scholarly journals Design and Implementation Content Validity Study: Development of an instrument for measuring Patient-Centered Communication

2015 ◽  
Vol 4 (2) ◽  
pp. 165-178 ◽  
Author(s):  
Vahid Zamanzadeh ◽  
Akram Ghahramanian ◽  
Maryam Rassouli ◽  
Abbas Abbaszadeh ◽  
Hamid Alavi-Majd ◽  
...  
2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 108-108
Author(s):  
Rumiko Tsuchiya-Ito ◽  
Björn Slaug ◽  
Tomonori Sano ◽  
Miki Tajima ◽  
Sakiko Itoh ◽  
...  

Abstract Scientifically validated tools to assess housing accessibility for older adults in Japan have been lacking. To address this, a rigorous procedure of adapting an existing housing assessment tool—the Housing Enabler, developed in Sweden—for valid use in Japan was conducted. The original tool was translated into the Japanese language, using established translation procedures. In the process, researchers checked the appropriateness of technical terms and adjusted specifications to be in accordance with Japanese standards. An expert panel approach was used to validate the content of the Japanese Housing Enabler. Thirteen certified occupational therapists, architects and care-managers (average experience=14.5 years) participated as experts in the content validity study. They rated each item with regard to relevance for assessing housing accessibility in Japan, on a scale from 1(=Not relevant) to 4(= Highly relevant). They suggested adjustments and additions that they found to be relevant to capture particularities of Japanese housing and building design. After individual ratings, the experts gathered for consensus discussions on suggested revisions of the item list. As a result, the number of items was substantially increased (from 161 to 283). A content validity index (CVI) was calculated for each item (i.e., the proportion of experts rating the relevance as at least 3). Using a recommended threshold of CVI ≥0.78, more than 90% of the items were considered relevant, thus supporting the content validity. However, the large amount of items might jeopardize the feasibility of the instrument. Further studies are needed to evaluate feasibility, criterion-related validity and aspects of reliability.


2015 ◽  
Vol 23 (4) ◽  
pp. 319-328 ◽  
Author(s):  
Giovanni Fassone ◽  
Floriana Lo Reto ◽  
Paola Foggetti ◽  
Chiara Santomassimo ◽  
Maria Rita D'Onofrio ◽  
...  

Circulation ◽  
2020 ◽  
Vol 142 (Suppl_3) ◽  
Author(s):  
Hannah Cardoso Barbosa ◽  
Adriana Silvina Pagano ◽  
Marcus Fernando da Silva Praxedes ◽  
Ilka Afonso Reis ◽  
Josiane Moreira da Costa ◽  
...  

Introduction: To achieve stable control in warfarin therapy is challenging in clinical practice. Patients′ active participation is essential to promote self-care and medication adherence. We sought to build a conceptual map to substantiate the validation of EmpoderACO, in Brazilian Portuguese, a protocol for behavior change for patients on warfarin. Methods: This methodological study involved the development of a conceptual map focused on identifying self-care domains in warfarin users. Its content guided the development and validation of a behavior change protocol which comprised the following steps: definition of instrument objectives; construction and selection of items; construction and measurement of response scales; iv) structuring and assessment of content validity. The content validity was assessed by a committee of judges (CJ) and calculated by content validity coefficient (CVC). We used the software CmapTools (version 6.04, 2020) to build the conceptual map. Ethical approval 65928316.3.0000.5149. Results: Self-care domains in the conceptual map were divided into three categories: understanding and satisfaction with drug therapy; reduction of adverse events; promotion of well-being and healthy habits. The use of the conceptual map allowed the development of the final version of EmpoderACO with 27 items. A total of 34 specialists composed the multiprofessional CJ that analyzed the validity content. The overall average of CVC was ≥0.91, including relevance (0.92), adequacy (0.92) and clarity (0.91). Conclusions: The protocol EmpoderACO may contribute to a global approach of patients on warfarin to improve patient′s understanding of drug therapy, self-care behaviors and design of patient-centered care. The application of empowerment principles may be of particular utility in vulnerable populations living in low- and middle-income countries where warfarin is still widely prescribed for oral anticoagulation. Fig. 1 Conceptual map


