Item Generation Research Articles

Package adventure tourism motivation: scale development and validation

ABSTRACT Adventure tourism has become a prominent segment within the tourism industry, fuelled by the increasing popularity of packaged adventure holidays. Despite the rise of package adventure tourism, there remains a gap in understanding what motivates tourists to choose a package adventure holiday. This study focused on package tourists visiting wildlife national park for diverse adventure activities. Using the scale development approach, the study began with the generation of initial items through literature review and written interview of 40 participants. Subsequently item refinement was achieved through exploratory factor analysis of data from 244 package tourist, followed by scale validation using confirmatory factor analysis on the remaining item with data from 341 package tourist. As a result, nine dimensions of package adventure tourist motivations were developed. These motivational dimensions include predetermined price, social interaction, safety, novelty, convenience, escape, culture, natural attractions, and excitement. This multidimensional scale will help comprehend the motivation of package adventure tourists and illuminate the nature of their preferences and choices.

Development and validation of a novel Barrett's oesophagus patient reported outcome measure (B-PROM)

Patients with Barrett's oesophagus (BO) carry significant cancer worry, burden of symptoms, and lack disease-specific knowledge. Currently there is no validated BO patient reported outcome measure (PROM) to measure these factors for use in clinical practice and research, hence the aim of this study was to devise a novel, validated BO-specific tool, B-PROM. Literature review, quantitative and qualitative research informed the initial item generation. The item bank was refined through a modified Delphi process between May and August 2021. The PROM was then tested through cognitive interviews and validated via multicentre testing between September 2021 and February 2023 with the aim to create a succinct tool which addresses the key important factors to BO patients and has strong psychometric properties. B-PROM covers key themes of disease-specific knowledge, trust in clinicians, burden of symptoms, cancer worry and burden of surveillance. Validation results from 387 participants (response rate 40.8%) showed 93.3% of participants completed >95% of B-PROM. All individual items scored a completion rate of >95%. Mean completion time was 5mins 34s for a sample group. Nineteen items showed a ceiling effect, 3 items showed a floor effect. Internal consistency overall demonstrated a Cronbach Alpha of 0.846, while predetermined subsections showed Cronbach alphas of 0.335, 0.718, 0.736, and 0.896. Inter-item analysis found 2 pairs of items with strong correlation, with only 6 items correlating weakly. Item-total correlation showed 19 items correlated well. Exploratory Factor analysis (EFA) with principal component analysis produced 5 components with Eigenvalues >1 of which 4/5 had satisfactory Cronbach alphas. Test-retest reliability showed no significant differences across single and average measures (p ≤ 0.001). B-PROM is the first BO-specific PROM to be systematically evaluated. Validation findings show strong internal consistency, short completion time, low missingness and excellent test-retest reliability. Medtronic Limited ISR-2016-1077.

Development and Psychometric Evaluation of a Novel Measure of Nicotine E-cigarette Withdrawal for use with Adolescents and Young Adults.

Nicotine withdrawal is a well-established construct that prompts continued nicotine product use and contributes to failed cessation efforts. Despite ongoing public health concerns about nicotine e-cigarette use in adolescents and young adults (AYAs), no psychometrically-sound measure of nicotine e-cigarette withdrawal exists for this population. A mixed methods approach comprising a literature review to identify existing nicotine withdrawal items; subject matter expert feedback on existing items and novel item generation; cognitive interviews assessing the measure's instructions, items, and response options; and a large quantitative validation survey (N = 997) was employed to develop the novel retrospective measure of nicotine e-cigarette withdrawal. A 25-item solution comprising four subscales - Negative Affect, Negative Physical Symptoms, Craving, and Appetite/Food - and an Overall Withdrawal score was supported. Internal reliability was excellent (mean alpha = 0.91), and scalar measurement invariance was reached for all subgroups tested (e.g., sex, age, exclusive e-cigarette use versus dual tobacco product use, daily versus non-daily nicotine vaping). Overall Withdrawal and its subscales evidenced concurrent validity with time to first vape in the morning, e-cigarette dependence, and previous vaping cessation attempts, although not each subscale was associated with each outcome. Importantly, cross-sectional incremental validity analyses indicated that retrospective withdrawal accounted for variance in each outcome above and beyond e-cigarette dependence. The novel retrospective AYA Nicotine E-cigarette Withdrawal Scale (AYA NEWS) evidenced strong psychometric properties for use in this population. Future research can determine whether the AYA NEWS can be used to assess acute e-cigarette nicotine withdrawal. While e-cigarette use remains the most prevalent form of nicotine product use among adolescents and young adults, there are limited options for psychometrically-sound measures of e-cigarette-related constructs in this population. Withdrawal from nicotine is associated with failed cessation attempts and continued use of nicotine-containing products, making it a critical construct within tobacco-related research. This study outlines the development and preliminary psychometric evaluation of a novel, retrospective measure of nicotine e-cigarette withdrawal. Study findings support using the Adolescent and Young Adult Nicotine E-cigarette Withdrawal Scale (AYA NEWS) to assess retrospective withdrawal from nicotine e-cigarettes in young people.

