Validation of a Questionnaire to Assess Smoking Habits, Attitudes, Knowledge, and Needs among University Students: A Pilot Study among Obstetrics Students

In Italy, smoking is still widespread among a relatively high percentage of young people. This study aimed to develop and validate a questionnaire to assess smoking habits, passive smoke exposure, electronic cigarette (e-cig) and heated tobacco product (HTP) use, attitudes, knowledge, and needs among undergraduates. A questionnaire consisting of 84 items was developed starting from a literature review and existing questionnaires. A two-round validation was performed by a team of 10 experts. The item-level content validity index (I-CVI), the scale-level content validity index (S-CVI), and the kappa statistics k, taking into account chance agreement, were calculated from the experts’ rating. The questionnaire was emailed to 114 students from the Obstetrics Degree of the University of Milan (Italy) to be pilot tested. After the second round of validation, all indexes were above the respective acceptability criteria: the I-CVI was 1.00 for all but three items, k was >0.74 (“excellent”) for all items, and the S-CVI was 0.964. Eighty-nine students participated in the survey: 17 classified themselves as smokers, eight as new product users, and four as former smokers, 72% students declared to routinely spend free time with smokers, while almost all students believed that healthcare professionals play a pivotal role in preventing smoking towards their patients and society. This questionnaire will be used in a survey among students from the University of Milan as a first step for future campaigns targeting health promotion.

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Validation of an educational tool on healthy eating for schoolchildren

Revista de Nutrição ◽

10.1590/1678-98652018000500005 ◽

2018 ◽

Vol 31 (5) ◽

pp. 479-488

Author(s):

Celia Maria Ribeiro de VASCONCELOS ◽

Eliane Maria Ribeiro de VASCONCELOS ◽

Maria Gorete Lucena de VASCONCELOS ◽

Suelen Brito de AZEVEDO ◽

Maria Cristina Falcão RAPOSO ◽

...

Keyword(s):

Healthy Eating ◽

Content Validity ◽

Target Population ◽

P Value ◽

Card Game ◽

Educational Tool ◽

Scale Level ◽

Validity Index ◽

Content Validity Index ◽

Item Level

ABSTRACT Objective The purpose of this study was to validate the card game The Enigma of the Pyramid about healthy eating, using judges (expert) for the validation of content and design; and the target population (students from the 4th and 5th grades, aged 9-10 years) for the semantic validation (pilot test). Methods The Item-Level Content Validity Index was used to verify the degree of agreement among the experts’ opinions, item by item; and the Scale Level Content Validity Index to determine the arithmetic mean of the proportion of items that receive judgments of “non-disagreement” by the judges. The item that obtained Item-Level Content Validity Index greater or equal to 0.80 and Scale Level Content Validity Index greater or equal to 0.90 was considered validated, which was the coefficient of validity. The binominal test was used to select the items that should be revised/modified, using the p-value of ratio (reject H0 if p≤0.8). Items were validated at significance level of ≤0.05. Results Twenty-two judges and 12 schoolchildren participated in the study. Of the 23 items of the card game, nine were selected for review/modification, of which five were from the language component and four from the suitability component for the target population. Conclusion Once the modifications were made, they were all approved by all participating students, making this educational tool on healthy eating habits available for use with the student population.

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Validity and Reliability of the Korean Version of the Anesthesia Surrendering Instrument

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph17093065 ◽

2020 ◽

Vol 17 (9) ◽

pp. 3065

Author(s):

Hanna Lee ◽

Ji-Soon Kang ◽

Jeong-Won Han

Keyword(s):

