Pilot Results

Average Time to Complete Survey

00-data-setup.R

ds_content <- rio::import("assets/data/ds_content.rds", trust=T)

Total complete observations: \(n = 11\).

Content Validity Ratio (CVR)

The Content Validity Ratio (CVR) was developed by Lawshe (1975) to provide a quantitative measure of content validity. The CVR provides an index that represents the proportion of agreement among experts on the essentialness of an item.

Calculation: To calculate CVR, each item is rated by a panel of experts who are knowledgeable about the construct being measured. The experts rate the items on a scale such as “essential,” “useful, but not essential,” or “not necessary.”

Formula: \[CVR = \frac{n_e - \frac{N}{2}}{\frac{N}{2}}\]

Where:

  • \(n_e\) is the number of panelists indicating “essential;” and,
  • \(N\) is the total number of panelists.

CVR Guidelines⚠️

  1. A positive \(CVR\) value indicates that more than half of the experts rated the item as “essential.” The closer the \(CVR\) is to \(1\), the higher the agreement among experts that the item is essential.
  2. A \(CVR\) of \(0\) indicates that exactly half the panelists rated the item as “essential.”
  3. A negative \(CVR\) value indicates that less than half of the panelists rated the item as “essential.”

CVR Guidelines

Minimum Values of Content Validity Ratio. Reprinted from Lawshe (1975).

According to Lawshe (1975), for an item to be retained, the \(CVR\) must be significant at a certain level. The level of significance depends on the number of panelists. For example, with \(5\) panelists, the \(CVR\) must be \(0.99\) or higher to be significant at the \(0.05\) level. With \(10\) panelists, the \(CVR\) must be \(0.62\) or higher, and with \(20\) panelists, the \(CVR\) must be \(0.42\) or higher.

CVR Guidelines





A more recent proposal (Ayre & Scally, 2014).

Critical Values of Content Validity Ratio. Reprinted from Ayre & Scally (2014).

CVR

Items' CVR: First 6 rows
cvr1 cvr2 cvr3 cvr4 cvr5 cvr6 cvr7 cvr8 cvr9
1 1 1 2 1 1 1 1 2
1 1 1 1 1 1 1 1 1
1 2 1 2 1 1 1 1 2
1 1 1 2 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 2 1 1 1 1 2

CVR results

Content Validity Ratio (\(n=11\))
Item \(CVR\) Lawshe’s (1975) minimum CVR value at \(p=0.05\) achieved?
Item1 0.82 Yes
Item2 0.45 No
Item3 0.64 Yes
Item4 -0.27 No
Item5 0.82 Yes
Item6 1.00 Yes
Item7 1.00 Yes
Item8 0.64 Yes
Item9 -0.27 No

Content Validity Index (CVI)

The Content Validity Index (CVI) quantifies content validity. It’s calculated based on expert ratings of the relevance of individual items and the overall scale.

Item-level CVI (I-CVI)

This is calculated for each individual item.

I-CVI Formula: \[I-CVI = \frac{n_{r}}{N}\]

Where: - \(n_{r}\) is the number of experts who rated the item as quite or highly relevant; and,
- \(N\) is the total number of experts.

Scale-level CVI (S-CVI)

This is calculated for the entire scale or instrument.

S-CVI Formulas

There are two types of S-CVI: Average CVI (S-CVI/Ave) and Universal Agreement CVI (S-CVI/UA).

\[S-CVI/Ave = \frac{\sum_{i=1}^{k} I-CVI_i}{k}\]

\[S-CVI/UA = \frac{n_{I-CVI=1}}{k}\]

Where: - \(I-CVI_i\) is the I-CVI for item \(i\),
- \(k\) is the number of items, and,
- \(n_{I-CVI=1}\) is the number of items with an I-CVI of \(1\).

CVI Guidelines

Lynn (1986) suggests that an I-CVI of \(0.78\) or higher is acceptable for at least nine experts. While Yusoff (2019) summarizes a bit more detailed guidelines from various authors.

Number of experts Acceptable \(CVI\) values Source of recommendation
\(2\) experts \(CVI \geq.80\) Davis (1992)
\(3-5\) experts \(CVI = 1.00\) (Polit et al., 2007; Polit & Beck, 2006)
\(\geq 6\) experts \(CVI \geq .83\) (Polit et al., 2007; Polit & Beck, 2006)
\(6-8\) experts \(CVI \geq .83\) Lynn (1986)
\(\geq9\) experts \(CVI \geq .78\) Lynn (1986)

CVI

Items' CVI: First 6 rows
cvi1 cvi2 cvi3 cvi4 cvi5 cvi6 cvi7 cvi8 cvi9
4 4 4 2 4 4 4 3 2
4 4 4 4 4 4 4 4 4
4 3 4 3 4 4 4 4 2
4 4 4 3 4 4 4 4 4
4 4 4 4 4 4 4 4 4
4 3 3 3 3 4 4 3 3

CVI Calculation

cvi.R

i_cvi <- function(x) {
  n <- length(x)
  n_relevant <- sum(x >= 3)  # Count ratings 3 and 4 as relevant
  return(n_relevant / n)
}
i_cvi_values <- apply(ds_content[,cvi_items], 2, i_cvi)

# Compute S-CVI
s_cvi_ave <- mean(i_cvi_values, na.rm = TRUE)
s_cvi_ua <- sum(i_cvi_values == 1, na.rm = TRUE) / length(i_cvi_values)

CVI Results

Content Validity Index (\(n=0\))
Item \(CVI\) Lynn’s (1986) minimum CVI value achieved?
Item1 0.91 Yes
Item2 0.82 Yes
Item3 0.91 Yes
Item4 0.55 No
Item5 0.91 Yes
Item6 0.91 Yes
Item7 0.91 Yes
Item8 0.82 Yes
Item9 0.64 No

S-CVI/Ave: 0.82
S-CVI/UA: 0

References

Ayre, C., & Scally, A. J. (2014). Critical values for Lawshe’s Content Validity Ratio. Measurement and Evaluation in Counseling and Development, 47(1), 79–86. https://doi.org/10.1177/0748175613513808
Davis, L. L. (1992). Instrument review: Getting the most from a panel of experts. Applied Nursing Research, 5(4), 194–197. https://doi.org/10.1016/S0897-1897(05)80008-4
Lawshe, C. H. (1975). A quantitative approach to content validity. Personnel Psychology, 28(4), 563–575. https://doi.org/10.1111/j.1744-6570.1975.tb01393.x
Lynn, M. R. (1986). Determination and quantification of content validity. Nursing Research, 35(6), 382–386. https://doi.org/10.1097/00006199-198611000-00017
Polit, D. F., & Beck, C. T. (2006). The content validity index: Are you sure you know what’s being reported? Critique and recommendations. Research in Nursing & Health, 29(5), 489–497. https://doi.org/10.1002/nur.20147
Polit, D. F., Beck, C. T., & Owen, S. V. (2007). Is the CVI an acceptable indicator of content validity? Appraisal and recommendations. Research in Nursing & Health, 30(4), 459–467. https://doi.org/10.1002/nur.20199
Yusoff, M. S. B. (2019). ABC of content validation and content validity index calculation. Education in Medicine Journal, 11(2), 49–54. https://doi.org/10.21315/eimj2019.11.2.6