A new measure of feeling safe: Developing psychometric properties of the Neuroception of Psychological Safety Scale (NPSS).

The study comprised of 3 stages: (a) item generation, (b) item reduction, and (c) assessment of factor structure and internal consistency. Exploratory and confirmatory factor analysis was conducted from 2 samples who completed a survey online (exploratory n = 342, confirmatory n = 455). Initially, 107 items were generated. Item reduction and exploratory factor analysis resulted in a 29-item NPSS with subscales of compassion, social engagement and body sensations. The NPSS was found to have a consistent factor structure and internal consistency. The NPSS is a novel measure of psychological safety which can be used across a range of health and social care settings. This research provides a platform for further work to support and enhance understandings of the science of safety through the measurement of psychological, relational and physiological components of safety. The NPSS will help shape new approaches to evaluating trauma treatments, relational issues and mental health concerns. Research to establish the convergent, discriminant and concurrent validity of the NPSS and to explore its use with diverse community and clinical populations is underway. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Development and preliminary validation of a questionnaire for assessing fitness centers

This manuscript comprehensively examines the development and preliminary validation of a questionnaire designed to assess fitness centers. The study aims to address existing gaps in the literature by providing a standardized tool for evaluating the quality of fitness facilities. The study aims to design, validate, and present a preliminary assessment instrument tailored specifically for fitness centers, encompassing various aspects such as program offerings, facility conditions, and staff competencies. The research methods involved the identification of key indicators affecting fitness center services, followed by the generation and validation of questionnaire items through a rigorous statistical analysis. The research subjects consisted of 119 fitness enthusiasts from Angeles City, Philippines, who actively participated in the validation process. The instruments used in data processing included Likert-style rating scales and statistical methods such as Point Biserial Correlation and t-tests. The analysis of data utilized in data processing led to the retention of 59 questionnaire items, demonstrating significant correlation coefficients. The study's results highlight the reliability and validity of the developed questionnaire as a valuable tool for assessing fitness centers, providing insights into client needs and areas for improvement. In conclusion, the preliminary validation of the questionnaire serves as a crucial step towards enhancing the quality and standards of fitness center services, benefiting both managers and regulatory authorities in ensuring the provision of safe and effective fitness facilities.

Measuring persistent somatic symptom related stigmatisation: Development of the Persistent Somatic Symptom Stigma scale for Healthcare Professionals (PSSS-HCP)

