scholarly journals The Development and Content Validation of the Care Partner Hospital Assessment Tool

2021 ◽  
Vol 11 (3) ◽  
pp. 522-529
Author(s):  
Beth Fields ◽  
Richard Schulz ◽  
Lauren Terhorst ◽  
Madeline Carbery ◽  
Juleen Rodakowski
Keyword(s):  
Content Validity ◽  
Family Caregiving ◽  
Online Survey ◽  
Conceptual Development ◽  
Assessment Tool ◽  
Skills Training ◽  
Content Validation ◽  
Care Partners ◽  
Validity Indices ◽  
Aging Adults

Background/Objectives: When aging adults are hospitalized due to a major health event, they often turn to care partners (‘family members or friends’) for support. Assessment of care partners’ needs during hospital care may be important to inform and target information and skills training that will equip them to fulfill caregiving tasks for the aging adults. The objectives of this study were to develop and complete content validation of the Care Partner Hospital Assessment Tool (CHAT). Methods: Based on standard instrumentation methodology and an assessment framework recommended by the National Center on Caregiving at the Family Caregiving Alliance, three steps were followed to develop and validate CHAT: (1) generation of a 24-item tool grouped into three content domains (background, plans and preferences, skills and supports), and a survey by a multidisciplinary team, (2) administration of an online survey of care partners and experts, and (3) assessment of item and scale-content validity indices (I-CVI and S-CVI). Results: A total of four care partners that provide unpaid care to a family member or friend age 65 years or older with a chronic illness or disability either before or after a hospitalization, and 19 leading experts in gerontology, caregiving, and health services completed an online survey in English. Twenty-two items were accepted by having an I-CVI at or above the acceptable 78% cut point; the S-CVI for the tool was 85%. Most revisions to the tool were associated with modifying or clarifying language within each item. For example, participants shared the following open-ended suggestions for revising CHAT: (1) change the “do you prefer” sentence stem to “do you want” (n = 12), define “training” (n = 6), and (2) allow care partners to provide an unsure response (n = 5). Conclusion: CHAT may be a promising way to increase health care practitioner’s understanding of care partners’ backgrounds, preferences and plans, and potential information or training needs during a patient’s hospital stay. Initial evaluation of CHAT reveals strong conceptual development and content validity.

Development and Content Validation of the Child Oral and Motor Proficiency Scale (ChOMPS)

2019 ◽  
Vol 41 (3) ◽  
pp. 220-232 ◽  
Author(s):  
Britt F. Pados ◽  
Suzanne M. Thoyre ◽  
Jinhee Park ◽  
Hayley H. Estrem ◽  
Cara McComish
Keyword(s):  
Literature Review ◽  
Content Validity ◽  
Grade Level ◽  
Sixth Grade ◽  
Parent Report ◽  
Cognitive Interviews ◽  
Content Validation ◽  
Motor Proficiency ◽  
Reading Grade Level ◽  
Validity Indices

This article describes the development and content validation of the Child Oral and Motor Proficiency Scale (ChOMPS), a parent-report assessment of eating, drinking, and related skills in children 6 months to 7 years of age. Initially, 69 items for the ChOMPS were generated from literature review. Nineteen professionals evaluated the ChOMPS using content validity indices (CVI). Significant revisions were made to items and directions based on professional feedback. CVI were acceptable for both the relevance and clarity of items. Cognitive interviews were then conducted with 19 parents to explore parent understanding of items. Additional revisions were made based on parent feedback. The reading grade level of the resulting ChOMPS was less than sixth grade. The 70-item ChOMPS has evidence of content validity, indicating the items are relevant and clear to professionals, and parents understand the directions and items as intended.

scholarly journals Evaluating the Appropriateness and Feasibility of the Care Partner Hospital Assessment Tool (CHAT)

2021 ◽  
Vol 18 (24) ◽  
pp. 13355
Author(s):  
Madeline Carbery ◽  
Richard Schulz ◽  
Juleen Rodakowski ◽  
Lauren Terhorst ◽  
Beth Fields
Keyword(s):  
Older Adults ◽  
Mixed Method ◽  
Assessment Tool ◽  
Phase 1 ◽  
Qualitative Interviews ◽  
Skill Training ◽  
Skills Training ◽  
Hospital Administrators ◽  
Care Partners ◽  
Hospitalized Older Adults

Hospital practitioners rely on care partners of older adults to provide complex care without identifying and addressing their needs. The Care Partner Hospital Assessment Tool (CHAT) was developed to identify the education skill training needs of care partners of hospitalized older adults. This two-phased mixed-method study evaluated the appropriateness and feasibility of the CHAT. The phase 1 quantitative survey with caregiving experts indicated 70–100% agreement for the length and helpfulness of the CHAT (n = 23). These results were supported by phase 2 qualitative interviews with hospital administrators and practitioners, which revealed the following themes: (1) intuitive and clear design worth sustaining and (2) concerns and proposed solutions for implementation. Findings suggest the CHAT is an appropriate and feasible tool for hospital practitioners to tailor their education and skills training to address care partners’ needs. Identifying care partners’ needs is an important step in ensuring they are prepared to complete their caregiving responsibilities.