Content Validity ◽

Reliability And Validity ◽

Internal Consistency Reliability ◽

Validity And Reliability ◽

Validity Index ◽

Content Validity Index ◽

Korean Version ◽

Item Level ◽

Korean Adult ◽

Study Population

This study examined the reliability and validity of the Korean version of the anesthesia surrendering instrument (ASI), which was originally developed to measure anesthesia surrendering in Swedish adults. The study population consisted of 306 patients who received general anesthesia for abdominal, breast, knee, hip, lower back, or shoulder surgery in ten hospitals across five regions of Korea from June to September 2019. The validity of the content, construct, and criterion used, and the reliability of the ASI were assessed. The results showed that the instrument had appropriate content validity; the item-level content validity index ranged between 0.80 and 1.00, and the scale-level content validity index was 0.90. The construct validity test results confirmed four sub-categories with a total of 26 items, and the internal consistency reliability tests showed Cronbach’s alpha values ranging between 0.71 and 0.88. The study findings confirmed the applicability of this instrument for measuring anesthesia surrendering in Korean adults. These results provide a foundation for future studies on anesthesia surrendering in Korean adult patients.

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Preliminary Study of the Thai Version of the Scale for the Assessment of Negative Symptoms (SANS-Thai)

Global Journal of Health Science ◽

10.5539/gjhs.v11n6p19 ◽

2019 ◽

Vol 11 (6) ◽

pp. 19 ◽

Cited By ~ 1

Author(s):

Thammanard Charernboon

Keyword(s):

Internal Consistency ◽

Content Validity ◽

Convergent Validity ◽

Negative Symptoms ◽

Average Content ◽

Validity Index ◽

Retest Reliability ◽

Content Validity Index ◽

Item Level ◽

Test Retest Reliability

OBJECTIVES: The study aimed to evaluate content validity, convergent validity, internal consistency and test-retest reliability of the Thai version of the Scale for the Assessment of Negative Symptoms (SANS-Thai). METHODS: The content validity of the SANS-Thai was assessed using four experts. The average-content validity index and item level content validity index were analyzed. The SANS-Thai and the Thai versions of the Addenbrooke’s Cognitive Examination (ACE) were administered to 40 people with schizophrenia to examine convergent validity and internal consistency. Twenty participants took the second SANS-Thai assessment within four weeks to evaluate test-retest reliability. RESULTS: The results demonstrated that the SANS-Thai has excellent content validity with the average-content validity index of 0.94. The majority of the item level content validity index range from 0.75 to 1. The global and total SANS-Thai score moderately correlated with the ACE with the correlation coefficient of -0.48 (p = 0.002) and -0.49 (p=0.001), respectively. Internal consistency by the Cronbach alpha coefficient was 0.95. Test-retest reliabilities by intraclass correlation were 0.91 (p<0.001) for global SANS-Thai and 0.9 (p<0.001) for total SANS-Thai. The Bland-Altman plot demonstrated that only 5% of the participants fell outside the limits of agreement for both global SANS and total SANS scores. CONCLUSION: The SANS-Thai appears to be a valid and reliable measure of negative symptoms in schizophrenia and could be useful for patient care and research studies.

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Pengujian Validitas Konten Media Pembelajaran Interaktif Berorientasi Model Creative Problem Solving

Jurnal Penelitian dan Pengembangan Pendidikan ◽

10.23887/jppp.v2i2.15378 ◽

2018 ◽

Vol 2 (2) ◽

pp. 88

Author(s):

Gusti Ayu Dessy Sugiharni

Keyword(s):

