-based survey of OR nurses, surgeons, and anesthesiologists at a single centre (n=238). We developed a questionnaire through items generation and reduction, followed by reliability and validity testing. Response rate was 53.8%. Respondents perceived that on average 80% of nurses, 70% of surgeons, and 40% anesthesiologists experienced MSK injuries, with no difference in professional groups' perceptions. Guideline ergonomics interventions were rarely used (<25%) except for specialized clothing (33%), equipment repositioning (59%), and seating (37%), though perceived beneficial by 80-90%. Reported barriers to optimal ergonomics were organizational/structural (lack of time, space, equipment, funding), whereas solutions were individual. Fear of unfavourable perception from others was a concern for 62%. Teams discussing, prioritizing, monitoring, or helping with ergonomics was indicated by <50%. Individual ergonomic adaptations were perceived as convenience by other staff. While structural/organizational issues are reported as barriers to ergonomics, solutions appeared as individual responsibilities. Team dynamics did not prioritize nor support ergonomics. Education tools leveraging the interdisciplinary team are warranted. This work will be supplemented by interviews and live observations to build tailored educational tools for OR teams.

Medical students‘ leadership competence in health care: development of a self-assessment scale

BackgroundMedical leadership plays an increasing role already in early career stages. Undergraduate medical students in the transition to postgraduate education feel not well prepared for their leadership roles. While leadership curricula have been developed, instruments for students’ self-assessment of leadership competences as part of their professional development are still missing. The aim of our study was to develop a self-assessment scale for undergraduate medical students’ leadership competences.MethodsThe medical leadership competence scale (MeLeCoS) for undergraduate medical students was developed in twelve steps. For item generation, we employed the Medical Leadership Competence Framework (MLCF), which is also used as a framework for many leadership curricula and includes five leadership domains for three fields of education: undergraduate education, postgraduate education, and continuing practice. In a pretest, 67 items were tested with n = 88 undergraduate medical students. For content validation we performed group discussions with a total of 17 students. After item reduction a test-version with 45 items and a 5-point Likert scale (1: ‘never’, 2: ‘rarely’, 3: ‘sometimes’, 4: ‘often’, 5: ‘always’) was used in a test-sample of final-year students (n = 129). Descriptive statistics and factor analyses were performed.ResultsThe final version of the MeLeCoS includes 37 items and the scale’s Cronbach’s alpha was 0.87. Six factors could be identified and two of them, respectively, represent leadership aspects from the following three areas: (1) the medical students themselves, (2) the interrelation of the medical students with a healthcare organisation regarding general management and improvement, and (3) general leadership aspects of medical students within undergraduate medical studies and the healthcare system. The overall mean of the MeLeCoS was 3.50 ± 0.39. Factor 2 (‘Demonstrating responsible behaviour and shaping relations’) reached the highest mean (4,36 ± 0.37) and factor 5 (‘Promoting improvement and innovation in undergraduate medical education’ the lowest (1.91 ± 0.87).ConclusionsThe medical leadership competence self-assessment scale (MeLeCoS) is a reliable instrument for undergraduate medical students’ self-assessment of leadership competence with good content validity. It could be used for students’ self-reflection on leadership competences in addition to rater-based assessments in leadership curricula and for longitudinal development of students’ professional identity.

A generative AI-driven interactive listening assessment task.

Assessments of interactional competence have traditionally been limited in large-scale language assessments. The listening portion suffers from construct underrepresentation, whereas the speaking portion suffers from limited task formats such as in-person interviews or role plays. Human-delivered tasks are challenging to administer at large scales, while automated assessments are typically very narrow in their assessment of the construct because they have carried over the limitations of traditional paper-based tasks to digital formats. However, computer-based assessments do allow for more interactive, automatically administered tasks, but come with increased complexity in task creation. Large language models present new opportunities for enhanced automated item generation (AIG) processes that can create complex content types and tasks at scale that support richer assessments. This paper describes the use of such methods to generate content at scale for an interactive listening measure of interactional competence for the Duolingo English Test (DET), a large-scale, high-stakes test of English proficiency. The Interactive Listening task assesses test takers' ability to participate in a full conversation, resulting in a more authentic assessment of interactive listening ability than prior automated assessments by positing comprehension and interaction as purposes of listening. The results of a pilot of 713 tasks with hundreds of responses per task, along with the results of human review, demonstrate the feasibility of a human-in-the-loop, generative AI-driven approach for automatic creation of complex educational assessments at scale.

