Scale Content Validity Index Research Articles

Psychometric analysis of the Comfort with Communication in Palliative and End-of-Life Care (C-COPE) instrument.

Nurses must be comfortable facilitating palliative and end-of-life communication with patients and their families. A validated instrument measuring the comfort of nurses with conducting end-of-life communication is essential for meeting the goals and wishes of patient care. This study aimed to develop and conduct a psychometric evaluation of the Comfort with Communication in Palliative and End-of-Life Care (C-COPE) instrument. Face, content, and construct validity, including test-retest reliability, were conducted. Four experts subjectively confirmed face content validity and the quantitative item content validity index (I-CVI) ranged from 0.67 to 1 and scale content validity index (S-CVI/Ave) was 0.98. Principal axis factoring with Promax rotation yielded a five-factor solution accounting for 66.2% of the variance. The items loading on the five factors ranged from 0.46-0.96 (factor 1), 0.67-0.93 (factor 2), 0.49-0.86 (factor 3), 0.68-0.79 (factor 4), and 0.24-0.96 (factor 5). Internal consistency reliability (coefficient a) was 0.90 for the total C-COPE, and above 0.75 for each factor. The five factors are 'cultural/spiritual considerations,' 'team considerations,' 'addressing decision-making,' 'addressing symptomatology,' and 'deliberate awareness.' Test-retest reliability yielded an intraclass correlation coefficient (ICC) of 0.87 (CI 95%, 0.82-0.91). The C-COPE is a reliable and valid instrument measuring nurse comfort with palliative and end of-life care communication, yet requires testing in more diverse samples.

Patient�s Compliance with Oral Antibiotics Treatments at Community Health Centers in Surabaya: A 20-KAO Questionnaire Development

The irrational and incompliance use of antibiotics has been correlated to bacterial resistance. Several methods evaluated patients' compliance with oral antibiotics have been conducted. However, a standard questionnaire for evaluating oral antibiotics compliance in Indonesian has not been developed yet. This study was conducted to record the content validity of the developed questionnaire called 20-KAO to assess compliance with oral antibiotics. The validity content test was conducted through six experts review using the Item Content Validity Index (I-CVI) and Scale-Content Validity Index (S-CVI). The experts were also requested to provide recommendations for each item, whether revisions or deletion. After the review process, the number of questions remains unchanged. A total of 19 out of 20 items had an I-CVI of 1.00, and S-CVI was calculated at 0.98. Therefore, 20 items of the 20-KAO questionnaire have excellent content validity. However, future construct validity and reliability test to analyze the responses of targeted respondents and the questionnaire's consistency are needed.

The Platform to Evaluate Athlete Knowledge of Sports Nutrition Questionnaire: a reliable and valid electronic sports nutrition knowledge questionnaire for athletes.

Reliable and valid assessment of sports nutrition knowledge can inform athlete nutrition education to address knowledge gaps. This study aimed to test the reliability and validity of an electronically administered sports nutrition knowledge tool - Platform to Evaluate Athlete Knowledge of Sports Nutrition Questionnaire (PEAKS-NQ). A 94-item PEAKS-NQ was piloted to 149 developmental athletes (DA) in New Zealand, with a subset invited to complete the PEAKS-NQ again to assess reliability. Reliability was evaluated using sign test, intraclass correlation and Cronbach's α. Accredited sports dietitians (ASD; n 255) completed the PEAKS-NQ to establish construct validity via known-groups methodology and provided relevance scores to determine the scale content validity index (S-CVI). Rasch analysis was conducted to identify potentially problematic items and test reliability. Score differences between DA and ASD were analysed using independent t or non-parametric tests. DA (n 88) were 17·8 (sd 1·4) years, 61·4 % female and mostly in high school (94·3 %). ASD (n 45) were 37·8 (sd 7·6) years, 82·2 % female, with >5 years of dietetic experience (59·1 %). ASD scored higher than DA in all sections and overall (91·5 (sd 3·4) v. 67·1 (sd 10·5) %) (P < 0·001). There were no differences between retests (n 18; P = 0·14). Cronbach's α was 0·86. S-CVI indicated good content validity (0·88). Rasch analysis resulted in a fifty-item PEAKS-NQ with high item (0·91) and person (0·92) reliability. The PEAKS-NQ is reliable and valid for assessing sports nutrition knowledge which could assist practitioners effectively tailor and evaluate nutrition education.

