Content Validity Research Articles

Patient-Reported Outcome Measures for Pelvic Organ Prolapse: A Systematic Review Using the COnsensus-Based Standards for the Selection of Health Measurement Instruments (COSMIN) Checklist.

Patient-reported outcome measures (PROMs) are recommended to measure the impact of a health condition or intervention effectiveness as they aim to capture what is most meaningful to patients. Several PROMs are used to evaluate pelvic organ prolapse (POP)-related domains, yet the measurement properties of these instruments have not been fully explored with a rigorous analysis of the methodological quality and quality of evidence. To conduct a systematic review reporting on the measurement properties of PROMs used for the assessment of POP-related domains in accordance with the COSMIN guidelines. Five databases were searched from inception to December 2023. Studies were eligible if they involved (1) at least one group of female adults diagnosed with or presenting with symptoms of POP; (2) a self-reported outcome measure (PROMs, questionnaires) to evaluate POP-related domains; and (3) at least one measurement property. Methodological quality and measurement quality were assessed using the COSMIN risk of bias (ROB) checklist and the COSMIN criteria for good measurement properties. A total of 13 PROMs were included. The BIPOP had the lowest ROB for Content Validity. The POP-SS was the only PROM with sufficient evidence of adequate construct validity and responsiveness to be used in both surgical and conservative management settings. This original work identified a gap in evidence regarding the measurement qualities of identified PROMs used in the POP population.

Pengembangan Big Book Moderasi Beragama Berbasis Konsep Pratyaksa Pramana di Taman Kanak Kanak

This research highlights the importance of introducing the concept of religious moderation from an early age. Even though its implementation already exists in children's play activities, children are not yet fully aware of the concepts of tolerance, sharing and helping each other. Therefore, the Big Book of Religious Moderation based on the Pratyaksa Pramana concept was developed as a learning medium that introduces the concept of moderation through children's direct experience. This Book contains material on the concept of religious moderation based on the concept of Pratyaksa Pramana, which is knowledge experienced by children through direct experience. This research aims to introduce the concept of moderation to children, describe the development of the Book, and analyze the feasibility of its use through expert validation. The ADDIE development method was used in this research, involving teachers and children at the Taman Kurnia Denpasar Kindergarten as data sources. Data collection techniques using observation and checklist instruments. Data analysis was carried out using Lawshe's descriptive qualitative content validation formula, namely Content Validity Ratio (CVR). The research results show that this book is suitable for use, with a high CVI value of 0.5 and the final CVI calculation (average CVR) is 0.916667 indicating good content validity. The conclusion of the research in accordance with expert validation is that the use of the Big Book Religious Moderation media is very relevant and suitable for use with PAUD children because the material available in it is appropriate to the child's age development.

Item Bank Development and Content Validation of a Youth Sport Specialization Assessment

OBJECTIVE: To refine and evaluate the content validity of a bank of items representing the physical, social, and motivation behaviors associated with youth sport specialization. DESIGN: Qualitative analysis METHODS: The conceptual framework for item generation involved an existing consensus-based definition of youth sport specialization. Purposive sampling recruited English literate youth athletes who participated in at least one organized sport in the past 12 months to participate in individual cognitive interviews. Three rounds of interviews used a ‘read aloud; think aloud’ strategy to evaluate the comprehension, relevance, and comprehensiveness of the items and their response structure. One reviewer conducted thematic analysis of verbatim transcripts following rounds 1-2; after round 3, two independent reviewers evaluated the content validity of all items. The full research team reviewed results and established consensus regarding item acceptance, revision or removal. RESULTS: Twenty-two participants (64% male, 13.8±3.0 years) were interviewed. Participants were classified as low (59%), moderate (23%), and high (18%) specialization. Thirty-one items organized into participation volume, physical, motivation, and social domains were tested. Comprehension of 24 items in the physical (n=6), motivation (n=12), and social (n=6) domains was acceptable. No participation volume items achieved content validity. Acceptable items were considered relevant to youth sport specialization, and the item bank was deemed comprehensive. Participants affirmed the response structure was easy to understand and use. CONCLUSION: Content validity was established for a bank of patient-reported items assessing youth sport specialization. An appropriate next step is to conduct psychometric evaluation and develop a youth sport specialization assessment.