2019 ◽  
Vol 29 (2) ◽  
pp. 122-128
Author(s):  
Fariba Tohidinezhad ◽  
Mohsen Aliakbarian ◽  
Ameen Abu-Hanna ◽  
Saeid Eslami

Introduction: Due to the high nonadherence rate to posttransplant regimen and medical indications among liver transplant recipients, systematic patient-centered interventions are needed to improve the medium- and long-term graft and patient survival outcomes. Objective: The aim of this study was to develop and test the psychometric properties of Liver Transplant Therapeutic Adherence Questionnaire. Design: A mixed-method instrument design was conducted in 3 phases: (1) initial item collection was generated by inductive content analysis on internationally available resources, (2) item screening was carried out by a 3-member committee and 25 domain experts including nurses and physicians aiming to establish content validity, and (3) data were collected from 247 liver transplant recipients in May 2016 for psychometric testing. Results: A total of 221 knowledge statements were extracted as potential adherence assessment items. The qualitative screening phase resulted in top 35 important items. The second screening phase was performed quantitatively by 25 experts (n = 14 nurses, n = 7 gastroenterologists and hepatologists, and n = 4 transplant surgeons). A total of 16 items were associated with statistically significant content validity ratio values (≥0.37) to be included in the final questionnaire. Exploratory factor analysis revealed a distinct 4-factor structure that was labeled as: daily activities (α = .93), immunization (α = .93), nutrition (α = .92), and major complications (α = .79). Discussion: Our results reveal evidence of acceptable reliability and validity for Liver Transplant Therapeutic Adherence Questionnaire. This instrument makes it possible to measure recipients’ therapeutic adherence in both domains of research and practice.


Healthcare ◽  
2020 ◽  
Vol 8 (3) ◽  
pp. 246
Author(s):  
Eun Mi Shin ◽  
Young Sook Roh

Background: This study develops a school nurse competency framework for continuing education based on focus group interviews and a literature review. Methods: This study uses a qualitative content analysis with 12 school nurses. Six school nurses verify the content validity for the competency framework for continuing education using the content validity index. Results: School nurse competencies are defined as the knowledge, skills, and attitudes required of school nurses to provide safe school nursing. Six core competencies are identified. These include the ability to (1) provide patient-centered care; (2) communicate and collaborate with students, teaching staff, and community resources; (3) think critically for evidence-based practice; (4) implement school health services and programs; (5) integrate legal and ethical nursing practice, and (6) conduct health education. Conclusion: It is necessary to develop and implement continuing education programs for school nurses based on the training needs and competency indicators identified in this study.


2016 ◽  
Vol 24 (4) ◽  
pp. 549-559 ◽  
Author(s):  
Alvisa Palese ◽  
Irene Comisso ◽  
Monica Burra ◽  
Pier Paolo DiTaranto ◽  
Luca Peressoni ◽  
...  

2015 ◽  
Vol 3 (3) ◽  
pp. 295 ◽  
Author(s):  
Emilie Paul-Savoie ◽  
Patricia Bourgault ◽  
Emillie Gosselin ◽  
Stephane Potvin ◽  
Sylvie Lafrenaye

Rationale, aims and objectives: Patient-centered care (PCC) is widely acknowledged as a central component of high-quality health care and it has been associated with many positive outcomes for patients. Although many studies support the benefits of PCC, the style of practice may vary from a caregiver to another. To measure PCC and investigate the factors that may be related to this concept, it is necessary to have rigorous instruments. Thus, the aim of this study was to adapt and validate a French version of the PPOS (F-PPOS) for the assessment of PCC in both nurses and physicians who work with chronic pain patients.Method: The PPOS was translated and validated in a French population of nurses and physicians according to the Hébert methodological recommendations for translation and validation. The final version of the F-PPOS was distributed to 21 nurses and 21 physicians working with chronic pain patients. The content validity and the internal consistency were assessed. Results: The expert panel was satisfied with the content validity of this instrument. The internal consistency was acceptable for the total score for all participants (Cronbach’s alpha = 0.60), for nurses (Cronbach’s alpha = 0.62) and for physicians (Cronbach’s alpha = 0.54). The F-PPOS showed good content validity and acceptable internal consistency.Conclusions: The F-PPOS could be used in future studies in French populations, in both nurses and physicians. This instrument can also be used to compare the type of approach between caregivers in worldwide since it is available in several languages.


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