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A Psychometric Toolbox for Testing Validity and Reliability
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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“However, the reliability of an instrument is specific only to the sample which has been tested (DeVon et al., 2007) and the sample of women in this study were primarily Whites, married, and well-educated.”
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“Furthermore, retesting is controversial for mood state, which is expected to change over time (DeVon et al., 2007).”
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“The Cronbach’s alpha values (inter-item statistics) for each item that varied from .804 to .822 indicated that items conceptually correlated well with each other (DeVon et al., 2007).”
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“[12,13] To establish reliability, split-half method was adopted.”
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“Model fit evaluation aims to verify the theoretical model via parameter fitting [20].”
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“These globally recognised tools align with BEC course learning objectives, ensuring content validity through expert development and international application [27].”
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“For this reason, they were not compared with BPS [25,28,39,41], because the latter incorporated a combination of 100% of UCAPS and 37.5% of the behaviours of CPS. Comparisons with these items would lead to the overinflation of results.”
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“…in a new population requires project teams to satisfy relevant psychometric properties, including aspects of validity (i.e., content validity, face validity, construct validity, and convergent validity) and reliability (i.e., internal consistency reliability, and test–retest reliability) [23].”
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“…appears effective in measuring the intended construct [45]— and content validity—indicating the extent to which the scale captures a comprehensive representation of the domain [46]—were rigorously evaluated through expert panel reviews, thorough literature analysis, and the application of PCA.”
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“Its main role is to specify and reflect a complete range of study constructs [22].”
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“In fact, Koller et al. (2017) emphasized that content validity is still rarely mentioned in psychological journal studies and systematically analyzed even less often [68], but it receives particular a tt ention in other disciplines, such as nursing research [69].”
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“Noof SLP’sprovidingdesiredrating Total noof SLP’s = (1) In the present study, ratings of 1 and 2 were considered as the preferred ratings because they show more relevance of a particular item (DeVon et al., 2007), reports the criterion point for CVI as 0.87.”
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“39,40 It may be convergent (predicting an outcome) or divergent (discriminating between different distinct groups).”
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“It reflects the target users’ understanding of the wording of the items and options (DeVon et al., 2007; Hardesty & Bearden, 2004).”
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“Cronbach’s alpha is equivalent to the mean of all split-half estimates (Cronbach, 1951), which is another measure of reliability when there is only one test administered and it is the most frequently used to compute internal consistency reliability (DeVon et al., 2007).”
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“Criterion validity (convergent, concurrent and discriminant validity) [42] was tested by examining Pearson correlations between the subscales of the WMHSQ and criterion variables.”
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“• Target population: after content validity, the readability, feasibility, consistency, language clarity, ambiguity, relevancy, and difficulty of each item [31, 32] were evaluated on a 5-point Likert (from 1: not important at all to 5: highly important) on ten adolescent girls with PCOS.”
MethodTranslations and psychometric validation of the Korean version of the Nursing Teamwork Survey
Cho, H., Han, K., Baek, H., & Ju, J. (2023) · Research in Nursing & Health · doi:10.1002/nur.22297 · Cited by 4
Zain, N. H. M., Aziz, S. R. A., Moketar, N. A., Ishak, N. H., & Hendrayati, H. (2022) · International Journal of Power Electronics and Drive Systems/International Journal of Electrical and Computer Engineering · doi:10.11591/ijece.v12i5.pp5375-5382 · Cited by 4
Gartland, D., Riggs, E., Giallo, R., Glover, K., Stowe, M., Mongta, S., Weetra, D., & Brown, S. (2022) · BMJ Open · doi:10.1136/bmjopen-2021-060229 · Cited by 3
Global Competence in Canadian Teacher Candidates
Sokal, L., & Parmigiani, D. (2022) · Frontiers in Education · doi:10.3389/feduc.2022.939232 · Cited by 4
Silva, F. S. L., Furlanetto, K. C., Neves, L. M. T., Cipriano, G. F. B., Accioly, M. F., Júnior, A. B. V., Alves, T. B., Moraes, W. R. A., de Lima, A. C. G. B., Ribeiro, K. B., et al. (2022) · Sleep And Breathing · doi:10.1007/s11325-022-02661-8 · Cited by 4
“For this analysis, a sample of at least 50 participants was required [35, 36].”
MethodYoshida, S., Sato, F., Tagami, K., Sasaki, R., Takahashi, C., Sasaki, K., & Takahashi, S. I. (2022) · BMC Palliative Care · doi:10.1186/s12904-022-00987-4 · Cited by 4
Abunada, T., Abdallah, A. M., Singh, R., & Abu-Madi, M. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph19116651 · Cited by 4
“The expectation was that there would be no substantial difference between the two outcomes [17].”
BackgroundLinnavuori, E., Leino‐Kilpi, H., & Stolt, M. (2022) · Journal of Neuroscience Nursing · doi:10.1097/jnn.0000000000000653 · Cited by 5
Adaptation of Parental Self-Efficacy Scale for Child Autonomy Toward Minor Surgery to Turkish
Semerci, R., Ünver, S., Topçu, S. Y., Turan, F. N., Kostak, M. A., & Fındık, Ü. Y. (2022) · Journal of PeriAnesthesia Nursing · doi:10.1016/j.jopan.2021.06.098 · Cited by 5
Poel, E. V., Bussche, P. V., Klemenc–Ketiš, Z., & Willems, S. J. T. (2022) · BMC Family Practice · doi:10.1186/s12875-021-01587-6 · Cited by 95
Ibrahim, I. S., Baharudin, N., Isa, M. R., Ismail, I. H., Mohamed-Yassin, M.-S., Kamarudin, I. K., Latiff, A. H. A., Zahedi, F. D., Ali, A., & Arshad, A. I. (2021) · Children · doi:10.3390/children8111050 · Cited by 4
“Other studies also demonstrated similar findings, with an ICC of >0.6 [22–25].”