Testing the validity and reliability of the Korean nursing surveillance scale: a methodological study

BackgroundBecause of the importance of nursing surveillance, there is a need to develop a scale to measure nursing surveillance that reflects the roles of nurses in South Korea. This study aimed to develop a scale to measure surveillance by Korean nurses and to test its reliability and validity.MethodsIn the development phase, a literature review was conducted to verify the attributes of nursing surveillance, and preliminary items were developed based on the surveillance activities in the Nursing Intervention Classification (NIC) and the interviews of Korean nurses and modified through content validation and a pilot study. In the psychometric testing phase, two surveys were conducted with Korean nurses working in acute hospitals, using the preliminary scale in exploratory factor analysis (EFA, n = 220) and confirmatory factor analysis (CFA, n = 219). Data were analyzed through EFA, CFA, correlation, and reliability analyses to verify convergent validity, discriminant validity, criterion validity, and reliability. To verify the validity of the preliminary scale, the exploratory factor analysis and confirmatory factor analysis convergent validity, discriminant validity, criterion validity, and reliability were performed.ResultsIn the EFA, 16 items were grouped into four factors, accounting for 70.1% of the cumulative variance. In the CFA, the model exceeded the criteria for all fit indices (χ2 = 155.62 [df = 94, p < .001], CMIN = 1.65, SRMR = .048, RMSEA = .055, GFI = .921, NFI = .916, TLI = .955, CFI = .964) and was acceptable. The convergent validity, discriminant validity, criterion validity, and reliability were verified. The final Korean nursing surveillance scale consists of four factors: ‘anticipation of problems and decision-making’ with six items; ‘systematic assessment’ with five items; ‘recognition of patterns’ with three items; and ‘identification of the patient’s self-care and coping strategies’ with two items.ConclusionThe Korean nursing surveillance scale developed in this study comprised questions that included NIC’s surveillance activities and empirical data from Korean nurses; based on the attributes of nursing monitoring derived from concept analysis, its validity and reliability were verified. This study can provide precedent to motivate the development of nursing surveillance scales in other countries, and ultimately stimulate studies on nursing surveillance, which is essential for patient safety.

OTHR-14 THE AFRICAN NEURO-ONCOLOGY ACCESS DISPARITY (ANAD) INDEX: A PUBLIC DATA-DRIVEN APPROACH TO MAPPING NATIONAL VARIATIONS IN NEURO-ONCOLOGY CARE BARRIERS

Abstract INTRODUCTION The burden of central nervous system tumors is unevenly distributed globally. In Africa, this burden is further compounded by a lack of cancer-focused health system strengthening. The authors sought to quantify these system-level challenges with a novel index. METHODS This prototype index was developed from publicly available data provided by the World Health Organization’s Global Health Observatory, the World Bank Group’s Country Database, and the Institute For Health Metrics and Evaluation’s Global Burden of Disease database. Metrics were selected based on their ability to represent health system components including workforce, service delivery, infrastructure, information management, health financing, and governance. The metrics were normalized either using standardization or min-max scaling. Next, they were weighted iteratively based on importance, relative impact, and expert judgment. Also, the weighted metrics were grouped into facilitators or obstructors. The difference between obstructors and facilitators for each country was percentile ranked to obtain the index score between 0 and 100. Finally, sensitivity analysis was conducted to test best- and worst-case scenarios based on uncertainty values. The t-test and ANOVA were used to evaluate association between country subregion/income and the index. RESULTS Data was found for 51 African countries. Ethiopia (98), Madagascar (96), and Mali (94) had the highest ANAD Index score whereas Gabon (0), Seychelles (2), and Mauritius (4) had the lowest scores. North African countries had lower ANAD Index scores than sub-Saharan African countries (mean (SD) 19 (4) vs. 54 (4), p=0.005). Also, low-income countries had higher ANAD Index scores than lower-middle- and upper-middle-income countries (72 (19) vs. 37 (27) vs. 9 (12), p&amp;lt;0.001). CONCLUSION This prototype will be further tested for face, construct, content, and criterion validity. The authors anticipate that expanding this metric globally will improve its validity while facilitating advocacy and allowing for impact assessment at the system level.

