scholarly journals Chinesisation, adaptation and validation of the Chelsea Critical Care Physical Assessment Tool in critically ill patients: a cross-sectional observational study

BMJ Open ◽  
2021 ◽  
Vol 11 (4) ◽  
pp. e045550
Author(s):  
Zhigang Zhang ◽  
Guoqiang Wang ◽  
Yuchen Wu ◽  
Jin Guo ◽  
Nannan Ding ◽  
...  
Keyword(s):  
Critical Care ◽  
Observational Study ◽  
Critically Ill ◽  
Content Validity ◽  
Assessment Tool ◽  
Western China ◽  
Validity Index ◽  
Cross Sectional ◽  
Physical Assessment ◽  
Content Validity Index

PurposeTo translate and adapt the Chelsea Critical Care Physical Assessment Tool (CPAx) into Chinese version (‘CPAx-Chi’), test the reliability and validity of CPAx-Chi, and verify the cut-off point for the diagnosis of intensive care unit-acquired weakness (ICU-AW).Study designCross-sectional observational study.MethodsForward and back translation, cross-cultural adaptation and pretesting of CPAx into CPAx-Chi were based on the Brislin model. Participants were recruited from the general ICU of five third-grade class-A hospitals in western China. Two hundred critically ill adult patients (median age: 53 years; 64% men) with duration of ICU stay ≥48 hours and Glasgow Coma Scale ≥11 were included in this study. Two researchers simultaneously and independently assessed eligible patients using the Medical Research Council Muscle Score (MRC-Score) and CPAx-Chi.ResultsThe content validity index of items was 0.889. The content validity index of scale was 0.955. Taking the MRC-Score scale as standard, the criterion validity of CPAx-Chi was r=0.758 (p<0.001) for researcher A, and r=0.65 (p<0.001) for researcher B. Cronbach’s α was 0.939. The inter-rater reliability was 0.902 (p<0.001). The area under the receiver operating characteristic curves of CPAx-Chi for diagnosing ICU-AW based on MRC-Score ≤48 were 0.899 (95% CI 0.862 to 1.025) and 0.874 (95% CI 0.824 to 0.925) for researcher B. The best cut-off point for CPAx-Chi for the diagnosis of ICU-AW was 31.5. The sensitivity was 87% and specificity was 77% for researcher A, whereas it was 0.621, 31.5, 75% and 87% for researcher B, respectively. The consistency was high when taking CPAx-Chi ≤31 and MRC-Score ≤48 as the cut-off points for the diagnosis of ICU-AW. Cohen’s kappa=0.845 (p=0.02) in researcher A and 0.839 (p=0.04) for researcher B.ConclusionsCPAx-Chi demonstrated content validity, criterion-related validity and reliability. CPAx-Chi showed the best accuracy in assessment of patients at risk of ICU-AW with good sensitivity and specificity at a recommended cut-off of 31.

scholarly journals Content validity of the Geriatric Health Assessment Instrument

2016 ◽  
Vol 14 (2) ◽  
pp. 158-177 ◽  
Author(s):  
Rhaine Borges Santos Pedreira ◽  
Saulo Vasconcelos Rocha ◽  
Clarice Alves dos Santos ◽  
Lélia Renata Carneiro Vasconcelos ◽  
Martha Cerqueira Reis
Keyword(s):  
Content Validity ◽  
Assessment Tool ◽  
Health Assessment ◽  
The Elderly ◽  
Assessment Instrument ◽  
Rater Agreement ◽  
Validity Index ◽  
Content Validity Index ◽  
Percent Agreement ◽  
The Mean

ABSTRACT Objective Assess the content validity of the Elderly Health Assessment Tool with low education. Methods The data collection instrument/questionnaire was prepared and submitted to an expert panel comprising four healthcare professionals experienced in research on epidemiology of aging. The experts were allowed to suggest item inclusion/exclusion and were asked to rate the ability of individual items in questionnaire blocks to encompass target dimensions as “not valid”, “somewhat valid” or “valid”, using an interval scale. Percent agreement and the Content Validity Index were used as measurements of inter-rater agreement; the minimum acceptable inter-rater agreement was set at 80%. Results The mean instrument percent agreement rate was 86%, ranging from 63 to 99%, and from 50 to 100% between and within blocks respectively. The Mean Content Validity Index score was 93.47%, ranging from 50 to 100% between individual items. Conclusion The instrument showed acceptable psychometric properties for application in geriatric populations with low levels of education. It enabled identifying diseases and assisted in choice of strategies related to health of the elderly.

scholarly journals Who is at risk? The development of a tool to predict and prevent postpartum hemorrhage