PSYCHOMETRIC PROPERTIES OF SPIRITUAL INDEX OF WELL-BEING AMONG FILIPINO WOMEN WITH BREAST CANCER

Background: Breast cancer patients need to be treated not only physically and emotionally but also spiritually. Hence, the assessment of the spirituality of patients is essential to provide holistic nursing care. However, there was no culturally valid and reliable instrument that measures spirituality among Filipino women with breast cancer.Objective: The study was conducted to determine the psychometric properties of the spiritual index of well-being among Filipino women with breast cancer.Methods: A descriptive cross-sectional design was utilized in the study, and a sample of 170 Filipino women with breast cancer were included. The World Health Organization guidelines were used to translate the original instrument to Filipino, and content validity was computed using the Davis technique. Also, confirmatory factor analysis with maximum likelihood estimation was performed to assess the construct validity of the instrument. Cronbach’s α and item-total correlations were done to assess the internal consistency of the Filipino version of the spiritual index of well-being.Results: The Filipino version of the spiritual index of well-being had an item content validity index (I-CVI) ranging from 0.86 to 0.92 and a scale content validity index (S-CVI) of 0.95. The confirmatory factor analysis (CFA) showed factor loadings of 0.42 to 0.72. Also, the CFA model revealed a 𝜒2/df = 2.51, root mean square error of approximation= 0.074, comparative fit index= 0.091, goodness of fit index=0.98, Tucker-Lewis index= 0.93, incremental fit index= 0.91, and standard root mean square residual== 0.072.Conclusion: The Filipino version of the spiritual index of well-being was cross-culturally valid and reliable in measuring the spiritual index of well-being among Filipino women with breast cancer.

Development and Preliminary Validation of a Pain Scale Specific to Patients With Voice Disorders: The Voice-Related Pain Scale (VRPS)

Although pain is one of the complaints reported by voice patients, still there is no valid and reliable scale to evaluate pain in Patients with Voice Disorders (PWVDs). Therefore, the aim of the present study was to develop and validate the Voice-Related Pain Scale (VRPS). The present study was conducted in two stages: (1) development of the VRPS based on semistructured interviews with PWVDs and experts in the field of voice disorders and an in-depth literature review, and (2) Evaluation of the psychometric properties of the VRPS. Determining the validity and reliability of the VRPS was performed using qualitative and quantitative content validity, the qualitative face validity, and the test-retest reliability. Content validity of the VRPS was assessed by Speech and Language Pathologists who are experts in the assessment and treatment of voice patients and laryngologist. The reliability of the scale was determined using test-retest reliability. Based on the interviews with PWVDs and experts, and a thorough review of the related literature, a self-reported scale with 11 items and three sections was developed. The three items included ear, temporomandibular joint, and shoulder all of which were divided into right and left pairs based on the experts' suggestion. One item was eliminated because it had a content validity ratio less than 0.62. The content validity index (CVIs) for all the remaining items were higher than 0.79 and the scale content validity index was equal to 0.93. The test-retest reliability was satisfactory with weighted kappa ranging from 0.64 to 1 for VRPS items. The final version of the VRPS comprised of 13 items related to the pain location in the human body. Each of these items has three sections: frequency of pain, severity of pain, and time of pain occurrence. The present study indicated that VRPS is a valid and reliable tool to evaluate pain in PWVDs. The VRPS is a useful tool for clinical and research purposes. However, more studies are needed in this regard for further evaluation of the VRPS.

The Design and Validation of Three Interprofessional Simulations: A Feasibility Study.

This article provides pragmatic guidance on how to operationalize the INACSL Standards of Best Practice: SimulationSM. The purpose of this feasibility study was to determine content validity and intervention fidelity of three interprofessional simulations where clinical judgment is required to provide care to simulated patients. The process met all 11 criteria of the INACSL standards. The mean item-content validity indices for the scenarios ranged from .98 to 1. The scale-content validity indices ranged from .86 to 1. These findings advance the science of simulation design as an exemplar of the integration of best practices in simulation.