Turkish Validity and Reliability of the Quality Nursing Care Scale (QNCS-T)

Objective Nursing care is a unique and indispensable concept for nursing that includes helping to meet the needs of an individual or a group of individuals offered by nurses. This study is aimed to test the validity and reliability of the Turkish version of the Quality Nursing Care Scale (QNCS-T). Materials and Methods The methodological approach employed in this study spanned from April 25, 2021, to May 5, 2021, and enlisted the participation of 347 nurses. Data collection was executed utilizing a “Personal Information Form” and the “Quality Nursing Care Scale (QNCS).” The research comprised two phases: Phase 1 involved the adaptation of the scale, while Phase 2 focused on determining construct validity through confirmatory factor analysis. Reliability was assessed through measures of internal consistency and item-total correlation coefficients. Results and Discussion The adaptation phase yielded affirmative outcomes, affirming the linguistic and content validation of the Turkish version of the scale. Confirmatory factor analysis demonstrated a highly favorable fit for a sixfactor model. The Cronbach’s alpha coefficient for the entire scale was determined to be 0.93, attesting to its strong internal consistency. Conclusion The Turkish version of the Quality Nursing Scale showed consistently good psychometric properties of reliability and validity. Bangladesh Journal of Medical Science Vol. 23 No. 04 October’24 Page : 1075-1082

Bridging the Gap in Policy Implementation through a Health Equity Lens: Insights from a 2-Year Study on Measurement Development

Background: Policy implementation measurement lacks an equity focus, which limits understanding of how policies addressing health inequities, such as Universal School Meals (USM) can elicit intended outcomes. We report findings from an equity-focused measurement development study, which had two aims: (1) identify key constructs related to the equitable implementation of school health policies and (2) establish face and content validity of measures assessing key implementation determinants, processes, and outcomes. Methods: To address Aim 1, study participants (i.e., school health policy experts) completed a survey to rate the importance of constructs identified from implementation science and health equity by the research team. To accomplish Aim 2, the research team developed survey instruments to assess the key constructs identified from Aim 1 and conducted cognitive testing of these survey instruments among multiple user groups. The research team iteratively analyzed the data; feedback was categorized into “easy” or “moderate/difficult” to facilitate decision-making. Results: The Aim 1 survey had 122 responses from school health policy experts, including school staff (n = 76), researchers (n = 22), trainees (n = 3), leaders of non-profit organizations (n = 6), and others (n = 15). For Aim 2, cognitive testing feedback from 23 participants was predominantly classified as “easy” revisions (69%) versus “moderate/difficult” revisions (31%). Primary feedback themes comprised (1) comprehension and wording, (2) perceived lack of control over implementation, and (3) unclear descriptions of equity in questions. Conclusions: Through adaptation and careful dissemination, these tools can be shared with implementation researchers and practitioners so they may equitably assess policy implementation in their respective settings.

A new performance evaluation indicator for the LEE Jong-wook Fellowship Program of Korea Foundation for International Healthcare to better assess its long-term educational impacts: a Delphi study.