2020 ◽  
Vol 11 (4) ◽  
pp. 62
Author(s):  
Oliva Bazirete ◽  
Manassé Nzayirambaho ◽  
Aline Umubyeyi ◽  
Marie Chantal Uwimana ◽  
Evans Marilyn
Keyword(s):  
Risk Assessment ◽  
Health Care Providers ◽  
Postpartum Hemorrhage ◽  
Content Validity ◽  
Assessment Tool ◽  
Risk Assessment Tool ◽  
Care Providers ◽  
Validity Index ◽  
Content Validity Index ◽  
Prediction And Prevention

Background: Postpartum hemorrhage remains the main cause of maternal mortality in Low and Middle Income Countries. There is a need to advocate for extra vigilance to recognize women at a greater risk and implement early intervention for Postpartum hemorrhage prevention. The purpose of the present study is to develop a content validated risk assessment tool for the prediction and prevention of Postpartum hemorrhage among childbearing women.Methods: This study is drawn from a larger mixed method sequential exploratory study. Factors influencing the prevention of Postpartum hemorrhage were identified from a scoping review and qualitative descriptive studies previously conducted. To establish content validity Index of the instrument, content experts assessed each item of the tool for comprehensiveness, relevance, and face validity. The tool was pilot tested to assess its clinical utility by fifteen (15) health care providers purposively selected from one district hospital based on a minimum of one-year experience in maternity. Ethical considerations were observed.Results: The Risk Assessment Tool went through three rounds of assessment for its content validity. The final round of quantification of the content validity demonstrates that 4 items out of 46 had an Item Content Validity Index (I-CVI) of 0.85 while 42 had the maximum I-CVI of 1. The overall Scale Content Validity Index/ Average (S-CVI/Ave) was 0.98, and the universal approach of Scale Content Validity Index/Universal Agreement (S-CVI/UA) was 0.91. The assessment of clinical utility of Risk Assessment Tool for the Prediction and Prevention of Postpartum hemorrhage among Childbearing women (RATP) demonstrates that its format allows easy recording of findings and using the tool can be an added value for prevention of PPH.Conclusions: The risk assessment tool for the prediction and prevention of Postpartum hemorrhage is intended to be used by health care providers in Rwanda to identify mothers at risk of developing PPH and implement timely prevention strategies. The clinical use of the tool can be vital in the development of accurate preventive approaches by key policy makers in Rwanda in particular and in other developing countries.

scholarly journals Transcultural adaptation of the Johns Hopkins Fall Risk Assessment Tool

2016 ◽  
Vol 24 (0) ◽  
Author(s):  
Maria Carmen Martinez ◽  
Viviane Ernesto Iwamoto ◽  
Maria do Rosário Dias de Oliveira Latorre ◽  
Adriana Moreira Noronha ◽  
Ana Paula de Sousa Oliveira ◽  
...  
Keyword(s):  
Risk Assessment ◽  
Content Validity ◽  
Fall Risk ◽  
Assessment Tool ◽  
Risk Assessment Tool ◽  
Expert Committee ◽  
Validity Index ◽  
Fall Risk Assessment ◽  
Content Validity Index ◽  
Transcultural Adaptation

ABSTRACT Objective: to perform the transcultural adaptation and content validity analysis of the Johns Hopkins Fall Risk Assessment Tool to assess both fall risk and fall-related injury risk for hospitalized elderly in Brazil. Method: the transcultural adaptation consisted of translating the scale to Portuguese (Brazil), back-translating it into its language of origin, establishing a consensus version, and having an expert committee verify its transcultural equivalence. Content assessment was conducted by a committee of judges, ending with the calculation of the items and scales' content validity index. Nurses tested the tool. Results: the scale's translated version went through two evaluation rounds by the judges, based on which, the items with unsatisfactory performance were changed. The content validity index for the items was ≥80.0% and the global index 97.1%. The experimental application showed the scale is user-friendly. Conclusion: the scale presents valid content for the assessment of fall risk and risk of fall-related injuries and is easy to use, with the potential to contribute to the proper identification of risks and the establishment of care actions.

scholarly journals Prosthetic and orthotic students’ attitudes toward addressing sexual health in their future profession

2018 ◽  
Vol 42 (6) ◽  
pp. 612-619 ◽  
Author(s):  
Kristina Areskoug-Josefsson ◽  
Fredrik Thidell ◽  
Bo Rolander ◽  
Nerrolyn Ramstrand
Keyword(s):  
Sexual Health ◽  
Content Validity ◽  
Reliability And Validity ◽  
Assistive Technologies ◽  
Health Questionnaire ◽  
Health Issues ◽  
Validity Index ◽  
Cross Sectional ◽  
Content Validity Index ◽  
Students Attitudes

