Development and content validity of an instrument for assessing the motivation for weight loss in adolescents with overweight and obesity

Silva, David Franciole Oliveira; Souza, Angélica Luiza de Sales; Pimentel, Jéssica Bastos; Souza, Thatyane Oliveira; Araújo, Eduarda Pontes dos Santos; Sena-Evangelista, Karine Cavalcanti Maurício; Arrais, Ricardo Fernando; Lima, Severina Carla Vieira Cunha

doi:10.1371/journal.pone.0242680

Cited by 3 publications

(5 citation statements)

References 40 publications

(66 reference statements)

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“…It is important that the checklist uses clear language because it will be used by food handlers, caregivers, patients, healthcare professionals, and others working in the field who have different perceptions and knowledge about food safety 48 . In addition, if the checklist is not clear and accessible to everyone, it may complicate assessments and provide inaccurate and inadequate responses 51,52 …”

Section: Discussionmentioning

confidence: 99%

“…48 In addition, if the checklist is not clear and accessible to everyone, it may complicate assessments and provide inaccurate and inadequate responses. 51,52 T A B L E 5 (Continued) The adequacy of the "simplicity" criterion in the checklist as a whole revealed a low level of difficulty in home application. This shows that the items of the instrument correspond to the reality of this segment and are easily accessible and visible at the time of the assessment.…”

Section: Categoriesmentioning

confidence: 99%

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Checklist to assess food safety when handling home enteral nutrition

et al. 2023

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BackgroundIdentifying food safety risks when handling enteral formulations at home is important to restore and maintain the health of patients. Therefore, this study developed and validated a food safety assessment checklist for handling home enteral nutrition (HEN).MethodsThis methodological study developed a checklist based on a literature review and interviews with food safety professionals. The content validation, which was conducted by food safety and enteral feeding experts, assessed the relevance, clarity, and simplicity of the checklist using the content validity index of items (CVI‐I), categories (CVI‐C), and the entire instrument (CVI‐EI). Each item was rated as either essential, necessary, or recommended according to the risk in relation to foodborne diseases.ResultsThe Food Safety for Handling Home Enteral Nutrition checklist (FSHEN checklist) that was developed includes 40 items and the following eight categories: physical structure; cleaning of facilities, equipment, furniture, and utensils; pests and waste; water supply; food handlers; ingredients and packaging; handling of enteral formulations; and the bottling and storage of enteral formulations. The CVI‐EI was above the recommendation (≥0.93) for the three assessed criteria, as was the CVI‐C in terms of clarity (≥0.95), relevance (≥0.98), and simplicity (≥0.84). A total of 52.5% of the items were rated as essential, 32.5% as necessary, and 15% as recommended.ConclusionThe FSHEN checklist is relevant, clear, and easy to use. It can help health professionals and individuals working in the field to assess and prioritize items to improve food safety in the management of HEN.

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Section: Discussionmentioning

confidence: 99%

Section: Categoriesmentioning

confidence: 99%

Checklist to assess food safety when handling home enteral nutrition

et al. 2023

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“…The CVI of each item, both for relevance and for clarity, was calculated by the ratio of the number of responses “3” or “4” in relation to the total number of responses to the item [ 15 ].…”

Section: Methodsmentioning

confidence: 99%

Validation of a modified questionnaire to assess Ukrainian Family Physicians’ readiness to implement the evidence-based screening recommendations into their clinical practice, using a mixed method study

