Cited by 1,889Health Education and ValidationPsychometric Methodologies and TestingReliability and Agreement in Measurement

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A Psychometric Toolbox for Testing Validity and Reliability

DeVon, Holli A., Block, Michelle E., Moyle‐Wright, Patricia, Ernst, Diane M., Hayden, Susan J., Lazzara, Deborah J., Savoy, Suzanne M., Kostas‐Polston, Elizabeth·2007·Journal of Nursing Scholarship

DOI 10.1111/j.1547-5069.2007.00161.x

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Abstract

Purpose To review the concepts of reliability and validity, provide examples of how the concepts have been used in nursing research, provide guidance for improving the psychometric soundness of instruments, and report suggestions from editors of nursing journals for incorporating psychometric data into manuscripts. Methods CINAHL, MEDLINE, and PsycINFO databases were searched using key words: validity, reliability, and psychometrics. Nursing research articles were eligible for inclusion if they were published in the last 5 years, quantitative methods were used, and statistical evidence of psychometric properties were reported. Reports of strong psychometric properties of instruments were identified as well as those with little supporting evidence of psychometric soundness. Findings Reports frequently indicated content validity but sometimes the studies had fewer than five experts for review. Criterion validity was rarely reported and errors in the measurement of the criterion were identified. Construct validity remains underreported. Most reports indicated internal consistency reliability (alpha) but few reports included reliability testing for stability. When retest reliability was asserted, time intervals and correlations were frequently not included. Conclusions Planning for psychometric testing through design and reducing nonrandom error in measurement will add to the reliability and validity of instruments and increase the strength of study findings. Underreporting of va…

