Highlights
- •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.
Abstract
Purpose
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).
Results
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).
Conclusions
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.
Keywords
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References
- SPN position statement: Transition of pediatric patients into adult care.Journal of Pediatric Nursing. 2017; 35: 160-164
- Piloting a structured developmental tool to assess transition readiness for youth with special health-care needs: A mixed-methods exploration of health-care provider experiences.Journal of Child Health Care. 2020; 24: 92-105
- Developing criteria for establishing interrater reliability of specific items: Applications to assessment of adaptive behavior.American Journal of Mental Deficiency. 1981; 86: 127-137
- Self-management and transition readiness assessment: Concurrent, predictive and discriminant validation of the STARx questionnaire.Journal of Pediatric Nursing. 2015; 30: 668-676
- Supporting the healthcare transition from adolescence to adulthood in the medical home.Pediatrics. 2011; 128: 182-200
- Instrument review: Getting the most from a panel of experts.Applied Nursing Research. 1992; 5: 194-197
- Lack of preparedness for pediatric to adult-oriented health care transition in hospitalized adolescents and young adults.Academic Pediatrics. 2018; 18: 102-110
- Self-management and transition readiness assessment: Development, reliability, and factor structure of the STARx questionnaire.Journal of Pediatric Nursing. 2015; 30: 691-699
- Statistical methods for rates and proportions.2nd ed. Wiley, New York, NY1981
- Using the Delphi technique to examine the content validity of nursing diagnoses.Nursing Diagnosis. 1992; 3: 12-22
- Bright futures pocket guide.4th ed. American Academy of Pediatrics, Elk Grove Village, IL2017
- Evaluation of the TRxANSITION index-parent version for assessment of readiness to transition to adult care among youth with chronic conditions.Pediatric Nursing. 2020; 2: 1-8
- IBM SPSS statistics for windows, Version 25.0..IBM Corp, Armonk, NY2017
- Supporting development of children with chronic conditions: From compliance toward shared management.Pediatric Nursing. 2000; 26: 354-363
- Transition planning among us youth with and without special health care needs.Pediatrics. 2018; 142
- Determination and quantification of content validity.Nursing Research. 1986; 35: 382-385
- The epidemiology of transition into adulthood of rare diseases patients: Results from a population-based registry.International Journal of Environmental Research and Public Health. 2018; 15
- NAPNAP releases new position statement supporting the transition from pediatric to adult-focused health care.
- Transition of pediatric patients to adult care: An analysis of provider perceptions across discipline and role.Pediatric Nursing. 2014; 40 (142): 113-120
- Is the CVI an acceptable indicator of content validity? Appraisal and recommendations.Research in Nursing & Health. 2007; 30: 459-467
- Objectifying content validity: Conducting a content validity study in social work research.Social Work Research. 2003; 27: 94-104
- Measuring the transition readiness of youth with special healthcare needs: Validation of the TRAQ--transition readiness assessment questionnaire.Journal of Pediatric Psychology. 2011; 36: 160-171
- Analysis of self-management and transition readiness instruments for clinical practice.in: Betz C. Coyne I. Transition from pediatric to adult healthcare Services for Adolescents and Young Adults with long-term conditions. Springer, Cham2020
- Measures of readiness to transition to adult health care for youth with chronic physical health conditions: A systematic review and recommendations for measurement testing and development.Journal of Pediatric Psychology. 2014; 39: 588-601
- Transition care: Future directions in education, health policy, and outcomes research.Academic Pediatrics. 2014; 14: 120-127
- A systematic review of transition readiness and transfer satisfaction measures for adolescents with chronic illness.International Journal of Adolescent Medicine and Health. 2014; 26: 159-174
- Late consequences of chronic pediatric illness.The Psychiatric Clinics of North America. 2007; 30: 819-835
- Measurement in nursing and health research.3rd ed. Springer Publishing Company, New York, NY2005
- Supporting the health care transition from adolescence to adulthood in the medical home.Pediatrics. 2018; 142
Article info
Publication history
Published online: April 09, 2021
Accepted:
March 22,
2021
Received in revised form:
March 22,
2021
Received:
December 14,
2020
Identification
Copyright
© 2021 Published by Elsevier Inc.