Problem Solving ◽

Content Validity ◽

Creative Problem Solving ◽

Validity Index ◽

Content Validity Index ◽

Item Level ◽

Creative Problem

Tujuan penelitian ini adalah untuk mengetahui hasil validasi konten media pembelajaran interaktif berorientasi model Creative Problem Solving. Data yang digunakan dalam penelitian ini adalah data kualitatif dan data kuantitatif. Teknik analisis data yang digunakan dalam penelitian ini menggunakan teknik analisis deskriptif kuantitatif. Uji validitas yang dilakukan menggunakan pendekatan Content Validity Index (CVI). Hasil penelitian ini menunjukakan menunjukkan nilai rata-rata item-level content validity index dari hasil perhitungan uji validitas yaitu sebesar 0.95 pada aspek pendidikan, 0.91 pada aspek tampilan program dan 0.87 pada aspek kualitas teknis. Ini berarti media pembelajaran interaktif berorientasi model Creative Problem Solving sangat relevan untuk dikembangkan penggunaannya ditinjau dari aspek pendidikan, aspek tampilan program dan aspek kualitas teknis. Hal tersebut tidak terlepas dari kerelevanannya baik itu dinilai dari segi pembelajaran, kurikulum, isi materi, interaksi, balikan, penanganan kesalahan, pewarnaan, pemakaian kata dan bahasa, tampilan pada layar, grafis, animasi, suara, perintah menu dan tampilan desain, pengoperasian program, reaksi pemakaian, keamanan program, fasilitas pendukung atau tambahannya melalui beberapa revisi kecil yang harus dilakukan demi kesempurnaan dan kepuasan respon dari pengguna media.

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Educative booklet for elders with type 2 diabetes mellitus

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20214282 ◽

2021 ◽

Vol 8 (11) ◽

pp. 5425

Author(s):

Nenmanikkara Geoviya George ◽

M. S. Moosabba ◽

M. R. Sivakumar ◽

Manjula Suvarna

Keyword(s):

Diabetes Mellitus ◽

Type 2 Diabetes ◽

Type 2 Diabetes Mellitus ◽

Content Validity ◽

Lifestyle Changes ◽

Validity Index ◽

Content Validity Index ◽

Content Selection ◽

Item Level

Background: Consistently following and practicing the instructions given in the educational booklets helps in the disease awareness and its management.Methods: The study was developed by formulating the booklet content; content selection and source reference; framing the content; artfully crafting the pictures; booklet layout; approval by the specialist and audience; modifying and proofreading. For content validation, the item-level content validity index (I-CVI) score and scale level content validity index (S-CVI) score of minimum 0.80 was considered.Results: The booklet was created by focusing on 5 main aspects namely information about the disease and the importance about the lifestyle changes, exercises, advices that needs to be considered while exercising, footcare and fall prevention techniques. The recommendations made by the experts and the participants were accepted and incorporated in the booklet. The mean I-CVI and S-CVI scores are >0.90. The booklet was easy to read, understand and apply by the experts and participants.Conclusions: The results indicated that validated booklet can be considered as a useful educational tool for promoting the wellness among the elders with type 2 diabetes mellitus.

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Validity and Reliability of the Korean Anesthesia Surrendering Instrument

10.21203/rs.2.22075/v1 ◽

2020 ◽

Author(s):

Hanna Lee ◽

Jeongwon Han ◽

Jisoon Kang

Keyword(s):

Content Validity ◽

Reliability And Validity ◽

Internal Consistency Reliability ◽

Anesthesia Induction ◽

Validity And Reliability ◽

Validity Index ◽

Content Validity Index ◽

Item Level ◽

Korean Adult ◽

Study Population

Abstract Background : In Korea, to reduce patients’ anxiety regarding anesthesia induction and to increase compliance, the nurses need a measurement for understanding of anesthesia surrendering. This study examined the reliability and validity of the Korean version of the anesthesia surrendering instrument (ASI), which was originally developed to measure anesthesia surrendering in Swedish adults. Methods: The study population consisted of 306 patients who received general anesthesia for abdominal, breast, knee, hip, lower back, or shoulder surgery in ten hospitals across five regions of Korea, from June to September 2019. We assessed the validity of the content, construct, and criterion used, as well as the reliability of the ASI. Results: The results showed that the instrument had appropriate content validity with the item-level content validity index ranging between 0.80 and 1.00 and a scale-level content validity index of 0.90. The construct validity test results showed that it comprised four sub-categories with a total of 26 items, and the internal consistency reliability tests showed Cronbach’s alpha values ranging between 0.71 and 0.88. In summary, the results confirmed that the Korean ASI had adequate reliability and validity. Conclusion: The study findings confirmed the applicability of this instrument for measuring anesthesia surrendering in Korean adults. Moreover, these results may be used in future studies on anesthesia surrendering in Korean adult patients.