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“Validity is confirmed when scores on a scale are strongly correlated to a related criterion or scale at the same point in time [26].”
Herbal medicines: a cross-sectional study to evaluate the prevalence and predictors of use among Jordanian adults
El‐Dahiyat, F., Rashrash, M., Abuhamdah, S. M. A., Farha, R. K. A., & Babar, Z. (2020) · Journal of Pharmaceutical Policy and Practice · doi:10.1186/s40545-019-0200-3 · Cited by 108
Psychometric Analysis of the Heart Failure Somatic Perception Scale as a Measure of Patient Symptom Perception
Jurgens, C. Y., Lee, C. S., & Riegel, B. J. (2015) · The Journal of Cardiovascular Nursing · doi:10.1097/jcn.0000000000000320 · Cited by 90
“To support discriminant validity, correlation between 2 different constructs should be low.(26,27) The Self-care of HF Index (SCHFI) was used to quantify self-care.”
Basic competence in intensive and critical care nursing: development and psychometric testing of a competence scale.
Lakanmaa, R.-L., Suominen, T., Perttilä, J., Ritmala-Castren, M., Vahlberg, T., & Leino-Kilpi, H. (2014) · Journal of Clinical Nursing · doi:10.1111/jocn.12057 · Cited by 77
Validation of the Turkish version of the foot and ankle outcome score
Karatepe, A. G., Günaydın, R., Kaya, T., Karlıbaş, U., & Özbek, G. (2009) · Rheumatology International · doi:10.1007/s00296-009-0929-0 · Cited by 79
“7 is generally regarded as satisfactory [15].”
Public knowledge of chronic kidney disease evaluated using a validated questionnaire: a cross-sectional study
Gheewala, P. A., Peterson, G. M., Zaidi, S. T. R., Jose, M., & Castelino, R. L. (2018) · BMC Public Health · doi:10.1186/s12889-018-5301-4 · Cited by 102
Pancreatitis quality of life instrument: A psychometric evaluation
Wassef, W., DeWitt, J., McGreevy, K., Wilcox, M., Whitcomb, D., Yadav, D., Amann, S., Mishra, G., Alkaade, S., Romagnuolo, J., et al. (2016) · American Journal of Gastroenterology · doi:10.1038/ajg.2016.225 · Cited by 73
Healthcare professionals’ digital health competence and its core factors; development and psychometric testing of two instruments
Jarva, E., Oikarinen, A., Andersson, J., Tomietto, M., Kääriäinen, M., & Mikkonen, K. (2023) · International Journal of Medical Informatics · doi:10.1016/j.ijmedinf.2023.104995 · Cited by 78
Psychometric properties of the health-promoting lifestyle profile II: cross-cultural validation of the Malay language version
Kuan, G., Kueh, Y. C., Abdullah, N., & Tai, E. L. M. (2019) · BMC Public Health · doi:10.1186/s12889-019-7109-2 · Cited by 77
Social networking time use scale (SONTUS): A new instrument for measuring the time spent on the social networking sites
Olufadi, Y. (2015) · Telematics and Informatics · doi:10.1016/j.tele.2015.11.002 · Cited by 86
Physicians’ attitudes and knowledge concerning antibiotic prescription and resistance: questionnaire development and reliability
Rodrigues, A. T., Ferreira, M., Roque, F., Falcão, A. C., Ramalheira, E., Figueiras, A., & Herdeiro, M. T. (2015) · BMC Infectious Diseases · doi:10.1186/s12879-015-1332-y · Cited by 82
“Face validity, as a form of validity that refers to a subjective assessment [42], and content validity, as a measure of the comprehensiveness and representativeness of a scale’s content [19], were assessed and guaranteed by the panels of experts, the literature review [12] and a qualitative study conducted by a collab…”
Method
Validity and reliability testing of a short questionnaire developed to assess consumers’ use, understanding and perception of food labels
Mackison, D., Wrieden, W. L., & Anderson, A. S. (2009) · European Journal of Clinical Nutrition · doi:10.1038/ejcn.2009.126 · Cited by 83
Psychometric Evaluation of the Summary of Diabetes Self-Care Activities–Arabic (SDSCA-Arabic)
Aljohani, K. A., Kendall, G. E., & Snider, P. D. (2014) · Journal of Transcultural Nursing · doi:10.1177/1043659614526255 · Cited by 66
“The minimum acceptable alpha score for the internal consistency was .70 (DeVon et al., 2007).”
Background
Cross-cultural adaptation and validation of the South African Pain Catastrophizing Scale (SA-PCS) among patients with fibromyalgia
Morris, L. D., Grimmer, K. A., Louw, Q. A., & Sullivan, M. J. L. (2012) · Health and Quality of Life Outcomes · doi:10.1186/1477-7525-10-137 · Cited by 71
The use of the EQ-5D-Y health related quality of life outcome measure in children in the Western Cape, South Africa: psychometric properties, feasibility and usefulness - a longitudinal, analytical study
Scott, D., Ferguson, G. D., & Jelsma, J. M. (2017) · Health and Quality of Life Outcomes · doi:10.1186/s12955-017-0590-3 · Cited by 90
Workload scoring systems in the Intensive Care and their ability to quantify the need for nursing time: A systematic literature review
Hoogendoorn, M. E., Margadant, C. C., Brinkman, S., Haringman, J. J., Spijkstra, J. J., & de Keizer, N. F. (2019) · International Journal of Nursing Studies · doi:10.1016/j.ijnurstu.2019.103408 · Cited by 73
Psychometric properties of three single-item pain scales in patients with rheumatoid arthritis seen during routine clinical care: a comparative perspective on construct validity, reproducibility and internal responsiveness
Sendlbeck, M., Araujo, E. G., Schett, G. A., & Englbrecht, M. (2015) · RMD Open · doi:10.1136/rmdopen-2015-000140 · Cited by 65
“70 were considered reliable.(26) In patients undergoing a change in antirheumatic therapy, for example, owing to side effects or lack of efficacy, we investigated the internal responsiveness of the pain scales to changes of antirheumatic treatment by Figure 1 The visual analogue scale, the numerical rating scale and t…”