ObjectivePersistent somatic symptoms (PSS) describe recurrent or continuously occurring symptoms such as fatigue, dizziness, or pain that have persisted for at least several months. These include single symptoms such as chronic pain, combinations of symptoms, or functional disorders such as fibromyalgia or irritable bowel syndrome. While stigmatisation by healthcare professionals is regularly reported, there are limited measurement instruments demonstrating content validity. This study develops a new instrument to measure stigmatisation by healthcare professionals, the Persistent Somatic Symptom Stigma scale for Healthcare Professionals (PSSS-HCP). MethodsDevelopment was an iterative process consisting of research team review, item generation and cognitive interviewing. We generated a longlist of 60 items from previous reviews and qualitative research. We conducted 18 cognitive interviews with healthcare professionals in the United Kingdom (UK). We analysed the relevance, comprehensibility and comprehensiveness of items, including the potential for social desirability bias. ResultsAfter research team consensus and initial feedback, we retained 40 items for cognitive interviewing. After our first round of interviews (n = 11), we removed 20 items, added three items and amended five items. After our second round of interviews (n = 7), we removed four items and amended three items. No major problems with relevance, comprehensibility, comprehensiveness or social desirability were found in remaining items. ConclusionsThe provisional version of the PSSS-HCP contains 19 items across three domains (stereotypes, prejudice, discrimination), demonstrating sufficient content validity. Our next step will be to perform a validation study to finalise item selection and explore the structure of the PSSS-HCP.

Development and validation of a questionnaire in Hindi language to assess Parental Knowledge, Attitude and Practices regarding Calcium and Vitamin D deficiency in children

Background: Despite being in temperate zone, India is endemic to nutritional rickets. However, very little has been studied on knowledge, perception and cultural practices of Indian communities, towards calcium and vitamin-D deficiency in children. Aim & Objective: The study aimed to develop and validate a questionnaire in Hindi language for the assessment of knowledge, attitude, and practices of parents towards calcium and vitamin D deficiency among children. Methodology: We searched electronic databases for item generation. The questionnaire was developed in Hindi language by five experts in the field of pediatrics, pediatric orthopaedics and community medicine using Delphi method. After language correction from Hindi language experts, a convenient sample of 30 participants filled the questionnaire and tested for internal consistency and test-retest reliability. Results: The overall Cronbach’s alpha value for the finalized 46-item scale indicated an acceptable reliability (alpha = 0.91). The internal consistency reliability for six domains created was acceptable. The results revealed ‘high’ test-retest reliability, and there was no statistically significant difference noted between any of the first test and re-test corresponding values (p>0.05). Conclusion: The present questionnaire developed in Hindi Language to assess knowledge, attitude and practices (KAP) of parents towards Calcium & Vitamin-D deficiency in children, has a good validity and reliability. This newly developed instrument could prove its use to highlight the gaps that may exist among parents. The use of this tool may help clinicians, health educators and policy makers to identify key areas of intervention with regards to Calcium & Vitamin-D deficiency in children.

Understanding psychological outcomes following exposure to potentially morally injurious events in animal care: development of the Moral Distress-Posttraumatic Growth Scale for Veterinary Professionals

ABSTRACT Aims To generate a taxonomy of potentially morally injurious events (PMIE) encountered in veterinary care and develop an instrument to measure moral distress and posttraumatic growth following exposure to PMIE in the veterinary population. Methods Development and preliminary evaluation of the Moral Distress-Posttraumatic Growth Scale for Veterinary Professionals (MD-PTG-VP) employed data from veterinary professionals (veterinarians, veterinary nurses, veterinary technicians) from Australia and New Zealand across three phases: (1) item generation, (2) content validation, and (3) construct validation. In Phase 1 respondents (n = 46) were asked whether they had experienced any of six PMIE and to identify any PMIE not listed that they had experienced. In Phase 2 a different group of respondents (n = 11) assessed a list of 10 PMIE for relevance, clarity and appropriateness. In Phase 3 the final instrument was tested with a third group of respondents (n = 104) who also completed the Short Post-Traumatic Stress Disorder Rating Interview (SPRINT), a measure of posttraumatic stress, and the Stress-Related Growth Scale–Short Form (SRGS-SF) a measure of perceived posttraumatic growth. Spearman’s correlation coefficients were calculated between respondent scores on each of the MD-PTG-VP subscales, the SPRINT, and the SRGS-SF to assess construct validity. Results A 10-item taxonomy of PMIE encountered in veterinary care was generated in Phase 1. Items were deemed relevant, clear and appropriate by veterinary professionals in Phase 2. These were included in the developed instrument which measures frequency and impact of exposure to 10 PMIE, yielding three subscale scores (exposure frequency, moral distress, and posttraumatic growth). Assessment of construct validity by measuring correlation with SPRINT and SRGS-SF indicated satisfactory validity. Conclusions The MD-PTG-VP provides an informative tool that can be employed to examine professionals’ mental health and wellbeing following exposure to PMIE frequently encountered in animal care. Further evaluation is required to ascertain population norms and confirm score cut-offs that reflect clinical presentation. Clinical relevance Once fully validated this instrument may be useful to quantify the frequency and intensity of positive and negative aspects of PMIE exposure on veterinary professionals so that accurate population comparisons can be made and changes measured over time.