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Assessing Evidence-Informed Practices to Reduce Routine Interventions in Labor and Childbirth: Validating the Content of the Keeping Birth Normal Tool

International Journal of Childbirth ◽

10.1891/2156-5287.7.4.192 ◽

2018 ◽

Vol 7 (4) ◽

pp. 192-213

Author(s):

Florence Darling ◽

Valentina Collington

Keyword(s):

Health Care Professionals ◽

Content Validity ◽

Ordinal Scale ◽

Scale Level ◽

Validity Index ◽

Mortality And Morbidity ◽

Content Validity Index ◽

Risk Of Mortality ◽

Item Level ◽

Initial Scale

Background:The overuse of interventions in labor and childbirth increase the risk of mortality and morbidity in women. There are wide variations in the use of routine interventions locally, regionally, and globally. The reasons for this are complex and multifactorial. This study focuses its investigations at the microcosm of practice. It outlines the validation of the content of a new Tool to assess and support the implementation of evidence-informed practices by health-care professionals.Methods:Seven experts and eight women user representatives used a 4-point ordinal scale of relevance to rate 50 items in the Keeping Birth Normal (KBN) Tool. Item-level content validity index (I-CVI), an average scale-level content validity index (S-CVI/Ave), and qualitative comments were used to delete and improve items.Results:Eleven experts analyzed all 50 items. Four experts rated 35–49 items. The initial scale received an S-CVI/Ave of 0.88. Two items were deleted, improvements were made to 45 items, some were merged, and 7 new items were added. The final scale with 36 items received an S-CVI/Ave of 1.0 post item deletion and improvement.Discussion:The items in the KBN Tool are construct relevant and will undergo plausibility testing in a future study. Other forms of validity evidence on response processes and internal structure, which may be gathered, will depend on its further application in practice and research.

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Turkish Adaptation of Diabetic Foot Ulcer Scale–Short Form

The International Journal of Lower Extremity Wounds ◽

10.1177/1534734620921036 ◽

2020 ◽

Vol 19 (3) ◽

pp. 269-274 ◽

Cited By ~ 2

Author(s):

İsmail Toygar ◽

Sadık Hançerlioğlu ◽

Selden Gül ◽

Tülün Utku ◽

Ilgın Yıldırım Şimşir ◽

...

Keyword(s):

Factor Analysis ◽

Diabetic Foot ◽

Content Validity ◽

Short Form ◽

University Hospital ◽

Validity And Reliability ◽

Turkish Version ◽

Patient Identification ◽

Validity Index ◽

Content Validity Index

The purpose of this study was to evaluate the validity and reliability of the Turkish version of the Diabetic Foot Scale–Short Form (DFS-SF). The study was cross-sectional and conducted between January and October 2019 in a diabetic foot council of a university hospital. A total of 194 diabetic foot patients participated in the study. A Patient Identification Form and DFS-SF were used for data collection. Forward and backward translations were used in language validity. Expert opinions were obtained to determine the Content Validity Index. To determine construct validity, exploratory factor analysis and confirmatory factor analysis were used. Cronbach’s α internal consistency coefficient, item-scale correlation, and test-retest reliability were used to evaluate reliability. It was found that Content Validity Index was 0.97 (0.86-1.00), the factor loading of scale varied from 0.378 to 0.982, Cronbach’s α value varied from 0.81 to 0.94, and item-total correlations were between 0.30 and 0.75. The Turkish version of the DFS-SF was found valid and reliable to measure the quality of life of diabetic foot patients.

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

BMJ Open ◽

10.1136/bmjopen-2020-045550 ◽

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.

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