Psychometric Assessment of the Persian Version of the Revised Convergence Insufficiency Symptom Survey in Young Adults with Convergence Insufficiency

Purpose:To translate the Convergence Insufficiency Symptom Survey (CISS) to Persian and to assess its validity and reliability in a group of young adult Iranian patients with convergence insufficiency (CI).Methods:The questionnaire was translated in backward and forward phases. Face validity was measured using a 6-point scale (very weak, weak, moderate, good, very good, best), and a score of ≥4 for each item indicated an acceptable face validity. The content validity was assessed using three indices of relevancy, clarity, and comprehensiveness. Relevancy and clarity were checked for each item and for the whole scale using a 4-point scale (1-undesirable, 2-relatively desirable, 3-desirable, 4-completely desirable), and Item Content Validity Index (I-CVI) and Scale Content Validity Index (S-CVI) were calculated for the above indices. Comprehensiveness was measured at the scale level using a 4-point scale (1-incomprehensive, 2-relatively comprehensive, 3-comprehensive, 4-totally comprehensive), and S-CVI was calculated. The internal consistency and test-retest reliability were assessed using Cronbach's alpha coefficient and interclass correlation coefficient (ICC), respectively. To evaluate discriminant validity, CI was categorized into mild, moderate, and severe stages, and the mean overall CISS score was compared between these groups.Results:Thirty CI patients aged 18–34 years participated in this study. On face validity assessment, all items finally had a score of ≥4. As for relevancy and clarity, I-CVI was above 80% for all items, and S-CVI was 98.8% and 96.6%, respectively. The S-CVI was 100% for comprehensiveness. The overall Cronbach's coefficient and ICC were 0.77 and 0.95, respectively. There was a significant difference in the overall score between the three severity groups.Conclusion:The Persian CISS is a valid and reliable tool for clinical and research applications.

Development and Validation of the Nurse Prescribing Self-Efficacy Scale.

Low self-efficacy is a barrier to effective nurse prescribing. Therefore, nurses' self-efficacy should be assessed using validated tools. We aimed to develop and psychometrically test the Nurse Prescribing Self-Efficacy Scale (NP-SES). We conducted an observational cross-sectional study with 290 nurses between January and June 2019. We studied the NP-SES' reliability (i.e., internal consistency and temporal stability), validity (i.e., content, criterion, and construct) and legibility. The NP-SES showed good internal consistency (Cronbach's alpha=0.958) and temporal stability (intraclass correlation coefficient=0.783). The NP-SES also showed good content validity (scale's content validity index=0.98) and criterion validity (r=0.75; p<0.001). Construct validity analysis revealed the NP-SES' three-dimensional structure and showed its ability to detect significant differences between nurses with different levels of experience. Our psychometric analysis suggests that the NP-SES is a reliable and valid instrument that could be used to assess nurses' self-efficacy in nurse prescribing.

Cross-Culture Adaptation and Psychometric Properties of the Persian Version of Duke Health Profile

Background: Duke health profile (DHP) is a 17-item questionnaire that measures six health scales (physical, mental, social, general, perceptual, and self-confidence) and four dysfunction scales of anxiety, depression, pain, and disability. Objectives: To systematically translate DHP to Persian language and measure the validity and reliability of the translated version. Methods: We used the forward-backward method for translation of DHP from English to Persian. After linguistic matching and pilot review, a cross-sectional study was carried out on 239 individuals aged over 18 to measure the psychometric characteristics of the Persian version of DHP. The reliability of the questionnaire was assessed using Cronbach’s alpha and test-retest analysis. Content validity, face validity, and construct validity were evaluated by an expert panel, interviewing a sample of the general population, and confirmatory factor analysis, respectively. Results: Item content validity indexes (I-CVI) for relevance and clarity were between 88 and 100. Scale content validity index (S-CVI) for relevance and clarity were 96% and 94%, respectively. The calculated item content validity ratio (I-CVR) was between 0.78 and 1.0. The confirmatory factor analysis showed that the data fit the model, and the indicators of fitness were acceptable. The Cronbach’s alpha was 0.77 for the total tool and varied between 0.47 and 0.69 for different subscales. The reliability of the test-retest was 0.64 - 0.88, which was good after two weeks. Conclusions: The Persian version of DHP is a valid and reliable tool for measuring health profile.