INDONESIAN NURSES CULTURAL COMPETENCE: THE DEVELOPMENT AND PILOT TESTING OF INSTRUMENT

Introduction: This paper outlines the development and validation of the Indonesian Nurse's Cultural Competency Scale (IPNCCS) in response to the absence of such instrument for Indonesian nurses. Purpose: The aim was to create an instrument that accurately measures cultural competence among Indonesian nurses. Methods: The study followed a methodological approach in two phases, beginning with item generation through literature review, expert evaluation, and pilot testing with a sample of 50 Indonesian nurses. Result: Through item analysis, the scale's construct validity and reliability were established. The final scale comprises 46 items across five dimensions, showing strong internal consistency reliability (overall Cronbach’s alpha of .942, dimension Cronbach’s alpha ranging from .792 to .918), content validity, and construct validity. In conclusion, the INCCS offers a reliable and valid tool for assessing professional nurse competencies within diverse clinical settings in Indonesia. KEYWORDS: Competence, Cultural competency, Indonesian nurse, Nursing, Reliability, Validity

Social Acceptance Scale—development of an instrument for the differentiated measurement of social acceptance in agricultural livestock farming

This paper presents the development and validation of the Social Acceptance Scale (SAS), an instrument designed to measure social acceptance, particularly in transformative sectors like agricultural livestock farming. Recognizing the need for a nuanced acceptance scale, various facets of acceptance across a three-level continuum were delineated, spanning from opposition to commitment, encompassing eight distinct items. The SAS's creation and validation process included the conceptual and empirical testing of four validity types: content validity, face validity, construct validity, and criterion validity. Content and face validity involved construct definition, item generation, iterative review, and pilot testing to ensure theoretical soundness. Empirical testing encompassed construct validity through statistical validation and assessments of factorial and convergent validity. Furthermore, criterion validity was explored by examining associations with related constructs, enhancing the SAS's external applicability. In conclusion, this paper introduces the SAS as a tool to measure social acceptance within transformative sectors. It underscores the necessity for a comprehensive acceptance scale, offering a detailed account of its development and validation. The discussion section acknowledges limitations and outlines potential directions for future research in this domain.

A New Patient-reported Outcomes Measure for Surgically Treated Epiphora: Tearing Assessment and Rating Scale-12 (TEARS-12).

No widely accepted, validated instrument currently exists to measure clinical outcomes in patients who undergo dacryocystorhinostomy (DCR) for treatment of epiphora. To develop a patient-reported outcome measure applicable to this population. Psychometric evaluations, consultation with experts, and review of the literature informed item generation of a 12-question questionnaire to incorporate the most relevant symptoms experienced by patients with nasolacrimal duct obstruction. This questionnaire, known as the Tearing Assessment and Rating Scale-12 (TEARS-12), was administered to 32 patients before and after intervention, in the form of endoscopic DCR. Statistical analysis was performed to measure internal consistency, responsiveness, and test-retest reliability. Pre-operative and post-operative TEARS-12 scores (28.2 [standard error (SE) 3.19] vs 11.8 [SE 3.25], respectively, P = 0.001) demonstrated improved patient outcome within 6 weeks following endoscopic DCR. Cronbach's alpha for the questionnaire was 0.90, indicating high overall reliability. Additionally, each question demonstrated internal reliability, with a corrected item-total correlation greater than 0.30. The intraclass correlation between the two pre-operative scores was 0.858 (P < 0.001), indicating high test-retest reliability. TEARS-12 is a statistically valid, easy-to-administer instrument to measure clinical outcomes in patients who undergo endoscopic DCR.

