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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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“Questions were derived from the two previous studies on the topic (Wilson et al. 2010(Wilson et al. , 2013)), thus contributing to both content and face validity (DeVon et al. 2007).”
From Understanding skill acquisition among registered nurses: the ‘perpetual novice’ phenomenon (2015) · cites this paper as DeVon et al. 2007
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“If an instrument was originally developed with a population that was vastly different from the proposed study population (e.g., adult, middle class women) pilot studies are necessary to establish preliminary reliability and validity of the instrument before use in a larger study (DeVon et al. 2007).”
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“According to the recommendations (DeVon et al., 2007; Nunnally & Bernstein, 1994), a Chronbach ’ s alpha between 0.7 – 0.9 is considered to reflect good internal consistency of an assessment tool.”
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“Each domain score in the form of index variable at pre- and postlevel was also calculated using intraclass correlation [22].”
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“Two weeks to one month is the generally accepted time for retesting (DeVon et al., 2007).”
BackgroundMeasurement error and reliability testing: Application to rehabilitation
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“…variables to provide an interpretive framework for data on the relationships among observable variables such as malnutrition; these analyses would offer insight into the convergent and criterion validity of the scale, which fall under the broad heading of construct validity (DeVon et al. 2007).”
BackgroundMethodTeachers’ professional identity: validation of an assessment instrument for preservice teachers
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Online Buyers and Open Innovation: Security, Experience, and Satisfaction
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“Through the content validity index, the group of experts evaluated each of the items of the different dimensions on a scale from 1 to 5, where 1 indicated not very relevant and 5 indicated very relevant [101].”
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“Cronbach’s alpha is a commonly used statistic in psychometric research perhaps due to its ease of calculation as it can be computed with a one-time administration [156].”
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Measuring the Quality of End-of-Life Care
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“80, a value that exceeds standards used to support scale development.(43,44) In addition to the models where parameters were freely estimated (designated as ‘‘Model 1’’ for each sample), we evaluated models based on the same indicators as the corresponding Model 1, but with factor loadings constrained to 1.”
MethodUse of the Worklife and Levels of Burnout Surveys to Assess the School Nurse Work Environment
Jameson, B. E., & Bowen, F. (2018) · The Journal of School Nursing · doi:10.1177/1059840518813697 · Cited by 38
“In this study sample, coefficient as for the MBI-HSS and AWS subscales ranged from .71 to .92, more than the established threshold of .70 (DeVon et al., 2007).”
MethodAlaeddini, M., Asgari, H., Gharibi, A., & Rashidirad, M. (2016) · Information Technology and Management · doi:10.1007/s10799-016-0256-6 · Cited by 34
“Criterion validity refers to the evidence of a relationship among the attributes in a measurement tool with its performance on some other variables [113] and refers to this question, ‘How much were attributes in the tool related to the performance on criteria?’”
BackgroundMethodTowards Sustainable Knowledge Sharing Practices: An Analysis of Organizational Level Enablers
Cormican, K. T., Chen, M., Sampaio, S. C. D. B., & Wu, Q. (2021) · Sustainability · doi:10.3390/su132312934 · Cited by 39
Denu, Z. A., Yassin, M. O., Bisetegn, T. A., Biks, G. A., & Gelaye, K. A. (2021) · BMC Psychology · doi:10.1186/s40359-020-00492-4 · Cited by 39
Validity and Reliability of the Flourishing Scale in a Sample of Older Adults in Iran
Ramandi, Z. F., Soleimani, M. A., Allen, K., Görgülü, Ö., & Motalebi, S. A. (2020) · Clinical Interventions in Aging · doi:10.2147/cia.s251067 · Cited by 39
Faccio, F., Gandini, S., Renzi, C., Fioretti, C., Crico, C., & Pravettoni, G. (2019) · BMJ Open · doi:10.1136/bmjopen-2018-024670 · Cited by 41
Dion, J., Paquette, L., Daigneault, I., Godbout, N., & Hébert, M. (2017) · Mindfulness · doi:10.1007/s12671-017-0807-x · Cited by 44
“The contrasted groups approach was used (i.e., comparing child sexual abuse victims to non-victims) as another way of measuring construct validity (DeVon et al. 2007).”
MethodStigma Scale for Receiving Psychological Help (SSRPH)
Pinto, M. D., Hickman, R. L., & Thomas, T. L. (2014) · Western Journal of Nursing Research · doi:10.1177/0193945914543954 · Cited by 31
“To support concurrent validity, the correlation between the SSRPH and modified r-AQ was expected to be positive and ≥.45 (DeVon et al., 2007).”
MethodPreparedness for students and staff with anaphylaxis.
Morris, P., Baker, D., Belot, C., & Edwards, A. (2011) · Journal of School Health · doi:10.1111/j.1746-1561.2011.00616.x · Cited by 36
Adapting the Individualized Care Scale for cross-cultural comparison.
Suhonen, R., Berg, A., Idvall, E., Kalafati, M., Katajisto, J., Land, L., Lemonidou, C., Schmidt, L., Välimäki, M., & Leino-Kilpi, H. (2010) · Scandinavian Journal of Caring Sciences · doi:10.1111/j.1471-6712.2009.00712.x · Cited by 36
Parmigiani, D., Nicchia, E., Murgia, E., & Ingersoll, M. (2024) · Frontiers in Education · doi:10.3389/feduc.2024.1366215 · Cited by 80
Exploring the best policy scenario plan for the dairy supply chain: a DEMATEL approach
Susanty, A., Puspitasari, N., Prastawa, H., & Renaldi, S. (2020) · doi:10.1108/jm2-08-2019-0185 · Cited by 35
Ryder, C., Mackean, T., Ullah, S., Burton, H., Halls, H., McDermott, D., & Edmondson, W. (2019) · The Australian Journal of Indigenous Education · doi:10.1017/jie.2017.37 · Cited by 35
“A three-point Likert scale similar to Lawshe’s was utilised for content experts to report on each question (DeVon et al., 2009).”