Background: Prosthetists and orthotists have a responsibility to direct treatment toward enabling their clients to perform desired activities and to facilitate participation of their clients in all areas of life. This may include provision of assistive technologies to help clients meet goals related to participation in sexual activities. To help prosthetic and orthotic students develop competencies in dealing with the sexual health of their future clients, it is necessary to generate knowledge of their own perceived competence and capacity. Objectives: To explore prosthetic and orthotic students’ attitudes and competence toward working with sexual health and to evaluate reliability and validity of the Students’ Attitudes Towards Addressing Sexual Health questionnaire. Study design: Cross-sectional study. Methods: Students enrolled in all three years of an undergraduate prosthetic and orthotic program were requested to complete the Students’ Attitudes Towards Addressing Sexual Health questionnaire ( n = 65). Reliability and validity were evaluated using the content validity index and Cronbach’s alpha. Results: Students felt unprepared to talk about sexual health with future clients and thought that they would be embarrassed if they raised the issue. No differences were identified between students enrolled in each of the three years of the program and few differences were observed between male and female students. The content validity index values were low but improved as the students’ level of education increased. Internal consistency of the questionnaire was acceptable ( α = 0.86). Conclusion: Prosthetic and orthotic students are unprepared to address sexual health issues with their future clients. There is a need to provide students with training related to sexual health issues. Clinical relevance This study indicates the need for additional education of prosthetic and orthotic students in issues related to sexual health and how to address sexual health issues with clients. Results can be used to develop training programs for students and will serve to improve the sexual health of individuals who receive prosthetic and orthotic services.

The responsiveness of the Chelsea Critical Care Physical Assessment tool in measuring functional recovery in the burns critical care population: An observational study

Burns ◽  
2015 ◽  
Vol 41 (2) ◽  
pp. 241-247 ◽  
Author(s):  
Evelyn J. Corner ◽  
Louise V. Hichens ◽  
Kate M. Attrill ◽  
Marcela P. Vizcaychipi ◽  
Stephen J. Brett ◽  
...  
Keyword(s):  
Critical Care ◽  
Observational Study ◽  
Functional Recovery ◽  
Assessment Tool ◽  
Physical Assessment

scholarly journals Validity and Reliability of Self-Assessment Tool for Risk Prioritization Following Exposure to Tuberculosis in a Hospital Setting

2021 ◽  
Vol 18 (8) ◽  
pp. 3981
Author(s):  
Piyapong Sirinapakul ◽  
Naesinee Chaiear ◽  
Phanumas Krisorn
Keyword(s):  
Content Validity ◽  
Assessment Tool ◽  
Health Workers ◽  
Hospital Setting ◽  
Communication Tool ◽  
Validity And Reliability ◽  
Self Assessment ◽  
Validity Index ◽  
Content Validity Index ◽  
Kappa Agreement

The Modified Self-Assessment (MSA) and Present Self-Assessment (PSA) forms are questionnaires used to prioritize the risk of infection of health workers exposed to tuberculosis (TB) in Srinagarind Hospital in Thailand. As MSA was developed from PSA, the validity and reliability of MSA need to be assessed. The research aim is to examine the content validity of MSA and to assess the respective reliability of MSA and PSA vis-à-vis expert opinion. Seven experts determined the content validity index (CVI) of MSA. MSA and PSA were used to prioritize the TB contact of 108 subjects, and we compared the result with the risk assessed by the experts. The respective Kappa agreements between MSA and PSA and the experts were used to assess reliability. The result of the content validity index revealed that MSA had I-CVI > 0.83 for all questions and an S-CVI/Ave above 0.90 for all factors. The Kappa agreement of contact priority between MSA and the experts was 0.80; it was 0.58 between PSA and the experts. MSA can, thus, be used to prioritize contact with tuberculosis in Srinagarind Hospital. MSA is a valid risk communication tool for aerosol-generating procedures. Further study should be conducted in other hospitals, and the number of participants should be increased in order to come to a concrete result.

scholarly journals UJI KELAYAKAN INSTRUMEN UNTUK PENGUKURAN HUBUNGAN MOTIVASI BELAJAR DAN DUKUNGAN KELUARGA DENGAN PRODUKTIVITAS MAHASISWA DALAM MELAKSANAKAN PENGALAMAN BELAJAR LAPANGAN PADA MASA PANDEMI