InfluentialGarcía-Salvador, I., Chisbert-Alapont, E., Campos, A. A., Mohedo, J. C., Navarro, C. H., Peris, S. F., López, J. B., & Escuín, M. L. D. L. R. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph182010995 · Cited by 4
“Some authors set different criteria that varies between five and 10 participants per item or a minimum of 300 [51], while others only consider that a minimum of 300 is needed in order to obtain reliable results [52,53], or that at least five individuals per item are counted on [54,55].”
BackgroundTolonen, I., Saarinen, A. I. L., Keltikangas‐Järvinen, L., Siira, V., Kähönen, M. A. P., & Hintsanen, M. (2021) · Frontiers in Psychology · doi:10.3389/fpsyg.2021.730188 · Cited by 8
Development and validation of a constipation treatment toolkit for patients on hemodialysis
Ng, P., Lei, K., Teng, L., Thomas, A., & Battistella, M. (2021) · Hemodialysis International · doi:10.1111/hdi.12980 · Cited by 5
Landini, F., Beramendi, M., & Rojas-Andrade, R. (2021) · Journal of Rural Studies · doi:10.1016/j.jrurstud.2021.07.012 · Cited by 4
Development and validation of knowledge of caring for COVID‐19 tool
Barwani, S. A., Almaskari, M. A., Alalawi, S. S. M., Maskari, T. S. A., & Alshidi, A. S. (2021) · Nursing Open · doi:10.1002/nop2.931 · Cited by 4
“The second step was to draft an item pool that meets the definition of the construct of interest (DeVon et al., 2007).”
BackgroundSantiago-Reynoso, G. M., Alvarado-Luna, A. E., Fernández-Matías, R., Pecos‐Martín, D., & Gallego‐Izquierdo, T. (2021) · European Spine Journal · doi:10.1007/s00586-021-06835-y · Cited by 4
“80 represents good internal consistency [12, 15].”
Ramezanian, T., Mohammadipour, F., Mohammadi, R., & Kordestani-Moghadam, P. (2021) · Nursing Open · doi:10.1002/nop2.782 · Cited by 6
“× Importance), quantitative face validity was calculated (DeVon et al., 2007) after the scale was completed by the nurses.”
MethodInfluentialThe psychometric properties of a tool to assess brief behaviour change counselling in South Africa
Fouche, J., Mash, R. J., & Malan, Z. (2020) · African Journal of Primary Health Care & Family Medicine · doi:10.4102/phcfm.v12i1.2540 · Cited by 6
Entrepreneurial Intention Model: Empirical Results with Management Students in Serbia
Tošović, M. N., & Jovanović, V. (2020) · Management · doi:10.7595/management.fon.2020.0023 · Cited by 4
“Discriminant Validity is the level to which measures of different constructs show correlation with one another (DeVon et al., 2007).”
BackgroundLee, S. (2020) · CIN Computers Informatics Nursing · doi:10.1097/cin.0000000000000693 · Cited by 6
“90.(34,41) Table 4 and Supplemental Digital Content 1, Table 7 (see Supplemental Digital Content 1, http://links.”
BackgroundMethodConsiderations in Questionnaire Development: A Review
Mahapatra, I., Nagarajappa, R., Satyarup, D., & Mohanty, S. (2020) · Indian Journal of Forensic Medicine & Toxicology · doi:10.37506/ijfmt.v14i4.13054 · Cited by 4
Are We Maximizing the Role of Caregivers’ Support Networks in Early Intervention?
Edwards, N. M. (2019) · Journal of Early Intervention · doi:10.1177/1053815119873087 · Cited by 4
Chen, L., Ding, X., & Yu, H. X. (2019) · Journal of the Textile Institute · doi:10.1080/00405000.2019.1684861 · Cited by 2
“This suggests that the items have good internal consistency reliability (DeVon et al., 2007).”
BackgroundMcCloskey ve Mueller’in İş Doyum Ölçeği’nin Türkçeye Uyarlanması: Geçerlik ve Güvenirlik Çalışması
Bayrakçi, G., & Türkmen, E. (2020) · doi:10.46483/deuhfed.638306 · Cited by 4
Santos, V. D. D., de Carvalho, R. D., & de Carvalho, P. V. D. (2020) · Work · doi:10.3233/wor-203201 · Cited by 4
Qualitative Validation of the Nursing Home IT Maturity Staging Model.
Powell, K., & Alexander, G. (2020) · Journal of Gerontological Nursing · doi:10.3928/00989134-20200605-08 · Cited by 4
“Validity is a fundamental psychometric property, ensuring the instrument measures what it is intends to measure (DeVon et al., 2007).”
BackgroundRaña-Rocha, R., López-de-Ullibarri, I., Movilla-Fernández, M., & Carvajal, C. C. (2020) · Revista Latino-Americana de Enfermagem · doi:10.1590/1518-8345.3255.3250 · Cited by 4
“The development of the study consisted of three phases(20-21) (Figure 1).”
MethodAssessing psychometric properties of Turkish version of the stressor scale for emergency nurses
Hançerlioğlu, S., Konakçı, G., & Aykar, F. S. (2020) · Turkish Journal of Emergency Medicine · doi:10.4103/2452-2473.285012 · Cited by 4
“80 indicate that the excellent degree.[24] In the original study by Yuwanich et al.”
BackgroundGedamu, A., & Shewangizaw, G. L. (2020) · Australian Journal of Teacher Education · doi:10.7176/rhss/10-7-03 · Cited by 4
“Items or scale with marginal alpha values could be retained if deemed important (DeVon et al., 2007).”
Metadata
- 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
- 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
- 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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