MethodHadie, S. N. H., Hassan, A., Ismail, Z. I. M., Asari, M. A., Khan, A. A., Kasim, F., Yusof, N. A. M., Sulong, H. A. M., Muda, T. F. M. T., Arifin, W. N., et al. (2017) · Anatomical Sciences Education · doi:10.1002/ase.1683 · Cited by 42
“By measuring the clarity of language used in the inventory, any conflicting perceptions between developers and users concerning the items’ structure were eliminated (DeVon et al., 2007).”
MethodManagement of Central Venous Access Device-Associated Skin Impairment
Broadhurst, D., Moureau, N., & Ullman, A. J. (2017) · Journal of Wound Ostomy and Continence Nursing · doi:10.1097/won.0000000000000322 · Cited by 76
Validity and reliability assessment of the Brazilian version of the game addiction scale (GAS)
Lemos, I. L., Cardoso, A., & Sougey, É. B. (2016) · Comprehensive Psychiatry · doi:10.1016/j.comppsych.2016.01.014 · Cited by 31
“The test–retest reliability was estimated by administering the survey to the same population on two separate occasions, assuming no substantial changes in the construct between the two assessments [23,24].”
MethodMarar, S. D., Hamza, M. A., Ayyash, M., & Abu-Shaheen, A. K. (2023) · Heliyon · doi:10.1016/j.heliyon.2023.e22270 · Cited by 45
“The S-CVI is the average I-CVI, calculated by summing I-CVIs and dividing it by the number of items in each scale [27,28,30].”
Pinho, R. H., Luna, S. P. L., Trindade, P. H. E., Justo, A. A., Cima, D. S., Fonseca, M. W., Minto, B. W., Rocha, F. D. L., Miller, A. L., Flecknell, P. A., et al. (2022) · PLoS ONE · doi:10.1371/journal.pone.0268973 · Cited by 44
Yuly, S.-C., Sañudo, J. P., Caballero-Domínguez, C. C., & Pineda-Roa, C. A. (2019) · doi:10.14349/rlp.2019.v51.n3.1 · Cited by 34
“La validez discriminante permite establecer la relación entre las puntuaciones del test y variables externas (Oren, Kennet, Turvall, & Allalouf, 2014), para demostrar que la prueba diferencia entre subgrupos de participantes (Devon et al., 2007).”
BackgroundDevelopment and Testing of the Nurse Manager EBP Competency Scale
Shuman, C. J., Ploutz-Snyder, R. J., & Titler, M. G. (2017) · Western Journal of Nursing Research · doi:10.1177/0193945917728249 · Cited by 40
“Construct validity is concerned with the degree to which an instrument accurately measures a theoretical construct (DeVon et al., 2007).”
BackgroundShamloo, Z. S., Hashemian, S., Khoshsima, H., Shahverdi, A., Khodadost, M., & Gharavi, M. (2017) · Iranian Journal of Psychiatry and Behavioral Sciences · doi:10.5812/ijpbs.8168 · Cited by 34
“CVI was calculated by determining the mean CVR for all the remaining items (21).”
MethodTranslation and validation of the Dutch version of the Fear of Cancer Recurrence Inventory (FCRI-NL)
van Helmondt, S. J., van der Lee, M. L., & de Vries, J. (2017) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2017.09.001 · Cited by 31
Ramos, T. D., de Brito, M. J. A., Piccolo, M. S., Rosella, M. F. N. D. S. M., Neto, M. S., & Ferreira, L. M. (2016) · Sao Paulo Medical Journal · doi:10.1590/1516-3180.2016.0068160416 · Cited by 38
“30,33 Our hypothesis was that preoccupation with physical”
BackgroundMethodInfluentialFidelity of Intervention Implementation: A Review of Instruments
Ibrahim, S., & Sidani, S. (2015) · Health · doi:10.4236/health.2015.712183 · Cited by 38
“Reliability demonstrated the ability of an instrument to yield consistent and reproducible results [18] [19].”
Mental health self-management questionnaire: Development and psychometric properties
Coulombe, S., Radziszewski, S., Trépanier, S., Provencher, H. L., Roberge, P., Hudon, C., Meunier, S., Provencher, M. D., & Houle, J. (2015) · Journal of Affective Disorders · doi:10.1016/j.jad.2015.04.007 · Cited by 35
An Integrative Review of Self-efficacy Measurement Instruments in Youth With Type 1 Diabetes
Rasbach, L. E., Jenkins, C. M., & Laffel, L. M. (2014) · The Science of Diabetes Self-Management and Care · doi:10.1177/0145721714550254 · Cited by 35
“Most instruments measuring self-efficacy demonstrated internal consistency, a form of equivalence reliability, indicating the items within the instrument conceptually fit with one another.(65) However, it is important to consider that the internal consistency may vary based on the number of response options used in th…”
BackgroundMethodInfluentialCadorin, L., Suter, N., Saiani, L., Williamson, S. N., & Palese, A. (2011) · doi:10.1177/1744987110379790 · Cited by 33
“The time considered adequate between the first and second survey was at least two weeks (Fain, 2004; LoBiondo-Wood and Haber, 2004; De Von et al., 2007).”
Background
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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