Psychometric properties of the modified breastfeeding self-efficacy scale–short form (BSES-SF) among Chinese mothers of preterm infants

ObjectivePreterm mother-infant dyads face more challenges than healthy term infants in breastfeeding initiation and continuation due to maternal health status, preterm infant's immaturity or comorbidities, and breastfeeding policy of the neonatal units. Breastfeeding self-efficacy affects breastfeeding outcomes in preterm infants. No specific instrument in Chinese is available to assess maternal breastfeeding self-efficacy of preterm infants. This study aims to assess the psychometric characteristics of the modified Breastfeeding Self-Efficacy Scale-Short Form (BSES-SF) among Chinese mothers of preterm infants. DesignA cross-sectional study was conducted. SettingTwo tertiary hospitals in China. ParticipantsA total of 153 women who gave birth before 37 weeks of gestation. MeasurementsThe instrument was translated and back translated. The internal consistency reliability was investigated using Cronbach's alpha coefficient. The content validity, construct validity, and criterion validity were conducted to evaluate the validity of the scale. Exploratory factor analysis was used to investigate the factor structure. FindingsThe scale had good reliability with Cronbach´s alpha above the acceptable level of 0.7. The Item-Content Validity Index (I-CVI) ranged from 0.800 to 1.000, and the Scale-Content Validity Index (S-CVI) is 0.950. The principal component analysis revealed the presence of two factors with eigenvalues greater than 1, explaining a total variance of 74.665%. The modified BSES-SF scores were correlated with women's parity, breastfeeding knowledge, previous breastfeeding experience, perceived support from the spouse and health professionals, and amounts of expressed milk. Key conclusions and implications for practice: The Chinese version of modified BSES-SF is a reliable, valid screening instrument to evaluate the maternal breastfeeding self-efficacy of preterm infants. It is recommended to provide interactive, face-to-face breasting education and support to help mothers of preterm infants maintain high level of breastfeeding self-efficacy and further to achieve satisfactory breastfeeding outcomes.

Positive Emotions Scale: Construct Development and Validation

The purpose of the paper was to develop an indigenous and comprehensive scale to measure positive emotions and to establish its psychometric properties. In the first phase, the item pool of 40 items was generated by an in-depth review of literature, focus groups, and semi-structured interviews. Content Validity Index (CVI) was established on 6 expert’s ratings. The total scale CVI calculated was .84. Pilot study was conducted (n = 50) on the preliminary scale to measure its face validity. In the second phase, internal consistency and dimensionality of scale was empirically measured through Exploratory Factor Analysis (N = 273). Ten factors (i.e. Joy, Hope, Gratitude, Compassion, Gratitude towards God, Satisfaction, Awe, Inspiration, Love, and Humor) emerged. In the third phase, to confirm the factor structure of the Scale the Confirmatory Factor Analysis (N = 174) was run. Psychometric properties were established (α = .96). In the final phase, the convergent and discriminant validity was established by using Positive and Negative Affect Schedule (Watson, Clark, &amp; Tellegen, 1988). Finally, the Positive Emotions Scale, measuring ten main constructs of positive emotions was constructed.

Nursing quality indicators for adult intensive care: A consensus study.

The selection of quality indicators demonstrating the efficiency and relevance of nursing practice in patient outcomes in the intensive care unit remains a challenge. The aim of this study was to develop a set of potential quality indicators to quantify nursing care provided to critically ill patients through a consensus method. This was a three-phase study including a European survey of intensive care unit (ICU) nurses (phase one) followed by a two-phase face-to-face consensus meeting of experts from Cyprus. Two distinct panels of experts were asked to rate each quality indicator using a 4-point Likert scale in phases one and two. The level of consensus was set at 60%. In phase three, scores of the content validity index for items and scales were considered for the final selection of quality indicators. The phase one survey included 139 ICU nurses from 13 European countries, and phases two and three included seven ICU experts from Cyprus. "Consensus in" was achieved for 12 items at the end of phase two. Three of the quality indicators were significantly different by country: (a) falls (P=.006), (b) accidental removal of nasogastric tube (P < .001), and (c) accidental removal of intravascular catheters (P < .001). Only falls was significantly correlated with higher academic qualifications of the participants (P=.002). Fifteen items have been identified as potential indicators for adult ICU nursing quality. These need to be prospectively studied to determine the extent to which they can accurately capture nursing care quality in this setting. The study provides a set of relevant quality indicators. A nursing set for the ICU may serve as the basis for nursing management and facilitate the strategy dedicated to the vision of health care quality assurance.