Content Validity for a Child Care Self-assessment Tool: Creating Healthy Eating Environments Scale (CHEERS)

2016 ◽  
Vol 77 (2) ◽  
pp. 89-92 ◽  
Author(s):  
Lynne Lafave ◽  
Sheila Tyminski ◽  
Theresa Riege ◽  
Diane Hoy ◽  
Bria Dexter
Keyword(s):  
Physical Activity ◽  
Child Care ◽  
Healthy Eating ◽  
Content Validity ◽  
Assessment Tool ◽  
Program Planning ◽  
Content Validation ◽  
Self Assessment ◽  
Physical Activity Environment ◽  
Expert Review

The purpose of this project was to develop and content validate both a formative and summative self-assessment scale designed to measure the nutrition and physical activity environment in community-based child care programs. The study followed a mixed-method modified Ebel procedure. An expert group with qualifications in nutrition, physical activity, and child care were recruited for content validation. The survey was subjected to expert review through digital communication followed by a face-to-face validation meeting. To establish consensus for content validity beyond the standard error of proportion (P < 0.05) the content validity index (CVI) required was ≥0.78. Of the initial 64 items, 44 scored an acceptable CVI for inclusion. The remaining items were discussed, missing concepts identified, and a final CVI employed to determine inclusion. The final tool included 62 items with 5 subscales: food served, healthy eating program planning, healthy eating environment, physical activity environment, and healthy body image environment. Content validation is an integral step in scale development that is often overlooked or poorly carried out. Initial content validity of this scale has been established and will be of value to researchers and practitioners interested in conducting healthy eating interventions in child care.

Development and Content Validation of the Pediatric Eating Assessment Tool (Pedi-EAT)

2014 ◽  
Vol 23 (1) ◽  
pp. 46-59 ◽  
Author(s):  
Suzanne M. Thoyre ◽  
Britt F. Pados ◽  
Jinhee Park ◽  
Hayley Estrem ◽  
Eric A. Hodges ◽  
...  
Keyword(s):  
Eating Behaviors ◽  
Assessment Tool ◽  
Parent Report ◽  
Content Validation ◽  
Feeding Behaviors ◽  
Feeding Difficulties ◽  
Validity Indices ◽  
Problematic Eating Behaviors ◽  
5Th Grade ◽  
Report Measure

Purpose In this article, the authors describe the development and content validation of a parent-report measure of problematic eating behaviors: the Pediatric Eating Assessment Tool (Pedi-EAT). Method In Phase I, items were generated from parents' descriptions of problematic feeding behaviors of children, review of literature, and review of existing eating-related instruments. In Phase II, interdisciplinary experts on pediatric eating behaviors rated the items for clarity and relevance using content validity indices (CVI) and provided feedback on the comprehensiveness of the instrument. In Phases III and IV, 2 groups of parents of children with and without feeding difficulties participated in cognitive interviews to gain respondent feedback on content, format, and item interpretation. The authors analyzed interviews using matrix display strategies. Results Experts rated the total scale CVI > .90 for both relevance and clarity; item CVI ranged from .67 to 1.0 for relevance and .5 to 1.0 for clarity. Analysis of each item with low scores, along with experts' and parents' feedback, resulted in refinement of the items, scoring options, and directions. Experts and parents added additional items. Readability after refinements was acceptable at less than a 5th-grade level. Conclusion The Pedi-EAT was systematically developed and content validated with input from researchers, clinicians, and parents.

The Neonatal Eating Assessment Tool: Development and Content Validation

2017 ◽  
Vol 36 (6) ◽  
pp. 359-367 ◽  
Author(s):  
Britt F. Pados ◽  
Hayley H. Estrem ◽  
Suzanne M. Thoyre ◽  
Jinhee Park ◽  
Cara McComish
Keyword(s):  
Infant Feeding ◽  
Content Validity ◽  
Assessment Tool ◽  
Phase 1 ◽  
Bottle Feeding ◽  
Assessment Tools ◽  
Outcome Variable ◽  
Phase 2 ◽  
Phase 3 ◽  
Validity Indices

AbstractPurpose: To develop and content validate the Neonatal Eating Assessment Tool (NeoEAT), a parent-report measure of infant feeding.Design: The NeoEAT was developed in three phases. Phase 1: Items were generated from a literature review, available assessment tools, and parents’ descriptions of problematic feeding in infants. Phase 2: Professionals rated items for relevance and clarity. Content validity indices were calculated. Phase 3: Parent understanding was explored through cognitive interviews.Sample: Phase 1: Descriptions of infant feeding were obtained from 12 parents of children with diagnosed feeding problems and 29 parents of infants younger than seven months. Phase 2: Nine professionals rated items. Phase 3: Sixteen parents of infants younger than seven months completed the cognitive interview.Main Outcome Variable: Content validity of the NeoEAT.Results: Three versions were developed: NeoEAT Breastfeeding (72 items), NeoEAT Bottle Feeding (74 items), and NeoEAT Breastfeeding and Bottle Feeding (89 items).