Method
Health system context and implementation of evidence-based practices—development and validation of the Context Assessment for Community Health (COACH) tool for low- and middle-income settings
Bergström, A., Skeen, S., Đức, D. M., Blandón, E. Z., Estabrooks, C. A., Gustavsson, P. J., Hoa, D. T. P., Källestål, C., Målqvist, M., Nga, N. T., et al. (2015) · Implementation Science · doi:10.1186/s13012-015-0305-2 · Cited by 77
“Following retention of items, we examined corrected total item correlation and average inter-item correlation [53, 54].”
Method
Assessing safety climate in acute hospital settings: a systematic review of the adequacy of the psychometric properties of survey measurement tools
Salem, G. A., Bowie, P., & Morrison, J. M. (2018) · BMC Health Services Research · doi:10.1186/s12913-018-3167-x · Cited by 86
“Conversely, Discriminant Validity represents the extent to which measures of different constructs show correlation with one other [78].”
BackgroundMethod
Business and innovation resources: Determinants for the survival of new technology-based firms
Löfsten, H. (2016) · Management Decision · doi:10.1108/md-04-2015-0139 · Cited by 66
Investigating the role of an enterprise architecture project in the business-IT alignment in Iran
Alaeddini, M., & Salekfard, S. (2011) · Information Systems Frontiers · doi:10.1007/s10796-011-9332-y · Cited by 66
“The reliability of a study design refers to the ability of an instrument to consistently measure an attribute (DeVon et al .”
Background
Validation of the UNESP-Botucatu pig composite acute pain scale (UPAPS)
Luna, S., de Araújo, A. L., da Nóbrega, P. I., Brondani, J., de Oliveira, F. A., Azerêdo, L. M. D. S., Telles, F. G., & Trindade, P. (2020) · PLoS ONE · doi:10.1371/journal.pone.0233552 · Cited by 65
“The dimensions and domains of the tool were determined by principal component analysis, which is normally used to relate the tool’s variables in a grouped manner [62].”
Method
Determining the validity and reliability of the Chinese version of the Kidney Disease Quality of Life Questionnaire (KDQOL-36™)
Tao, X., Chow, S. K. Y., & Wong, F. K. Y. (2014) · BMC Nephrology · doi:10.1186/1471-2369-15-115 · Cited by 67
The Communicative and Critical Health Literacy Scale – Swedish Version
Wångdahl, J. M., & Mårtensson, L. I. (2013) · Scandinavian Journal of Public Health · doi:10.1177/1403494813500592 · Cited by 66
“To make sufficient evaluations of the use of interventions, reliable and valid instruments are needed [3].”
Background
Instruments measuring interprofessional collaboration in healthcare – a scoping review
Peltonen, J., Leino‐Kilpi, H., Heikkilä, H. C., Rautava, P. T., Tuomela, K., Siekkinen, M., Sulosaari, V., & Stolt, M. (2019) · Journal of Interprofessional Care · doi:10.1080/13561820.2019.1637336 · Cited by 79
“As instrument development and testing is a lengthy process (DeVon et al., 2007), their further testing might be still under progress.”
BackgroundResult
Science Parks, talent attraction and stakeholder involvement: an international study
Cadorin, E., Klofsten, M., & Löfsten, H. (2019) · Journal of Technology Transfer · doi:10.1007/s10961-019-09753-w · Cited by 63
“700 is acceptable for a new instrument (DeVillis 1991; DeVon et al. 2007).”
Background
Measuring Pain and Efficacy of Pain Treatment in Inflammatory Arthritis: A Systematic Literature Review
Englbrecht, M., Tarner, I. H., van der Heijde, D. M. F. M., Manger, B., Bombardier, C., & Müller‐Ladner, U. (2012) · Journal of Rheumatology Supplement · doi:10.3899/jrheum.120335 · Cited by 64
Development and psychometric testing of a Clinical Reasoning Evaluation Simulation Tool (CREST) for assessing nursing students' abilities to recognize and respond to clinical deterioration
Liaw, S. Y., Rashasegaran, A., Wong, L. F., Deneen, C. C., Cooper, S., Levett-Jones, T., Goh, H. S., & Ignacio, J. (2018) · Nurse Education Today · doi:10.1016/j.nedt.2017.12.009 · Cited by 65
Psychometric Properties of the Persian Language Version of Yang Internet Addiction Questionnaire: An Explanatory Factor Analysis
Mohammadsalehi, N., Mohammadbeigi, A., Jadidi, R., Anbari, Z., Ghaderi, E., & Akbari, M. (2015) · international journal high risk behaviors & addiction · doi:10.5812/ijhrba.21560 · Cited by 58
Validation of the Social Inclusion Scale with Students
Wilson, C., & Secker, J. (2015) · Social Inclusion · doi:10.17645/si.v3i4.121 · Cited by 70
“The mean scores of the two groups should differ significantly in the expected direction if the instrument is valid (e.g. DeVon et al., 2007).”
Background
PENGUJIAN VALIDASI ISI (CONTENT VALIDITY) ANGKET PERSEPSI MAHASISWA TERHADAP PEMBELAJARAN DARING MATAKULIAH MATEMATIKA KOMPUTASI
Puspitasari, W., & Febrinita, F. (2021) · Factor M · doi:10.30762/factor_m.v4i1.3254 · Cited by 59
Quantitative and mixed analyses to identify factors that affect cervical cancer screening uptake among lesbian and bisexual women and transgender men
Johnson, M. J., Mueller, M., Eliason, M. J., Stuart, G. W., & Nemeth, L. S. (2016) · Journal of Clinical Nursing · doi:10.1111/jocn.13414 · Cited by 64
Cloud computing services adoption among higher education faculties: development of a standardized questionnaire
Asadi, Z., Abdekhoda, M., & Nadrian, H. (2019) · Education and Information Technologies · doi:10.1007/s10639-019-09932-0 · Cited by 67
Assessing patient reported outcome measures: A practical guide for gastroenterologists
Alrubaiy, L., Hutchings, H. A., & Williams, J. G. (2014) · United European Gastroenterology Journal · doi:10.1177/2050640614558345 · Cited by 65