Second Victim Experience and Support Tool: cultural adaptation and psychometric evaluation in Italy

Abstract Background ”Second victims” are defined as “healthcare workers (HCWs) involved in an unanticipated adverse patient event, who experienced professional and psychological distress”. The Second Victim Experience and Support Tool (SVEST) is a survey developed and validated in the United States, which describes the experience of second victims. This study aims to perform the cross-cultural adaptation of the SVEST and to evaluate its psychometric characteristics in the Italian context. Methods The translation and cross-cultural adaptation process was performed according to the World Health Organization’s guidelines, from March to May 2019. Then HCWs involved in direct patient care (a potential second victim) were asked to complete the Italian version of SVEST in a validation survey, from June to November 2019 at the Academic Hospital of Udine. SVEST consists of 29 items, divided into 7 dimensions, 2 outcome variables and 7 support options. The IT-SVEST was assessed for internal consistency through Cronbach’s α, for content validity with Content Validity Index for Scales (S-CVI) and for Item (I-CVI) and for construct validity with Confirmatory Factor Analysis (CFA). Results Collected surveys were 349. Women were 79.4%. Nurses were 40.1%, 18.9% were doctors and 8.6% were residents. HCWs involved in a patients’ adverse event were 205 (58.7%). Out of these, 66.3% were near misses. The internal consistency of the instrument was adequate in its overall evaluation with Cronbach α = 0.88 (95% C.I.=0.86). S-CVI was 0.94 and I-CVI was 0.70. The CFA results showed a good model fit for the nine-factor structure (chi2=676.18, 327 df, p &amp;lt; 0.001). Root Mean Squared Error of Approximation, Akaike’s information criterion, Comparative Fix Index Tucker-Lewis Index values also suggested a good fit to the data. Conclusions The Italian version of the SVEST (IT-SVEST) can be used to evaluate second victim experiences, demonstrating adequate validity, reliability and good psychometric properties. Key messages Healthcare institutions need an instrument that can direct efforts to prevent and reduce the second victim experience. IT-SVEST is a reliable and valid instrument to obtain accurate information on second victim experience.

Preliminary Validation of a Patient Satisfaction Instrument in the Emergency Department

Statement of the purpose: The aim of this study was to develop a valid and reliable satisfaction tool that can be utilised in the emergency departments (EDs) of hospitals throughout Sharjah, United Arab Emirates (UAE). &#x0D; &#x0D; Methods: The study followed a cross-sectional study design. The study was conducted during the period from October 2018 to January 2019. The participants were conveniently sampled. The total number of eligible questionnaires for analysis accounted for 207. The data collection tool was developed following a review of literature which yielded 25 statements. Satisfaction levels were measured using a 3-point Likert scale (satisfied=3, do not know=2, dissatisfied=1). The tool was validated through face validity performed by the research team. Content validity performed by a panel of nine randomly selected specialists. Principal components analysis was done to extract the relevant components to the statements on the tool. &#x0D; &#x0D; Results: Scale content validity index= 0.836. Principal components analysis with oblique rotation extracted three components namely; medical staff performance, duration of the encounter, and general impression about the emergency department. Internal consistency for the tool using the split-half Cronbach&amp;rsquo;s alpha, part 1=0.80, and part 2=0.82. &#x0D; &#x0D; Conclusion: The findings of the present study support the reliability and validity of the Emergency Services Patient Satisfaction Questionnaire for intended use, following an independent sample of patients at EDs in Sharjah, UAE. The scale is recommended for assessing patient satisfaction with service provision to help hospitals in Sharjah determine to what extent they are meeting the needs of their patients.

