Content validity of the Chinese version of the PRAP scale: a convergent parallel mixed-methods study.

Authors

Yulin Zhang, Yingwen Wang, Weijia Fu, Beibei Wang, Yanhong Zhang, Qiongfang Kang, Xiaobo Zhang, Ying Gu

Published in

Frontiers in health services. Volume 6. Pages 1935953. Epub Sep 28, 2026.

Abstract

This study aimed to evaluate the content validity of the Chinese-language version of the PRAP scale from comprehensive perspectives within the COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) framework.
We evaluated the content validity of the Chinese PRAP scale using COSMIN methodology in a convergent parallel mixed-methods design (August 2022-November 2023) at a tertiary children's hospital in Shanghai, with 57 content validity raters including nurses, social workers, and family caregivers. Quantitative (I-CVI, S-CVI/Ave) and qualitative data from semi-structured interviews were integrated.
The scale showed strong overall content validity based on the quantitative ratings (S-CVI/Ave = 0.92). Item 5 ("Parent/caregiver stress") showed the lowest relevance rating (I-CVI = 0.79). Qualitative feedback identified ambiguous phrasing in Items 4 and 5 and inconsistent interpretation of professional terminology.
Despite uncertainties in comprehensibility identified by qualitative insights, the findings provide evidence supporting the content validity of the Chinese PRAP scale, while acknowledging that further psychometric evaluation is required.

PMID:
42865538
Bibliographic data and abstract were imported from PubMed on 13 Oct 2026.

Read full publication at:
Please sign in to see all details.

Stats

1-terrible, 9-excellent. How would you rate this publication? Sign in in to submit your rating.

Post a comment

You need to be signed in to post comments. You can sign in here.

Comments

There are no comments yet.