Martín-Dorta Willian-Jesús, Brito-Brito Pedro-Ruymán, García-Hernández Alfonso-Miguel
Primary Care Management of Tenerife, The Canary Islands Health Service, 38003 Santa Cruz de Tenerife, Spain.
Training and Research in Care, Primary Care Management of Tenerife, The Canary Islands Health Service, 38204 Santa Cruz de Tenerife, Spain.
Healthcare (Basel). 2021 Oct 28;9(11):1459. doi: 10.3390/healthcare9111459.
This study presents the development and content validation of an instrument assessing the ability to communicate among individuals with aphasia. The study consists of three stages: (i) Selection and definition of the component dimensions and areas, construction of items assessing these dimensions, administration instructions, and qualitative criteria for assigning diagnoses; (ii) Face validity and content validity; (iii) Pilot test. The tentative questionnaire was designed using two defining characteristics of the NANDA-I ("Impaired verbal communication" and "Readiness for enhanced communication") and the NOC outcome indicators "Communication", "Communication: Expressive", "Communication: Receptive", and "Information Processing". The areas and items reached initial content validity index (CVI) and representativeness index (RI) values of 0.87 and above. Those that did not reach the expected values were modified after expert review. The resulting questionnaire was pilot-tested for feasibility and administration times. An instrument containing five dimensions, fourteen areas, and 43 items was obtained and administered in 15 (12-31) minutes. A panel of experts evaluated the final questionnaire (CEECCA), awarding its areas and items CVI and RI values of 0.90 and above. In the absence of further psychometric studies, the questionnaire appears to be useful for assessing ability to communicate in individuals with aphasia.
本研究介绍了一种评估失语症患者沟通能力的工具的开发及内容效度验证。该研究包括三个阶段：（i）组成维度和领域的选择与定义、评估这些维度的项目构建、施测说明以及诊断赋值的定性标准；（ii）表面效度和内容效度；（iii）预试验。初步问卷是利用北美护理诊断协会（NANDA - I）的两个定义特征（“言语沟通受损”和“沟通增强的准备度”）以及护理结局分类（NOC）的结局指标“沟通”、“沟通：表达性”、“沟通：接受性”和“信息处理”设计的。各领域和项目的初始内容效度指数（CVI）和代表性指数（RI）值均达到0.87及以上。未达到预期值的经专家评审后进行修改。对最终问卷进行预试验以评估其可行性和施测时间。最终得到了一个包含五个维度、十四个领域和43个条目的工具，施测时间为15（12 - 31）分钟。一组专家对最终问卷（CEECCA）进行了评估，其各领域和项目的CVI和RI值均达到0.90及以上。在没有进一步心理测量学研究的情况下，该问卷似乎可用于评估失语症患者的沟通能力。