Internet Addiction Scale for School and College Students – Construction, validation, and cutoff derivation

ABSTRACT Background: With young people and teenage children, India has recently become a hotspot for a multiple-fold increase in internet users. The objective of our study was planned to create a psychometric scale specially targeting school and college students with appropriate validation and cut-off derivation, as these groups are collective and also holds a major burden of internet addiction and also a potential risk group for developing internet addiction disorder. Methods: This was a cross-sectional study with a sample size of 1530 done among college students and school students studying between IX to XII standard with habit of internet usage. A google form survey questionnaire was used and study was conducted for a period of 2 months. Domain identified was Internet addiction which was followed by Item generation done by both Inductive, Deductive method and Content validity obtained from the field experts. After Cognitive Interviewing, survey was conducted by circulating the constructed scale in the Google form questionnaire to the eligible participants. After collecting the required data from the participants, the scale was subjected to Item Reduction Analysis. Results: The mean age of the study participants was 18.96 ±3.68 years and most of them were females. All the individual items had discrimination index value of higher than 0.75 and Cronbach’s alpha of 0.75. The total weighed score calculated by adding the individual weighed score came as 21078. Correction factor obtained by dividing the weighed score to the raw score was 0.89. Using the Internet Addiction Scale for School and College Students (IASSCS) having a cut off value of 16 to delineate a person to have Internet addiction and No Internet addiction, around 63% of the study participants were found to have internet addiction and 37% of them were not having Internet addiction and among them a greater number of Internet addicts were found to be male compared to females. Conclusion: Due to the fact that internet addiction is linked to numerous physical and mental health problems, it may be more beneficial to use scale reports as screening tools at the primary health care level in order to identify high-risk groups for health problems caused by internet addiction at the earliest.

Are you really satisfied in life? Developing a scale on life satisfaction

PurposeThis study attempted to measure life satisfaction and developed a scale to measure its dimensions with the required psychometric properties (validity and reliability). In today’s scenario, organizations are focusing on life satisfaction by helping employees to maintain their work-life balance. Therefore, this paper aims to develop a robust scale of life satisfaction.Design/methodology/approachThe methodology consists of three broad stages: item generation, scale development, and validity. Using the sample of 198 working executives, this study used the exploratory factor analysis (EFA) and concluded the four dimensions of life satisfaction: work satisfaction, family satisfaction, societal satisfaction and self-satisfaction.FindingsThe results provide academicians and practitioners with new insight and dimensions of life satisfaction. The result of this study shows that life satisfaction has societal satisfaction, family satisfaction, job satisfaction and self-satisfaction dimensions.Practical implicationsThis study will provide practitioners with new dimensions to measure life satisfaction. They can help employees achieve life satisfaction across four different factors. This will enable more employee satisfaction, an increase in retention rate and an increase in employee performance. Furthermore, this study provides implications from a policy perspective to design the business policy by considering life satisfaction as an important part of formulating and implementing human resource policies.Originality/valueThis study is unique in terms of exploring the dimensions of life satisfaction in a structured manner and establishing the psychometric properties as construct, content, and criterion validity along with reliability. This scale can be further used in future research to measure the life satisfaction construct.

Development and validation of a questionnaire to evaluate Students Learning Needs using XR Technology

Abstract Background Extended Reality (XR) technology intends to combine or mirror the physical world, including innovative tools that can be applied in education increasing students’ engagement, improving comprehension, and leading to better outcomes. Under the umbrella of the PedXR project about an Extended Reality Learning Framework for Pediatric Nursing students in Higher Education (Erasmus +- 2023-1-EL01-KA220-HED-000161808), a survey was conducted aiming to validate a questionnaire to evaluate Students’ Learning Needs using XR technology (SLN-PedXR). Methods The questionnaire was developed by item generation through a literature review. The SLN-PedXR was validated in terms of content validity through PedXR Consortium (EL, CY, BE, BG) reviews. The psychometric properties of the final instrument were assessed in a sample of 106 nursing students of the Faculty of Nursing, University of Athens, Greece. Results The findings demonstrate high internal consistency (Cronbach’s alpha = .877). Principal component analysis was conducted to reduce dimensions and establish construct validity and internal consistency of the developed questionnaire. Following pilot-testing and consortium review, the final validated questionnaire consists of 45 items divided into 3 subcategories (current learning needs satisfaction, preferable learning modules, XR development). Conclusions The SLN-PedXR is a valid and reliable tool for evaluating students’ learning needs using XR technology. Key messages • In the rapidly evolving landscape of technological advancements, educational institutions must integrate innovative learning tools into their curricula. • The discernment of students’ learning needs and the formulation of tailored modules stand as pivotal determinants to optimize educational outcomes particularly within the domain of nursing education.