Development and validation of the IS-C psychometric tool for evaluating children's impulsivity

This research aims to develop an instrument for the evaluation of impulsivity traits in children and to examine the psychometric features of the developed scale. The process of developing the scale involved three main phases: namely, item generation, evaluation of content validity, and analysis of psychometric properties. The study sample comprised 319 children (68 females, 201 males) aged 5-18, all diagnosed with attention deficit hyperactivity disorder (ADHD), including 50 who underwent pilot testing. Both exploratory and confirmatory factor analyses were employed to assess the factor structure of the scale, resulting in an 18-item scale encompassing motor impulsivity, non-planning impulsivity, and attention-related impulsivity factors. The Confirmatory Factor Analysis (CFA) indicated a satisfactory model-data fit. The overall scale demonstrated high reliability, with Cronbach's Alpha coefficients reaching 0.863. The analyses indicated that the scale is both valid and reliable.

Assessing teachers' intervention-related expectations and self-efficacy: An examination of the factor structure of the implementation beliefs assessment.

Individual-level determinants are hypothesized to enable or prevent successful implementation of evidence-based practices, yet there are limited options for measuring theory-informed, individual-level determinants that influence teachers' and other implementers' delivery of school-based interventions. The goal of this study was to develop a self-report scale that measures variables that have been associated with initial and sustained behavior change related to school-based intervention implementation according to the health action process approach (HAPA). Participants were a nationally representative sample of kindergarten through Grade 12 public school teachers, stratified by grade level and geographical region. Item generation was based on a systematic review of the literature on outcome expectations and self-efficacy, the core constructs related to initiating and sustaining behavior change from the HAPA and in consultation with the theory developer. The sample was randomly split; half of the sample was used for exploratory factor analysis (EFA), and the other half was used for confirmatory factor analysis (CFA). The EFA resulted in a final factor structure of three dimensions of the Implementation Beliefs Assessment (IBA): (a) implementation self-efficacy, (b) positive outcome expectations, and (c) negative outcome expectations. This structure was supported in the other half of the sample using CFA. Additional analyses supported the reliability of IBA data. The IBA represents a step forward toward psychometrically sound measurement of factors associated with initial and sustained behavior change. Implications for future research are discussed. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Construction and Validation of the Belief in Divine Retribution Scale for Pakistani Muslims.

The purpose of the study was to construct and validate a Belief in Divine Retribution Scale for the Pakistani Muslim population. The process of construction and validation was completed by following standardized guidelines for scale construction (Boateng et al., 2018). The present study was carried out in four phases. In phase I, the task of item generation was completed through literature review and interviews (inductive and deductive approaches). Phase II aimed at exploration of factor structure. Exploratory factor analysis was carried out on a sample of seven hundred Muslim participants. Data for EFA were collected through a purposive sampling technique, which comprised both men (n = 339) and women (n = 361) with an age range of 18 to 69years. Results of EFA revealed a two-factor structure with a cumulative variance of 42.59 and with a Cronbach alpha reliability of .83. To confirm the obtained factor structure, Phase III was carried out on a sample of three hundred Muslim participants. The results of CFA confirmed the two-dimensional factor structure with a good model fit to the data. Phase IV provided evidence of convergent and discriminant validity of the scale. Moreover, data for validation were collected from an independent sample (N = 204). Finally, the results of validation revealed that there exists a significant positive correlation of Belief in Divine Retribution Scale with Belief in Just World Scale, which provided evidence of convergent validity. However, there exists a non-significant correlation of Belief in Divine Retribution Scale with Religious Practice Subscale of Short Muslim Practice and Belief Scale, and it provided evidence of discriminant validity. Implications along with limitations and suggestions for future research have also been mentioned.

Development and psychometric evaluation of a tool to assess oncology nurses' occupational health needs.