The Dr. LEE Jong-wook Fellowship Program, established by the Korea Foundation for International Healthcare (KOFIH), aims to strengthen healthcare capacity in partner countries. The aim of the study was to develop new performance evaluation indicators for the program to better assess long-term educational impact across various courses and professional roles. A 3-stage process was employed. First, a literature review of established evaluation models (Kirkpatrick's 4 levels, CIPP model, OECD DAC criteria) was conducted to devise evaluation criteria. Second, these criteria were validated via a 2-round Delphi survey with 18 experts in training projects from May 2021 to June 2021. Third, the relative importance of the evaluation criteria was determined using the analytic hierarchy process (AHP), calculating weights and ensuring consistency through the consistency index (CI) and consistency ratio (CR), with CR values below 0.1 indicating acceptable consistency. The literature review led to a combined evaluation model, resulting in 4 evaluation areas, 20 items, and 92 indicators. The Delphi surveys confirmed the validity of these indicators, with content validity ratio values exceeding 0.444. The AHP analysis assigned weights to each indicator, and CR values below 0.1 indicated consistency. The final set of evaluation indicators was confirmed through a workshop with KFIH and adopted as the new evaluation tool. The developed evaluation framework provides a comprehensive tool for assessing the long-term outcomes of the Dr. LEE Jong-wook Fellowship Program. It enhances evaluation capabilities and supports improvements in the training program's effectiveness and international healthcare collaboration.

The Clinician-reported Genetic testing Utility InDEx (C-GUIDE) for Prenatal Care: Initial evidence of content and construct validity

ObjectiveTo develop and assess the face and construct validity of the Clinician-reported Genetic testing Utility InDEX (C-GUIDETM) for genetic testing in prenatal care. MethodsFollowing a literature review and consultation with clinical experts, a preliminary draft of C-GUIDE Prenatal was developed. Its face and content validity were then assessed by 19 prenatal genetics’ providers using interviews and surveys. Feedback informed further revisions. To test construct validity, four geneticist raters completed C-GUIDE on a retrospective sample of cases that received prenatal genetic testing and completed a concurrent global assessment of utility of these cases using an anchor item. A generalized estimating equations model was used to adjust for rater correlation and measure the association between C-GUIDE scores, global item scores, and potential clinical variables. ResultsTo develop C-GUIDE Prenatal, 7 items were removed, 10 items were modified, and 4 items were added. For 101 cases rated for validation, on average, a 1-point increase in the global item score was associated with an increase of 1.1 in the C-GUIDE score (p=0.04). Compared to uninformative results, informative positive and informative negative results were associated with a mean increase of 10.7 (SE=1.05) (p<0.001) and 5.6 (SE=1.85) (p<0.001), respectively. As indications for testing, known/familial variants were associated with a mean increase in the C-GUIDE score of 4.7 (SE=2.21) (p < 0.001) compared to ultrasound findings. C-GUIDE scores increased by a mean of 3.0 (SE=0.23) among cases for whom pregnancies were ongoing compared to those for whom they were not (p<0.01). ConclusionsThe significant positive associations between C-GUIDE total and the global item score and between C-GUIDE total, result type, indication for testing, and pregnancy status in the expected directions provide evidence of construct validity.

Validity and Reliability of the new NIMHANS Intellectual Disability Screening Instrument (NID-Screener) for children and adolescents in India

IntroductionThere is a gap in tools specifically designed for assessing Intellectual Disability (ID) in Indian settings. To address this, the NIMHANS Intellectual Disability Screening Instrument (NID-Screener) was developed by the Department of Child and Adolescent Psychiatry, National Institute of Mental Health and Neuro Sciences. MethodsTen non experts/language and ten experts rated face and content validity of NID-Screener respectively. Content validity was measured by Content Validity Ratio, Content Validity Indices (I-CVI, S-CVI) and Modified Kappa statistics. Construct validity was calculated by performing Exploratory Factor Analysis(EFA) on responses from 275 parent(s)/guardian(s) of children and adolescents (6-17 years). Criterion Validity was tested against Brief Intellectual Disability Scale (BIDS) and Clinical Diagnosis by Child and Adolescent Psychiatrist. Kappa Statistics was used to calculate inter – method and inter-Rater Reliability. Cronbach’s alpha was used to assess Internal Consistency. This study was approved by NIMHANS ethics committee. ResultsFindingsrevealed that NID-Screener has good face and content validity (S-CVI/Average = 0.917). Criterion Validity was excellent (Kappa Value=0.862, p-value<0.001) when compared with BIDS. Sensitivity and specificity were found to be 84.7%, 89% respectively against Clinical Diagnosis. On EFA, only one underlying factor with Eigen value > 1 was identified (55.8% of total variance). Kappa value was found to be 0.971 and 0.942 for inter- rater and inter –method reliability respectively(p-value<0.001). NID-Screener has good internal consistency [Cronbach’s alpha = 0.841]. ConclusionsNID-Screener is a reliable and valid tool for screening ID among children and adolescents in India, facilitating its early detection through diagnostic assessments and subsequent interventions.