Interpersonal skills scale: Development and validation in urbanized sample of adolescents

AbstractInterpersonal skills play a vital role in the growth and development of adolescents. The current study explored the experience and manifestation of interpersonal skills in Pakistani adolescents. In phase I, using open‐ended phenomenological approach, key components of interpersonal skills were elicited from 32 adolescents (boys = 16; girls = 16) aged 11–19 years (M = 14.48; SD = 1.06). In phase II, Content Validity Index for items (I‐CVIs) and scale (S‐CVI) was established. In phase III, pilot testing was carried out on 21 adolescents (boys = 11; girls = 10). In Phase IV, a sample of 674 adolescents (boys = 47%; girls = 53%) aged 11–19 years (M = 14.88; SD = 1.33) were tested for psychometric properties of Interpersonal Skills Scale along with Social Intelligence Scale for Adolescents and Self‐Esteem Scale for Children. Exploratory Factor Analysis (n = 221) generated three factors of the Interpersonal Skills Scale social engagement, sociability, and social etiquettes. Confirmatory Factor Analysis (n = 453) also supported the three‐factor structure of the Interpersonal Skills Scale. Furthermore, the scale found to have high internal consistency, construct validity, discriminant validity, split‐half reliability, and test–retest reliability. The results are discussed in the light of factorial structure in the Pakistani cultural context.

Development and Psychometric Testing of the Mealtime Engagement Scale in Direct Care Providers of Nursing Home Residents With Dementia.

Mealtime engagement is defined as verbal and nonverbal assistance provided by caregivers to guide and motivate care recipients in eating. Quality mealtime engagement is critical to improve mealtime difficulties and intake among older adults with dementia requiring eating assistance. Few tools are feasible and valid to measure mealtime engagement. This study developed and tested the Mealtime Engagement Scale (MES). Items were developed based on literature review and expert review and finalized based on content validity and corrected item-total correlation. A secondary analysis of 87 videotaped observations capturing 18 nursing home staff providing mealtime care to residents with dementia was conducted. Internal consistency, interrater reliability, and intrarater reliability were assessed. Concurrent and convergent validity were examined through correlation (rs) with the Relational Behavior Scale (RBS) and the Mealtime Relational Care Checklist (M-RCC), respectively. The 18-item MES was developed with adequate content validity (Scale-content validity index [CVI] = 1.00; Scale-CVI/Average = 0.962-0.987). Each item is scored from 0 (never) to 3 (always). The total scale score ranges from 0 to 54. Higher scores indicate greater mealtime engagement. The MES had very good internal consistency (Cronbach's α = 0.837), outstanding interrater reliability (interclass correlation = 0.920), outstanding intrarater reliability (interclass correlation = 0.956), adequate concurrent validity based on strong correlation with the RBS (rs = 0.821, p < .001), and fair convergent validity based on weak correlation with the M-RCC (rs = 0.219, p = .042). Findings provide preliminary psychometric evidence of MES to measure mealtime engagement. Future testing is needed among more and diverse samples in different care settings to accumulate psychometric evidence.

Translation and further validation of a global rating scale for the assessment of clinical competence in prehospital emergency care

Global rating scales are useful to assess clinical competence at a general level based on specific word dimensions. The aim of this study was to translate and culturally adapt the Paramedic Global Rating Scale, and to contribute validity evidence and instrument usefulness in training results and clinical competence assessments of students undergoing training to become ambulance nurses and paramedics at Swedish and Finnish universities. The study included translation, expert review and inter-rater reliability (IRR) tests. The scale was translated and culturally adapted to clinical and educational settings in both countries. A content validity index (CVI) was calculated using eight experts. IRR tests were performed with five registered nurses working as university lecturers, and with six clinicians working as ambulance nurses. They individually rated the same simulated ambulance assignment. Based on the ratings IRR was calculated with intra-class correlation (ICC). The scale showed excellent CVI for items and scale. The ICC indicated substantial agreement in the group of lecturers and a high degree of agreement in the group of clinicians. This study provides validity evidence for a Swedish version of the scale, supporting its use in measuring clinical competence among students undergoing training to become ambulance nurses and paramedics.

Assessing Medical Students' Nontechnical Skills Using Immersive Simulation: What Are the Essential Components?