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.

Education and skills training for care partners of hospitalised older adults: A scoping review

2021 ◽  
pp. 001789692110341
Author(s):  
Madeline Carbery ◽  
Samantha Schwartz ◽  
Nicole Werner ◽  
Beth Fields
Keyword(s):  
Older Adults ◽  
Hospital Admission ◽  
Health Outcomes ◽  
Older Adult ◽  
Scoping Review ◽  
Hospital Care ◽  
Skills Training ◽  
Individual Care ◽  
Care Partners ◽  
The Usa

Background: The care partners of hospitalised older adults often feel dissatisfied with the education and skills training provided to them, resulting in unpreparedness and poor health outcomes. Objective: This review aimed to characterise and identify gaps in the education and skills training used with the care partners of older adults in the hospital. Methods: We conducted a scoping review on the education and skills training practices used with the care partners of hospitalised older adults in the USA via sources identified in the PubMed, PsychINFO and CINAHL databases. Results: Twelve studies were included in this review. Results illustrate that nurses utilise multiple modes of delivery and frequently provide education and skills training tailored to the needs of care partners at the latter end of hospital care. The provision of education and skills training varies greatly, however, including who provides education, in what way information is conveyed, and how care partner outcomes are measured. Conclusion: This is the first scoping review to describe and synthesise the education and skills training practices used with care partners of hospitalised older adults. Findings highlight the need for education and skills training to be interprofessional, tailored to individual care partners’ needs and begin at, or even before, the hospital admission of older adult patients.

scholarly journals Validity and Internal Consistency of the Preschool-FLAT, a New Tool for the Assessment of Food Literacy in Young Children from the Training-To-Health Project

2020 ◽  
Vol 17 (8) ◽  
pp. 2759
Author(s):  
Garden Tabacchi ◽  
Giuseppe Battaglia ◽  
Giuseppe Messina ◽  
Antonio Paoli ◽  
Antonio Palma ◽  
...  
Keyword(s):  
Internal Consistency ◽  
Content Validity ◽  
Structural Equation ◽  
Discriminant Validity ◽  
Assessment Tool ◽  
Intervention Group ◽  
Equation Modeling ◽  
Control Group ◽  
Food Literacy ◽  
Health Project

Background: The importance of assessing “food literacy” since youth has been highlighted and, to this purpose, valid and consistent instruments are needed. This study aimed to assess the validity and internal consistency of the preschool-FLAT (Food Literacy Assessment Tool). Methods. 505 children from 21 kindergartens, recruited within the Training-to-Health Project in Palermo (Italy), underwent oral sessions and activities on food-related aspects. Their knowledge/skills were recorded in the preschool-FLAT. The following scale measures were assessed: Content validity; internal consistency (Chronbach’s alpha coefficients); construct validity (Structural Equation Modeling—SEM); discriminant validity (intervention subgroup of 100 children vs. control group of 27 children). Results. Acceptable content validity of a 16-items scale and overall adequate internal consistency were revealed: Content validity index (CVI) 0.94, content validity ratio (CVR) 0.88, Chronbach’s alpha 0.76. The SEM revealed a 4-factor model fitting the data well (comparative fit index 0.939, root mean square error of approximation 0.033). Discriminant validity was good (intervention group scoring higher than control, p < 0.001, unpaired Student’s t-test). Conclusion. The preschool-FLAT revealed good psychometric properties, adequate validity and internal consistency. This is the only instrument in the literature specifically targeted to 3–6 years old children that could be effectively used to assess food literacy.

scholarly journals Validity and reliability of an adapted questionnaire measuring knowledge, awareness and practice regarding familial hypercholesterolaemia among primary care physicians in Malaysia

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Ahmad Baihaqi Azraii ◽  
Anis Safura Ramli ◽  
Zaliha Ismail ◽  
Suraya Abdul-Razak ◽  
Siti Fatimah Badlishah-Sham ◽  
...  
Keyword(s):  
Primary Care ◽  
Work Experience ◽  
Primary Care Physicians ◽  
Online Survey ◽  
Familial Hypercholesterolaemia ◽  
Kappa Statistics ◽  
Content Validation ◽  
Validity And Reliability ◽  
Postgraduate Qualification ◽  
The Mean