A Psychometric Development and Evaluation of the Flow State Scale for Caregiving Tasks Among Clinical Nurses.

The extensive research already conducted in numerous non-healthcare disciplines has consistently demonstrated the effectiveness of flow in alleviating work-related stress and boosting employee engagement in the workplace. Despite the potential benefits to nursing of improving flow, no valid instrument is currently available to measure the work-related flow experience of clinical nurses. This study was designed to develop the Flow State Scale for Caregiving Tasks (FSS-CT) and to evaluate its psychometric properties in the context of clinical nurses. This study, guided by the flow theory of Mihaly Csikszentmihalyi (1975), employed a three-phase approach to developing and evaluating the psychometric properties of the FSS-CT. Five hundred thirty-six full-time clinical nurses working in hospitals of various levels in Taiwan were recruited via cluster random sampling to participate in an anonymous online survey. The content validity of the developed scale was established through expert panel verification, criterion-related validity was assessed by correlating the scale with the Work-related Flow Inventory, and construct validity was evaluated via explanatory and confirmatory factor analyses. Scale reliability was determined using Cronbach's α coefficient. The FSS-CT, a 12-item Likert scale comprising four domains, was developed. These domains capture the elements of nurses' work-related flow, including professional confidence, merging of action and awareness, balance between skill and challenge, and autotelic experience. The FSS-CT demonstrated high content validity (content validity index > .90) and satisfactory criterion-related validity (coefficient = .55, p < .001). Furthermore, the scale was found to have excellent internal consistency (Cronbach's α = .91). Factor analyses yielded a four-factor structure accounting for 69.34% of the total variance, indicating a good fit for the final model based on recommended goodness-of-fit indices. The FSS-CT is a viable and dependable instrument for assessing the work-related flow experiences of nurses, with the measured outcomes offering to nursing administrators valuable insights into or directions for personnel development and work allocation initiatives.

Development and validation of assessment instruments for cervical collar and spinal board placement in simulated environments for nursing students in the care of polytrauma patients

BackgroundMultiple trauma injuries are the leading cause of death and disability in people under the age of 45 and require prompt and specialised care. However, medical and nursing education programmes do not always include specific training in emergency pre-hospital care, resulting in a lack of basic practical skills in trauma management.ObjectiveTo develop and validate two instruments for assessing nursing students’ competence in cervical collar and spinal board application in simulated pre-hospital emergency scenarios.MethodThis is an instrumental study that involves the development of two assessment instruments and the evaluation of their psychometric properties in a sample of 392 nursing students. Content validity was assessed using expert judgement, by calculating the content validity ratio (CVR) for each item and the scale level content validity index average (S-CVI/Ave) for the instruments. Exploratory factor analysis using the MINRES extraction method and Promax rotation was performed to analyse the performance of the items and structure of the rubrics. Internal consistency was analysed using the Omega coefficient and inter-rater agreement was assessed using Cohen’s Kappa coefficient.ResultsInitially, two rubrics were obtained: one with six items for cervical collar placement (S-CVI/Ave = 0.86) and one with nine items for spinal board placement (S-CVI/Ave = 0.81). Both had a single-factor structure, with all items having factor loadings greater than 0.34 for the cervical collar rubric and 0.56 for the spinal board rubric, except for item 2 of the cervical collar rubric (λ = 0.24), which was subsequently removed. The final cervical collar rubric (five items) had an overall internal consistency of 0.84 and the spinal board rubric had an overall internal consistency of 0.90, calculated using the Omega statistic. The weighted Kappa coefficient for each item ranged from acceptable (0.32) to substantial (0.79). These results show that we have successfully developed two sufficiently valid instruments to assess the immobilisation competencies proposed in the objective of the study.ConclusionWhilst further research is needed to fully establish their psychometric properties, these instruments offer a valuable starting point for evaluating nursing students' competence in cervical collar and spinal board application in simulated pre-hospital scenarios.

