Ensuring content validity in instrument development: Challenges and innovative approaches

Barbara Mastaglia
School of Nursing and Public Health, Edith Cowan University, WA

Christine Toye
Post Doctoral Research Fellow, School of Nursing and Public Health, Edith Cowan University, Churchlands WA

Linda Kristjanson
Professor, Faculty of Nursing, RMIT School of Nursing, Edith Cowan University, WA

PP: 281 - 291

Abstract

The challenges of developing new and valid instruments specific for use in nursing research and practice can be complex and varied.

In this paper we identify a number of innovative approaches for achieving content validity based on our instrument development work. These approaches include ways of identifying the conceptual domain, the role of literature reviews and key experts, processes used to confirm content validity and clarity of content, feasibility of the validity process and exploration of pertinent ethical issues.

The review of key issues covered here may provide guidance for nurses and researchers in developing sound and content valid instruments.

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Keywords

research; instrumentation; questionnaire; content validity; measurement


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References

Aronson, N K (1991): Methodologic issues in assessing the quality of life of cancer patients. Cancer, Supp 67: 844-850.

Beaver, K, Luker, K A, Owens, R G, Leinster, S J, & Degner, L F (1996): Treatment decision making in women newly diagnosed with breast cancer. Cancer Nursing, 19(1): 8-19.

Beck, C T, & Gable, R K (2001): Ensuring content validity: An illustration of the process. Journal of Nursing Measurement, 9(2): 201-215.

Bilodeau, B A, & Degner, L F (1996): Information needs, sources of information, and decisional roles in women with breast cancer. Oncology Nursing Forum, 23(4): 691-696.

Carmines, E G, & Zeller, R A (1979): Reliability and validity assessment. Sage: Newbury Park.

Degner, L F, Kristjanson, L J, Bowman, D, Sloan, J A, Carriere, K C, O'Neil, J, Bilodeau, B, Watson, P, & Mueller, B (1997): Information needs and decisional preferences in women with breast cancer. The Journal of the American Medical Association, 277(18): 1485-1492.

Dunn, J, Steginga, S K, Occhipinti, S, Wilson, K, & McCaffrey, J (1998): Profiles of distress in women following treatment for primary breast cancer: The Breast, 7, 251-254.

Feldman, J, Miyamoto, J, & Loftus, E F (1999): Are actions regretted more than inactions? Organizational Behavior and Human Decision Processes, 78(3): 232-255.

Festinger, L (1964): Conflict, decision and dissonance. Stanford University Press: USA.

Field, P A, & Morse, J M (1996): Nursing research. The application of qualitative approaches. (2nd ed.). Stanley Thornes: UK.

Graham, K Y, & Longman, A J (1987): Quality of life and persons with melanoma. Cancer Nursing, 10(6): 338-346.

Grant, J S, & Davis, L L (1997): Selection and use of content experts for instrument development. Research in Nursing and Health, 20(3): 269-274.

Imle, M A, & Atwood, J R (1988): Retaining qualitative validity while gaining Quantitative reliability and validity: Development of the transition to parenthood concerns scale. Advances in Nursing Science, 11(1): 61-75.

Kristjanson, L J (1993): Validity and reliability of the FAMCARE Scale: Measuring Family satisfaction with advanced cancer care. Social Science and Medicine, 36(5): 693-701.

Kristjanson, L J, Atwood, J, & Degner, L F (1995):Validity and reliability of the family inventory of needs (FIN): Measuring the care needs of families of advanced cancer patients. Journal of Nursing Measurement, 3(2): 109-125.

Kristjanson, L J (2003): Issues in measuring family care needs and satisfaction. In Portenoy, R, & Bruera, E, (Eds.), Issues in palliative care research (pp.203-216). New York: Oxford University Press.

Landman, J (1993): Regret. The persistence of the possible. Oxford University Press: Oxford.

Lebow, K (1982): Consumer satisfaction with mental health treatment. Psychological Bulletin, 91(6): 244-259.

Loomes, G, & Sugden, R (1982): Regret theory: An alternative theory of rational choice under uncertainty. The Economic Journal, 92(368): 805-824.

Lynn, M (1986): Determination and quantification of content validity. Nursing Research, 35(6): 382-385.

Mastaglia, B (2003): Decision regret, decision role discrepancy and adjustment to breast cancer: Development of a model. Unpublished doctoral manuscript. Edith Cowan University, Perth Western Australia.

McLaughlin, G (1969): SMOG grading: A new readability formula. Journal of Reading, 12(8): 639-646.

Nunnally, J C (1978): Psychometric theory (2nd ed.). McGraw-Hill: New York.

Oberst, M R (1984): Patient's perceptions of care: Measurement of quality and satisfaction. Cancer, 53(10): 2366-2375.

Patton, M. Q. (1990). Qualitative evaluation and research methods (2nd ed.). Sage: Newbury Park, CA.

Sheatsley, P B (1983): Questionnaire construction and item writing. In P H Rossi, J D Wright, & A B Anderson (Eds.), Handbook of survey research (pp. 195-230). San Diego: Academic Press.

Steginga, S, Occhipinti, S, Wilson, K, & Dunn, J (1998): Domains of distress. The experiences of breast cancer in Australia. Oncology Nursing Forum, 25(6): 1063-1070.

Sternberg, R J (1988): Geneces: A rationale for the construct of theories and tests of intelligence. In H Wainer, & H I Braun (Eds.), Test validity (pp. 61-75). Hillsdale, New Jersey: Lawrence Erlbaum Associates, Publishers.

Streiner, D L, & Norman, G R (1995): Health measurement scales. A practical guide to their development and use. (2nd ed.). Oxford University Press: Great Britain.

Sugden, R (1985): Regret, recrimination and rationality. Theory and Decision, 19(1): 77-99.

Toye, C (2000): Perceived social support of family members of aged care facility residents and its relationship with family members' well-being and their support of relatives in residential care. Unpublished doctoral dissertation. Edith Cowan University, Perth, Western Australia.

Wallberg, B, Michelson, H, Nystedt, M, Bolund, C, Degner, L, & Wilking, N (2000): Information needs and preferences for participation in treatment decisions among Swedish breast cancer patients. Acta Oncologica, 39(4): 467-476.

Waltz, C F, Strickland, O L, & Lenz, E R (1991): Measurement in nursing research. (2nd ed.). F.A. Davis: Philadelphia.

Westra, B L, Cullen, L, Brody, D, Jump, P, Geanon, L, & Milad, E (1995): Development of the home care client satisfaction instrument. Public Health Nursing, 12(6): 393-399.

Zeelenberg, M, van Dijk, W W, Manstead, A S R, & van der Pligt, J (1998a). The experience of regret and disappointment. Cognition and Emotion, 12(2): 221-230.

Zeelenberg, M, van Dijk, W W, Manstead, A S R, van Empelen, P, & Reinderman, D (1998b): Emotional reactions to the outcomes of decisions: The role of counterfactual thought in the experience of regret and disappointment. Organizational Behavior and Human Decision Processes, 75(2): 117-141.



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