Abstract Background Primary care physicians (PCP) play an important role in detecting Familial Hypercholesterolaemia (FH) early. However, knowledge, awareness and practice (KAP) regarding FH among Malaysian PCP are not well established, and there was no validated tool to assess their FH KAP. Thus, the aim of this study was to adapt an FH KAP questionnaire and determine its validity and reliability among Malaysian PCP. Methods This cross-sectional validation study involved Malaysian PCP with ≥ 1-year work experience in the primary care settings. In Phase 1, the original 19-item FH KAP questionnaire underwent content validation and adaptation by 7 experts. The questionnaire was then converted into an online survey instrument and was face validated by 10 PCP. In Phase 2, the adapted questionnaire was disseminated through e-mail to 1500 PCP. Data were collected on their KAP, demography, qualification and work experience. The construct validity was tested using known-groups validation method. The hypothesis was PCP holding postgraduate qualification (PCP-PG-Qual) would have better FH KAP compared with PCP without postgraduate qualification (PCP-noPG-Qual). Internal consistency reliability was calculated using Kuder Richardson formula-20 (KR-20) and test–retest reliability was tested on 26 PCP using kappa statistics. Results During content validation and adaptation, 10 items remained unchanged, 8 items were modified, 1 item was moved to demography and 7 items were added. The adapted questionnaire consisted of 25 items (11 knowledge, 5 awareness and 9 practice items). A total of 130 out of 1500 PCP (response rate: 8.7%) completed the questionnaire. The mean percentage knowledge score was found to be significantly higher in PCP-PG-Qual compared with PCP-noPG-Qual (53.5, SD ± 13.9 vs. 35.9, SD ± 11.79), t(128) = 6.90, p < 0.001. The median percentage awareness score was found to be significantly higher in PCP-PG-Qual compared with PCP-noPG-Qual (15.4, IqR ± 23.08 vs. 7.7, IqR ± 15.38), p = 0.030. The mean percentage practice score was significantly higher in PCP-PG-Qual compared with PCP-noPG-Qual (69.2, SD ± 17.62 vs. 54.4, SD ± 19.28), t(128) = 3.79, p < 0.001. KR-20 value was 0.79 (moderate reliability) and average Kappa was 0.796 (substantial agreement). Conclusion This study has proven that the 25-item adapted FH KAP questionnaire is valid and reliable. It can be used to measure and establish FH KAP among PCP in Malaysia.

scholarly journals Development and psychometric properties of the Caring Behaviors Assessment Tool Nursing Version-Short Form

2020 ◽  
Vol 32 (10) ◽  
pp. 701-707
Author(s):  
Mehtap Akgün ◽  
Selma Turan Kavradim ◽  
İlkay Boz ◽  
Zeynep Özer
Keyword(s):  
Psychometric Properties ◽  
Root Mean Square ◽  
Internal Consistency ◽  
Content Validity ◽  
Assessment Tool ◽  
Short Form ◽  
Mean Square ◽  
Structural Validity ◽  
Caring Behaviors ◽  
Fit Index

Abstract Objectives To develop and examine the psychometric properties of the Caring Behaviors Assessment Tool Nursing Version-Short Form (CBAN-SF) based on the Theory of Human Caring to assess the nurses’ perceptions about caring behaviors. Design This study is based on the Consensus-based Standards for the Selection of Health Measurement Instruments checklist. Setting The study was conducted at the medical-surgical services of Akdeniz University Hospital between October 2019 and January 2020. Participants This study was conducted with 216 nurses working in the surgery and internal clinics. Main Outcome Measures Psychometric properties of the Turkish version of the CBAN-SF with 27 items. Results It was found that the Content Validity Index (CVI) for the items of the draft scale was between 0.972 and 1.00 and the instrument’s CVI had an average score of 0.994. The CBAN-SF had good fit indexes (chi-square goodness of fit / degrees of freedom = 2.914, root mean square error of approximation = 0.075, comparative fit index = 0.984, non-normed fit index = 0.983, normed fit index = 0.972 and standardized root mean square residuals = 0.054) in structural validity. For internal consistency, the Cronbach’s alpha, Spearman–Brown and the Guttman split-half coefficients were all 0.974. The Cronbach’s alpha coefficient for the seven subfactors of the scale ranged between 0.793 and 0.904 and had acceptable internal consistency. The item-total score correlation of the scale was 0.648–0.829, and the factor loadings were 0.455–0.769. Conclusion The structural validity, internal consistency and content validity of the CBAN-SF supported to be a reliable and valid tool for assessment of caring behaviors by nurses.

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