CROSS-CULTURAL ADAPTATION AND VALIDATION TO SPANISH OF THE PANELVIEW INSTRUMENT TO EVALUATE THE HEALTH GUIDELINES DEVELOPMENT PROCESS

The PANELVIEW questionnaire identifies the strengths and weaknesses of the process and methods used for developing health guidelines from the guideline development group's perspective. To expand its use, PANELVIEW ideally should be available in different languages. We aimed to cross-culturally adapt PANELVIEW into Spanish and assess its acceptability, validity, and reliability. To translate and culturally adapt PANELVIEW to Spanish, we followed ISPOR's Translation and Cultural Adaptation Good Practice Principles guidelines. The process consisted of 1) forward and back translation, 2) input from an expert panel, and 3) cognitive debriefing interviews. We assessed the content validity with experts in guideline development who rated instrument items for relevance to determine the item and scale content validity index (I-CVI; S-CVI). We tested the reliability with health guidelines panels from Spanish-speaking countries and measured internal consistency (Cronbach's alpha). We examined acceptability through the number of missing responses for each item. The content comparison between the back-translation and the original version showed that most items (24/34) were conceptually equivalent but with grammatical differences. Through the cognitive interviews, we identified six items with wording issues, ten with clarity issues, and two with applicability issues. I-CVI ranged from 0.77 to 1.00, with two items needing revision. S-CVI was 0.92, showing excellent content validity. The PANELVIEW Spanish version demonstrated very good reliability (Cronbach's alpha coefficient of 0.96). Panel members responded to all items, showing good acceptability. The PANELVIEW Spanish version was conceptually equivalent to the original version and provided satisfactory evidence of acceptability, validity and reliability.

Swedish Translation and Cultural Adaptation of the Head and Neck Patient Symptom Checklist: An Instrument to Screen for Nutrition Impact Symptoms in Clinical Practice and Research.

The Head and Neck Patient Symptom Checklist (HNSC) is a validated 2-part instrument used to ask patients with head and neck cancer about the nutrition impact symptoms they experience (part 1) and how these interfere with their eating (part 2). The purpose of this work was to translate and culturally adapt the HNSC into Swedish in accordance with the guidelines of the International Society for Health Economics and Outcomes Research (ISPOR). The ISPOR guidelines include 10 steps, and these were thoroughly followed. In step 7, 9 health care professionals from the field of head and neck cancer assessed the perceived relevance (content validity) of each item in the HNSC, as well as the full HNSC. A total of 522 participants with head and neck cancer were included and followed up on 7 occasions using the HNSC to assess internal consistency. The HNSC was translated from English into Swedish, ensuring accuracy through forward and backward translation and harmonization in the research team. Content validity for each part of the HNSC was rated excellent (scale content validity index 0.96). Internal consistency demonstrated a good Cronbach's alpha score (>0.8) across the 7 follow-up time points (from baseline [before the start of treatment] and up to 24 months posttreatment). The HNSC has been successfully translated and culturally adapted into Swedish. The HNSC can be used in both clinical practice and research to screen for nutrition impact symptoms and symptoms that interfere with eating in patients with head and neck cancer. ClinicalTrials.gov NCT03343236 (date of registration: November 17, 2017).