Authors: DeVon, H. A., Block, M. E., Moyle‐Wright, P., Ernst, D. M., Hayden, S. J., Lazzara, D. J., Savoy, S. M., & Kostas‐Polston, E.
Affiliations: Purdue University Northwest (US)
Corresponding author: DeVon, Holli A.
Block, Michelle E.
Moyle‐Wright, Patricia
Ernst, Diane M.
Hayden, Susan J.
Lazzara, Deborah J.
Savoy, Suzanne M.
ORCID: DeVon, Holli A.
Venue: Journal of Nursing Scholarship
Publisher: Wiley
Published: 2007-05-23
Volume: 39
Issue: 2
Pages: 155-164
ISSN: 0363-2792 (ISSN-L)
1527-6546
1547-5069
DOI: 10.1111/j.1547-5069.2007.00161.x
OpenAlex: W2162602057
Cited by: 1,889
References: 0
Citations by year: 2026: 87 · 2025: 128 · 2024: 186 · 2023: 176 · 2022: 148 · 2021: 163 · 2020: 145 · 2019: 144 · 2018: 131 · 2017: 113 · 2016: 96 · 2015: 105 · 2014: 83 · 2013: 51 · 2012: 40
FWCI: 15.03
Type: journal article
Language: en
Open access: closed
Licence: onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations: Journal of Nursing Scholarship (publishedVersion)
PubMed (publishedVersion)
ePublications at Regis University (Regis University) (submittedVersion)
Topics: Health Sciences › Nursing › Research and Theory › Health Education and Validation
Social Sciences › Decision Sciences › Management Science and Operations Research › Psychometric Methodologies and Testing
Social Sciences › Decision Sciences › Statistics, Probability and Uncertainty › Reliability and Agreement in Measurement
Keywords: psychometric properties, reliability statistics, validity, content validity, criterion validity, construct validity, internal consistency, test-retest reliability, measurement error, nursing equipment, nursing research
MeSH terms: Data Interpretation, Statistical, Factor Analysis, Statistical, Humans, Mathematics, Periodicals as Topic, Planning Techniques, Predictive Value of Tests, Psychometrics, Research Design, Time Factors, Reproducibility of Results, Nursing Research, Bias, Discriminant Analysis, Guidelines as Topic, Peer Review, Research, Statistics, Nonparametric, Editorial Policies

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A Psychometric Toolbox for Testing Validity and Reliability

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