Oncology nurses are confronted with various occupational hazards; consequently, it is of great importance to identify and measure their occupational health needs. Due to the fact that standard tools are not available to assess these needs, this study was conducted to develop a tool for assessing oncology nurses' occupational health needs. This study consisted of two phases from 2020 to 2021. The first phase was item generation and tool design. The initial development of the item pool was based on the result of the qualitative study and literature search. The second phase was item reduction and psychometric evaluation of the formulated tool including, face, content, and construct validity and reliability. Construct validity was assessed using exploratory factor analysis and convergent validity with the participation of 300 oncology nurses. The reliability of the tool was assessed using internal consistency (Cronbach's alpha) and test-retest (intra-cluster correlation coefficient). The mean content validity index (CVI) of the tool was 0.95. The results of exploratory factor analysis showed that this tool consisted of 69 items and four factors, explaining 65.88% of the variance. The results of the convergent validity assessment showed a significant positive correlation between the mean scores of occupational health needs and occupational stress (P < 0.0001 and r = 0.40). Cronbach's alpha coefficient (0.98) and tool stability (0.98) confirmed the appropriate reliability of the tool. The developed tool is recommended as a valid and reliable tool for assessing oncology nurses' occupational health needs that can be used both in practice and in future studies.

The development and validation of a Multidimensional Perceived Work Ability Scale.

Research on the concept of existing unidimensional Perceived Work Ability scale (PWA) in organizational science has recently increased due to its prediction of important work, individual, and labor force outcomes. To date, PWA has been measured as a unidimensional construct. The present study outlines the need for the multidimensional conceptualization of PWA and its measurement. We describe the development and validation of the Multidimensional Perceived Work Ability Scale (M-PWAS), comprising four dimensions: physical, cognitive, interpersonal, and emotional. In line with Hinkin's (1998) approach to scale validation, we use four samples (total N = 1,152) to establish the M-PWAS as a reliable and valid measure of PWA. Through an iterative item generation and review process, we found evidence for content validity. Furthermore, each subscale demonstrated high internal consistency and factorial validity, and analysis of the PWA nomological network demonstrated evidence for convergent and discriminant validity. Finally, we found that the M-PWAS showed incremental validity over an existing unidimensional PWA measure in the prediction of perceived stress, emotional exhaustion, work engagement, and turnover. We discuss implications for theory, research, and workplace interventions. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Examining Student Perception on Mobile Augmented Reality Integration, Gender Differences, Learning Styles, Feedback, Challenges, and Opportunities in an Online Physics Class

This study aimed to investigate the perception of STEM students (n = 147) on using mobile Augmented Reality (AR) across gender and learning styles in physics online classes. It utilized embedded mixed-method research and purposive sampling. An instrument named Students Perception in Integrating Mobile AR in Physics Class was developed and has undergone a series of validations such as item generation from literature review, content validation, cognitive interview, pilot testing, and exploratory factor analysis revealing two factors, CFA with indices that are of acceptable value, and good Cronbach alpha (α = 0.86) for reliability. Mean, standard deviation, percentages, two samples t-test, and thematic analysis were used to analyze the data. Results revealed that all students have a source of internet connection as well as a device to use and most of them have a very stable to somewhat stable internet connection. Positive feedback was shown in terms of overall learning experience and perception across gender and learning styles. However, in terms of overall usability, females have more ease of use compared to males and kinesthetic learners only have a positive response. It was also found that there is no significant difference across gender. Moreover, the integration of AR in a physics lesson has received excellent responses from both students with and without prior experience in a classroom setting. All of the difficulties the students encountered were technological in nature. There are also opportunities to improve the integration of mobile AR in the technical and learning process. These results suggest that teachers should integrate mobile AR in online physics classes but should consider factors such as Internet connection, device, gender, and learning styles in developing the application.