Nontechnical skills (NTS) have been acknowledged to be important for medical students and can be linked to improved clinical performance. However, existing tools to evaluate these within a simulated setting address only a limited number of NTS. The Medical Students' Nontechnical Skills (Medi-StuNTS) behavioral marker system (BMS) outlines 5 categories of NTS for medical students. This study aimed to seek evidence for completeness and content validity to refine the BMS and to ascertain which NTS are essential for medical students. We asked 128 workshop participants if they felt there were any missing or irrelevant items in Medi-StuNTS system. A subject matter expert panel (n = 10) rated how essential they considered each item in the BMS. An Item-Content Validity Index was calculated for each skill element and the Scale-Content Validity Index was calculated as a measure of content validity of the full system. Of the workshop participants, 78.9% felt that there were no missing items and 93% felt that there were no irrelevant items. Potentially missing items highlighted were as follows: "working in a hierarchy," "leadership," "awareness of the emotional state of other team members," and "nonverbal communication." Fourteen of 16 skill elements achieved the recommended level for content validity (Item-Content Validity Index ≥ 0.78), and the Scale-Content Validity Index was higher than the acceptable level (≥0.8). Evidence for completeness and content validity of Medi-StuNTS has been demonstrated. There is a far wider range of NTS that seem to be essential for medical students than those assessed by tools developed before Medi-StuNTS. Medi-StuNTS provides comprehensive cover of the essential NTS required by medical students, with specific reference to the skill categories "self-awareness" and "escalating care," which do not feature in other tools for assessing NTS in this group.

Establishing Face and Content Validity of a Survey to Assess Users’ Perceptions of Automated Vehicles

Fully automated vehicles hold promise for providing numerous societal benefits, including drastically reducing road fatalities. However, we know little about the adoption practices of individuals related to automated vehicles. To assess transportation users’ perceptions of automated vehicles, a 40-item survey was designed using guidance from several technology acceptance models. A focus group was used to assess face validity to ensure the items appeared credible and understandable to the layperson. Seven subject-matter experts rated items for their relevance to provide a content validity index for each item and for the overall survey. The final scale had a scale content validity index rating of 1.00, with 32 of 32 items rated greater than or equal to 0.86 and a scale content validity index of 0.96 (mean content validity index of all items), indicating acceptable content validity. The approach adopted in this study ensured the face and content validity of the survey and enhanced the items’ relevance, concision, and clarity. Future validation is required to assess scale reliability and validity. The paper provides an overview of models used for determining acceptance and adoption of technology and describes in detail the methodology used to establish face and content validity of the questionnaire survey developed for assessing adults’ perceptions of automated vehicles.

Translation, cultural adaptation and validation of the Chinese Multimorbidity Treatment Burden Questionnaire(C-MTBQ): a study of older hospital patients

BackgroundDue to an ageing population, multimorbidity is becoming more common. Treatment burden (the effort required of patients to look after their health and the impact this has on their wellbeing) is prevalent in patients with multimorbidity. The Multimorbidity Treatment Burden Questionnaire (MTBQ) is a patient-reported outcome measure of treatment burden that has been validated amongst patients with multimorbidity in the UK. The aim of this study was to translate and culturally adapt the MTBQ into Chinese and to assess its reliability and validity in elderly patients with multimorbidity in hospital.MethodsThe original English version of the MTBQ was translated into Chinese using Brislin’s model of cross-culture translation. The C-MTBQ was piloted on a sample of 30 elderly patients with multimorbidity prior to being completed by 156 Chinese elderly patients with multimorbidity recruited from a hospital in Zhengzhou, China. We examined the proportion of missing data, the distribution of responses and floor and ceiling effects for each question. Factor analysis, Cronbach’s alpha, intraclass coefficient and Spearman’s rank correlations assessed dimensional structure, internal consistency reliability, test-retest reliability and criterion validity, respectively.ResultsThe average age of the respondents was 73.5 years (range 60–99 years). The median C-MTBQ global score was 20.8 (interquartile range 12.5–29.2). Significant floor effects were seen for all items. Factor analysis supported a three-factor structure. The C-MTBQ had high internal consistency (Cronbach’s alpha coefficient, 0.76) and test-retest reliability (the intraclass correlation coefficient, 0.944), the correlations between every item and global scores scored > 0.4. The scale content validity index(S-CVI) was 0.89, and the item level content validity index(I-CVI)was 0.83 ~ 1.00. The criterion validity was 0.875.ConclusionThe Chinese version of MTBQ showed satisfactory reliability and validity in elderly patients with multimorbidity, and could be used as a tool to measure treatment burden of elderly patients with multimorbidity in hospital.