Shushman

Kolesnyk

et al. 2022

BMC Prim. Care

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Background Ukrainian Family Doctors' knowledge and readiness for the implementation of new guidelines recommendations into practice has to be evaluated and taken into consideration, meanwhile they often use the old protocols of annual checkups. This study aimed to perform a linguistic and cultural validation of Ukrainian adopted questionnaire designed on the German prototype “Readiness of general practitioners to recommend and implement evidence-based screening recommendations questionnaire”. Methods This was a mixed method study. The English version of the original German prototype questionnaire was translated into Ukrainian with forward–backward method. Additionally Ukrainian version was modified by including an extra questions about evidence based screening of cardiovascular risks, infectious diseases, type 2 diabetes mellitus, depression, and some old-fashioned annual checkups which are still commonly used in routine family doctors’ practice. During the face validation process, 10 practicing general practitioners assessed all the items in the questionnaire as adequately structured, grammatically correct, and understandable. During qualitative part of content validation process 11 experts found and corrected some grammatical errors, indicated that items of the questionnaire were comprehensible and related to Ukrainian culture. During the quantitative part of content validation process experts accessed 5 of 6 items as essential, relevant, and clear. Internal consistency of the items, assessed by using Cronbach’s alpha method was acceptable. To access how stable can be results provided by the questionnaire, test–retest reliability was performed, where 19 general practitioners filled in the same questionnaire twice over a period of two weeks. Results In our study CVR > 0.79 and CVI > 0.59 were acceptable. The internal consistency was evaluated by using Cronbach’s alpha method and had to be above 0.7. According to the test–retest reliability results of weighted kappa and Cohen's kappa coefficients, test–retest agreement of the questionnaire was moderate for 29%, substantial for 38%, and almost perfect for 5% of the items (p ≤ 0.05). Kappa coefficients were not computed for 10% of items as there was no variability in the assessments. Conclusions The Ukrainian version of the questionnaire can be used for the assessment Ukrainian Family Doctor’s readiness to implement the evidence-based screening recommendations into their clinical practice.

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“…At item level, I-CVI was determined as the number of experts giving a 3 or 4 score rating to the relevancy of each item, divided by the total number of experts. According to Silva et al, (2020), the judgment I-CVI of each item is as follows: only the items with I-CVI greater than 0.80 are considered relevant and appropriate to be held in the instrument, while items with less than 0.80 need revision and resubmission. CVI of less than 0.80 indicates that the instrument's items do not adequately address the thematic domains since it does not pose objectivity and appropriateness.…”

Section: Phase 2: Evaluationmentioning

confidence: 99%

“…Furthermore, the instrumental and objective intrinsic values constructs were clarified and restructured to increase the statements' readability. Silva et al,(2020) emphasised that analysing the language clarity of the items of an evaluation instrument is vital for reducing possible directives and misunderstandings in the process of instrument application. The conversation and proposed changes were recorded, resulting in a new version of the IIA (version 3.0) finalised with 42 items.…”

Section: Phase 1: Instrument Developmentmentioning

confidence: 99%

Evaluation of the content validity of the intrinsic-instrumental assessment tool for assessing the nature values of constructed wetlands

et al. 2022

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Constructed wetlands possess tremendous nature values, namely instrumental and intrinsic values. Constructed wetlands also store and capture carbon which help to mitigate climate change in sustaining our earth system. Hence, sound management of constructed wetlands must consider its importance as essential assets that increase their resilience in mitigation and adaptation strategies towards adverse effects of climate change. To examine the vital value of constructed wetlands, this study attempts to evaluate the content validity of the developed Intrinsic-Instrument Assessment (IIA) tool for assessing the nature values of constructed wetlands in the context of climate change. A methodological study was conducted to evaluate the content validity of the IIA tool in two-phases. First, a comprehensive literature review was conducted at the development phase to identify the construct and dimension, generate items and instrument formation. In the second phase (evaluation), a committee of six experts performed the content validity evaluation, and the content validity index was implemented for content validity quantification. Finally, the researcher conducted a discussion between the team members to finalise the items of the IIA tool. The first version of the IIA tool identified three domains (instrumental, objective and intrinsic values) with 36 items. The item content validity index (I-CVI) ranges from 0.833 to 1. The overall content validity index using the average approach, the scale content validity index (S-CVI/Ave) is 0.97. Thus, the IIA tool was evaluated with highly relevant and excellent content validity. Researchers generated 17 additional items in the IIA version 2.0 after considering experts' feedback. Still, after the second evaluation by researchers, the final version of the IIA tool consists of 42 items. This paper contributes to the body of knowledge by performing the systematic process of the essential steps to verify the developed instrument's reliability and validity, especially in the field of socio-ecology. This study provides comprehensive information and example as guidance for evaluating content validity for a new instrument scale. Also, it helps to bring insight into constructed wetlands' vital nature values as the nature solution in mitigating and adapting climate change to advocate the sustainable development of constructed wetlands ecosystems.

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Development and content validity of an instrument for assessing the motivation for weight loss in adolescents with overweight and obesity

Cited by 3 publications

References 40 publications

Checklist to assess food safety when handling home enteral nutrition

Checklist to assess food safety when handling home enteral nutrition

Validation of a modified questionnaire to assess Ukrainian Family Physicians’ readiness to implement the evidence-based screening recommendations into their clinical practice, using a mixed method study

Evaluation of the content validity of the intrinsic-instrumental assessment tool for assessing the nature values of constructed wetlands

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