ICAR: Image-Based Complementary Auto Reasoning

Scene-aware Complementary Item Retrieval (CIR) is a challenging task which requires to generate a set of compatible items across domains. Due to the subjectivity, it is difficult to set up a rigorous standard for both data collection and learning objectives. To address this challenging task, we propose a visual compatibility concept, composed of similarity (resembling in color, geometry, texture, and etc.) and complementarity (different items like table vs chair completing a group). Based on this notion, we propose a compatibility learning framework, a category-aware Flexible Bidirectional Transformer (FBT), for visual ``scene-based set compatibility reasoning'' with the cross-domain visual similarity input and auto-regressive complementary item generation. We introduce a ``Flexible Bidirectional Transformer (FBT),'' consisting of an encoder with flexible masking, a category prediction arm, and an auto-regressive visual embedding prediction arm. And the inputs for FBT are cross-domain visual similarity invariant embeddings, making this framework quite generalizable. Furthermore, our proposed FBT model learns the inter-object compatibility from a large set of scene images in a self-supervised way. Compared with the SOTA methods, this approach achieves up to 5.3% and 9.6% in FITB score and 22.3% and 31.8% SFID improvement on fashion and furniture, respectively.

Livestreaming commerce service quality measurement and its effect on swift guanxi, trust, and repurchase intention

Livestreaming commerce is an important emerging technology that has not been systematically investigated in service marketing research. This study aims to develop livestreaming commerce service quality (LSCSQ) measures and explores the impact of LSCSQ on repurchase intention from swift guanxi and trust perspectives. Four phases are conducted to measure and validate LSCSQ, including item generation, item purification, scale validation, and nomological validity testing. Three rounds of online survey by distributing questionnaires on the Wenjuanxing platform were conducted to collect data. Customers with livestreaming commerce service experience were selected and invited randomly to finish questionnaire. The valid samples in the first, second, and third rounds were 376, 264, and 308 respectively. SPSS 25.0 and SmartPLS 3.0 were employed to analyse data in this study. The results show that cues multiplicity, scene visibility, personalisation, informational fit-to-task, efficiency, empathy, real-time interactivity, language expressiveness, and edutainment are the measurements of LSCSQ. Moreover, LSCSQ positively influence repurchase intention by building swift guanxi and improving trust. This study contributes to the service quality and livestreaming commerce literature and provides theoretical tools for livestreaming retailers to improve their service quality by adopting better targeted strategy.

Development, validation and feasibility of a Patient Satisfaction Questionnaire for evaluating the quality performance of a diagnostic small fibre neuropathy service: A qualitative study.

Small fibre neuropathy (SFN) is a peripheral neuropathy, leading to neuropathic pain and autonomic dysfunction. An evidence-based standardized patient diagnostic SFN service has been implemented in the Netherlands for improving patient-centred SFN care. However, the quality of care of this diagnostic SFN service has never been assessed from a patient perspective. The aim of this study was to develop and validate an SFN-Patient Satisfaction Questionnaire (SFN-PSQ) to measure the quality performance of a standardized diagnostic SFN service. A descriptive qualitative study to create the SFN-PSQ was performed using the (COREQ(Consolidated Criteria for Reporting Qualitative Research) checklist. For item generation and content development, domains and/or items from validated PSQs were selected. The content development and content validity were performed using a Delphi method with SFN expert caregivers with different backgrounds. By using the three-step-test method in individual cognitive interviews, the content validity by patients was finalized. In one online Delphi panel round, the content of the first concept of the SFN-PSQ was validated, which resulted in the second concept of the SFN-PSQ. From July 2019 till March 2020, nine patients consented to participate in the individual cognitive interviews. The most significant changes of the new questionnaire were adding domains and items concerning the waiting list, the diagnostic services and consultation by the hospital psychiatrist. Also, a differentiation was made for both an inpatient and outpatient diagnostic SFN service. Furthermore, the clarity and intelligibility of the domains/items were improved, resulting in an increased comprehension of the SFN-PSQ. Ultimately, the new developed SFN-PSQ consisted of 10 domains and 51 items, suitable for measuring patient satisfaction of the neurological analysis in patients with SFN. Through item generation, expert opinions and interviews with patients, the SFN-PSQ was developed and validated, and feasibility was confirmed. The structure of the questionnaire, based on the logistic and diagnostic SFN pathway, could be used as a model in other hospitals to improve the quality, continuity and access of SFN care and other chronic diseases taking into account potential cross-cultural differences. Caregivers were involved in the item generation and content development of the questionnaire. Patients were directly involved in testing the content validity and feasibility of the SFN-PSQ. Not applicable.