Development and validation of the Unmet Needs Questionnaire for young stroke survivors

Objective Owing to the lack of a suitable tool for detecting the unmet needs of young stroke survivors, this study aims to develop a validated questionnaire for evaluating these unmet needs. Design A cross-sectional, observational research design. Setting Chang Gung Memorial Hospital Linkou and Taoyuan branches in Taiwan. Participants A total of 211 participants (average age 53 years; within 6 months post-stroke) completed the questionnaire. Main measures A qualitative approach was used to create an item pool. Experts verified item suitability, and content validity was evaluated using the item content validity index. Item analysis was applied to determine item quality, and factor analysis was used to explore construct validity. In addition, parallel analysis was employed to ascertain the optimal number of factors. Results The scale development procedure resulted in a 27-item questionnaire that assesses the unmet needs of young stroke survivors after a stroke. The item content validity index was 1.0. The Unmet Needs Questionnaire has five factors: restoring prestroke abilities and life, rehabilitation-related resources, social support and self-adjustment, economic and post-stroke life adjustment, and stroke-related information. These five factors accounted for 54% of the variance. Cronbach's alpha for the total scale was 0.91, while the alpha for the subscales ranged from 0.74 to 0.88. Conclusions The Unmet Needs Questionnaire showed acceptable reliability and validity. It can help clinical professionals and government agencies identify stroke survivors’ unmet needs and develop tailored care plans. Future research should explore the trajectory of post-stroke unmet needs using this tool.

Predictor Scales of Cognitive Factors Affecting Physical Activity in Individuals Surviving Cancer: Psychometric Properties of Turkish Versions

Background: Increasing physical activity in individuals surviving cancer is crucial in reducing treatment-related side effects and recurrence. Valid and reliable measurement tools are needed that will enable the factors affecting exercise to be addressed holistically and theoretically. This study aimed to adapt the Exercise Goal-Setting Scale, Exercise Planning and Scheduling Scale, Multidimensional Outcome Expectations for Exercise Scale, and Physical Activity Neighborhood Environment Scale into Turkish language and to explore psychometric properties of the Turkish versions of these scales in individuals surviving cancer. Methods: This methodologically designed research collected data from 153 participants at a hospital in Istanbul, Türkiye. The scales used in the study were adapted to the Turkish language through forward and backward translation and expert opinion. Content validity was assessed with a 2-week test-retest reliability, Cronbach’s α reliability coefficient for stability, item-total correlation, and confirmatory factor analysis. Results: The scales showed good content validity (CVI = 0.95-0.99). Internal consistencies were acceptable to excellent (Cronbach’s α = .79-.94), and moderate to good reproducibility estimates were observed (r = .67-.84). The MOEES factor structure also showed excellent fit. Conclusions: This study demonstrates that the adapted scales evaluated are valid and reliable for examining physical activity based on social cognitive processes in individuals surviving cancer in Türkiye. The scales examined in the study can be used to determine the cognitive factors affecting activity and to plan effective programs when providing physical activity counseling to individuals surviving cancer in Türkiye.

Validity and reliability of chemical-based disinfectant use questionnaire in a sample of the Lebanese public community

IntroductionWorldwide, people heavily use chemical-based disinfectants to prevent the spread of COVID-19 with limited or no safety instructions. Awareness about the safe use of chemical-based disinfectants is highly recommended to...

Agricultural sustainability assessment in Fars province of Iran through the lens of the elimination multi-criteria decision-making method

