Validation of the RAISE (Readiness Assessment of Independence for Specialty Encounters) Tool: Provider-Based Transition Evaluation

Published:April 09, 2021DOI:


      • Providers benefit from developmental guidelines to educate on skill mastery.
      • Expert raters established content validity of skill assessment tool for providers.
      • Findings suggest tool items are relevant, clear, and developmentally-appropriate.
      • Psychosocial domains rated as highly relevant and clear, provide important context.



      The aim of this study was to establish content validity of a developmentally based assessment tool of readiness for medical independence for specialty providers.

      Design and methods

      The validation process used expert panel evaluation to assess the items believed to measure the desired content in the nine age-based scales within the RAISE (Readiness Assessment of Independence for Specialty Encounters) tool. Experts in child development and transition rated items on relevance, clarity and developmental appropriateness via electronic survey. Statistical analyses included calculation of interrater agreement (IRA), content validity indices (CVIs), and factorial validity indices (FVI).


      A total of 135 items were rated by 36 experts. Mean I-CVIs for 123 items across nine developmental scales met criteria for retention, ranging from 0.76 (threshold) to 1.00 (excellent). Mean I-CVIs for all 25 items across the five psychosocial stressor scales met criteria for retention, ranging from 0.92 to 1.00 (excellent).


      Findings from the current content validation study suggest that items on the revised RAISE tool are relevant, clear, and developmentally-appropriate as rated by experts in the fields of child development and transition. The tool, consisting of age based scales (ages birth-2, 3–4, 5–6, 7–8, 9–11, 12–13, 14–15, 16–17, 18–21), is shown to have content validity of the retained items meeting criteria.

      Practice implications

      With content validity of the RAISE tool established by experts, this developmentally based assessment tool can be integrated into practice to assist providers in educating patients around skills of medical independence which could improve transition outcomes.


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