2021 ◽  
Vol 9 (2) ◽  
pp. 175
Author(s):  
Rahmi Susanti ◽  
Martini Martini ◽  
Agustina Wati ◽  
Jihan Dinda Salsabilla
Keyword(s):  
Content Validity ◽  
P Value ◽  
Validity Index ◽  
Cross Sectional ◽  
Spearman Rank ◽  
Content Validity Index

Pendahuluan:Peningkatan kasus covid-19 di Indonesia menjadikan pemerintah membuat kebijakan untuk dapat melakukan semua aktivitas dirumah, termasuk proses pembelajaran, dan aktivitas akademik seperti Pengalaman Belajar Lapangan (PBL) berubah menjadi online. Hal tersebutmenjadi  suatu tantangan bagi mahasiswa untuk dapat menyelesaikan pendidikannya dengan baik. Sehingga tujuan penelitian ini adalah untuk mengidentifikasi hubungan motivasi belajar dan dukungan keluarga terhadap produktivitas mahasiswa/i PBL di masa pandemi Covid-19 serta mengetahui hasil uji kelayakan pada instrumen yang digunakan. Metodologi:Penelitian ini merupakan penelitian analitik dengan pendekatan Cross Sectional dan jumlah sampel sebanyak 65 peserta Pengalaman Belajar Lapangan (PBL) Fakultas Kesehatan Masyarakat Universitas Mulawarman tahun 2020 dengan menggunakan total sampling. Instrumen penelitian diuji menggunakan Content Validity Index (CVI). Data di analisis menggunakan analisis univariat dan analisis bivariat dengan uji korelasi Spearman Rank. Hasil: Hasil menunjukkan bahwa CVI yang dihasilkan  ≤0.78. Pada akhirnya tercipta instrumen layak untuk digunakan serta tidak terdapat hubungan antara motivasi belajar terhadap produktivitas, namun terdapat hubungan positif antara dukungan keluarga terhadap produktivitas mahasiswa yang sedang melaksanakan PBL di masa pandemi(p-value= 0,033). Diskusi: Instrumen layak digunakan namun terdapat beberapa pertanyaan yang tidak digunakan karena hasil perhitungan CVI pada butir tersebut tidak valid. Hubungan yang terbentuk antara dukungan keluarga dengan produktivitas adalah hubungan yang positif walaupun memiliki korelasi yang lemah (r = 0,265).; Kata Kunci: pandemi covid-19, kelayakan instrumen, produktivitas  

scholarly journals Translation and Validation of the Hungarian Version of the Infection Control Standardized Questionnaire: A Cross-sectional Study

2022 ◽  
Author(s):  
Sahar Hammoud ◽  
Faten Amer ◽  
Haitham Khatatbeh ◽  
Huda Alfatafta ◽  
Miklós Zrínyi ◽  
...  
Keyword(s):  
Infection Control ◽  
Internal Consistency ◽  
Content Validity ◽  
Convergent Validity ◽  
Discriminant Validity ◽  
Infection Prevention And Control ◽  
Validity Index ◽  
Cross Sectional ◽  
Content Validity Index ◽  
Hungarian Version

Abstract Background: Up to our knowledge, there is currently no psychometrically validated Hungarian scale to evaluate nurses’ knowledge about infection prevention and control (IPC) practices. Thus, we aim in this study to assess the validity and reliability of the infection control standardized questionnaire Hungarian version (ICSQ-H).Methods: A cross-sectional, multisite study was conducted among 591 nurses in Hungary. The original ICSQ including 25 items was translated into Hungarian. A panel of four experts assessed the content validity of the questionnaire by calculating the item content validity index and scale content validity index. Then, construct validity was evaluated using principal component analysis and confirmatory factor analysis. The goodness of fit for the model was measured through fit indices. Convergent validity was assessed by calculating the average variance extracted. Additionally, discriminant validity was evaluated by computing the spearman correlation coefficient between the constructs. Finally, the interitem correlations, the corrected item-total correlations, and the internal consistency were calculated.Results: Content validity of the questionnaire was established with 23 items. The final four-construct ICSQ-H including 10 items showed a good fit model. Convergent validity was met except for the alcohol-based hand rub (ABHR) construct, while discriminant validity was met for all constructs. The interitem correlations and the corrected item-total correlations were met for all constructs but, the internal consistency of ABHR was unsatisfactory due to the low number of items.Conclusions: The results did not support the original three-factor structure of the ICSQ. However, the four-factor ICSQ-H demonstrated an adequate degree of good fit and was found to be reliable. Based on our findings, we believe that the ICSQ-H could pave the way for more research regarding nurses’ IPC knowledge to be conducted in Hungary. Nevertheless, its validation among other healthcare workers is important to tailor effective interventions to enhance knowledge and awareness.

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