The main objective of the present research was to assess agricultural sustainability through the lens of the Elimination Method. Iranian wheat farmers in Fars province comprised the population of the study. Smapling table of Krejcie and Morgan was applied to estimate the statistically plausible sample size. A stratified sampling approach was used for selecting sampling randomly. The research instrument included a structured questionnaire. A panel of experts approved the face and content validities. Average Variance Extracted (AVE), Composite Reliability (CR), and items correlations were used to confirm the convergent validity of the constructs. The average shared squared variance (ASV) and the maximum shared squared variance (MSV) criteria were applied to examine the divergent validity of constructs. Employing the Elimination Method to assess agricultural sustainability in four counties of Fars revealed that Marvdasht is the most sustainable area for the development of wheat cultivation. Because it was able to fulfill 16 indicators out of 23 indicators of agricultural sustainability. The high level of productivity and efficiency of the wheat crop in this region is one of the main reasons for the relatively high sustainability of wheat production practices. Furthermore, the results demonstrated that Darab was the second most suitable region for developing wheat production. Based on the Elimination Method, the region was able to fulfill six indicators out of 23 agricultural sustainability assessment indicators. According to the results of ranking alternatives using the Elimination Method, the two counties of Kazeroun and Eghlid could not acceptably fulfill indicators of agricultural sustainability. In other words, it seems that these two regions are not suitable for the development of wheat production in Fars province. In the end, it was recommended that the Elimination Method can be a useful approach for urgent decision-making and agricultural managers and decision-makers in Fars province should focus more intensively on the development of wheat production in Marvdasht.

Development, Validity, and Reliability of the Primary Eye Care Questionnaire (PECQ) Among Optometrists in Malaysia.

Visual impairment and vision loss are preventable or treatable if there is access to eyecare services for early detection and if proper interventions are given.Optometristsplay a vital role in the early detection of eye and visual-related issues.As healthcare professionals, optometrists are trained to provide comprehensive eye and vision care encompassing dispensing and refraction, detection of abnormalities in the vision and eye, and the rehabilitation of conditions of the visual system, as suggested by the World Council of Optometry.In the current practice of primary eye care, optometrists are not fully utilized and are mostly restricted to refractive correction. Therefore, the optometrists' practice level, scope, and challenges to practice primary eye care must be identified before strengthening optometrists' role in the community. The present study aimed to develop and validate a questionnaireto determine the contributing factors and challenges to the practice of primary eye care by optometrists in Malaysia. The Primary Eye Care Questionnaire (PECQ) was developed through an extensive literature search to identify the domains and to construct the items. The items were then scrutinized further through focus group discussions with experts (n = 10) from various sectors of eye care. Content validation was conducted with ophthalmologists and optometrists as panels (n = 10), followed by face validation (n = 10) by optometrists from the public and private sectors. Construct validation was performed with exploratory factor analysis and reliability was evaluated by using Cronbach's alpha coefficient and the test-retest reliability. In total, the PECQ questionnaire was constructed with 123 itemsunder three main domains: contributing factors, challenges, and continuous education. The content validity index (CVI) for each item (I-CVI) score ranged from 0.9 to 1.0 for each item and the CVI for average scale (S-CVI/Ave) was above 0.8 for each domain, with internal consistency of 0.948 and Cronbach's alpha coefficient of 0.971. The PECQ is a valid and reliable tool for assessing the optometrists' scope of practice, challenges, and contributing factors to the practice of primary eye care.

Development and Psychometric Testing of the Perception of Childbirth Environment Scale in Taiwan

BackgroundPrevious research has shown that women's perceptions of their childbirth environment are critical in ensuring that they feel supported and in facilitating physiological childbirth. AimTo develop and validate the Perception of Childbirth Environment Scale (PCES) for expectant mothers. MethodsThe PCES was developed based on findings from a scoping review and a qualitative study on childbirth environments conducted by the authors. The scale underwent expert review to ensure relevance, clarity, and content validity, followed by face validity testing with five women. A total of 193 participants, recruited from two medical institutions, completed the PCES within 48 hours after childbirth. Reliability was assessed using Cronbach's α for internal consistency. Construct validity was evaluated through exploratory and confirmatory factor analyses. ResultsThe PCES comprised 10 items divided into two dimensions: comfort and control. “Comfort” factors included privacy, homeliness, familiarity, relaxation facilitation, and a sense of continuity in the room, while “Control” factors were reflected in elements like a birth companion, empowerment, and safety. The model demonstrated a good fit following exploratory and confirmatory factor analyses, as well as adjustments based on modification indices. ConclusionsThe PCES displayed strong reliability and validity, making it a suitable tool for assessing women's perceptions of their labor and childbirth environment.