Table 3.
Content validity and clarity of the tool
| SCNS-SF34 | Validity (%) | Clarity% | ||
|---|---|---|---|---|
| Domains & Items | Semantic | Cultural | Conceptual | |
| Physical daily living | ||||
| 1. Pain | 0.93 (93) | 0.95 (95) | 0.92 (92.5) | 95 |
| 2. Lack of energy/tiredness | 0.93 (93) | 0.95 (95) | 0.94 (94.5) | 95 |
| 3. Feeling unwell a lot of the time | 0.89 (89.5) | 0.92(92.5) | 0.91 (91) | 95 |
| 4. Work around the home | 0.89 (89) | 0.92 (92.5) | 0.90 (90.5) | 86 |
| 5. Not being able to carry on the regular tasks, which you used to do | 0.87 (87.5) | 0.9 (90) | 0.90 (90) | 91 |
| Total | 0.90 (90.4) | 0.93 (93) | 0.91 (91.7) | 92.4 |
| Psychological | ||||
| 6. Anxiety | 0.89 (89) | 0.92 (92.5) | 0.91 (91) | 93.3 |
| 7. Feeling depressed | 0.92 (92) | 0.95 (95) | 0.93 (93.5) | 95 |
| 8. Feeling sad | 0.87 (87) | 0.9 (90) | 0.89 (89.5) | 93.3 |
| 9. Fear of spreading the cancer | 0.87 (87) | 0.9 (90) | 0.88 (88.5) | 91.6 |
| 10. The tension that health condition will be beyond control after the treatment | 0.84 (84) | 0.87 (87.5) | 0.88 (88) | 81.6 |
| 11. Uncertainty about future | 0.87 (87.4) | 0.9 (90) | 0.89 (89) | 90 |
| 12. The feeling of being yourself under control of the situation | 0.84 (84) | 0.87 (87.5) | 0.86 (86.5) | 83.3 |
| 13. Maintaining positive thinking | 0.85 (85) | 0.87(87.5) | 0.86 (86.5) | 93.3 |
| 14. Feeling the tension of death and dying | 0.84 (84) | 0.87(87.5) | 0.86 (86) | 88.3 |
| Total | 0.86 (86.6) | 0.89 (89.7) | 0.88 (88.7) | 0.89 (89.9) |
| Sexuality | ||||
| 15. Change in sexual experiences | 0.86 (86.4) | 0.90 (90) | 0.89 (89.5) | 90 |
| 16. Change in your sexual relation | 0.91 (91) | 0.94 (94.4) | 0.93 (93) | 91.07 |
| 31. Providing information about sexual relation | 0.90 (90.5) | 0.92 (92.5) | 0.91 (91) | 91.6 |
| Total | 0.89 (89.3) | 0.92 (92.3) | 0.91 (91.1) | 0.90 (90.8) |
| Patient care comfort | ||||
| 17. Worry about your loved one | 0.93 (93) | 0.95 (95) | 0.92 (92) | 96.6 |
| 18. Many alternatives about choosing doctors/experts of cancer for treatment | 0.94 (94) | 0.97 (97.5) | 0.95 (95) | 98.3 |
| 19. Many alternatives about choosing the hospital for treatment | 0.91 (91) | 0.95(95) | 0.88 (88) | 95 |
| 20. Assurance from health worker that whatever you are experiencing /thinking is normal | 0.92 (92.2) | 0.95(95) | 0.93 (93) | 91.6 |
| 21. Hospital staff attending promptly to your physical problems/needs. | 0.93 (93) | 0.97(97.2) | 0.95 (95) | 92.8 |
| 22. Awareness and sensitivity of hospital staff to your feelings and emotional aspects and needs | 0.88 (88) | 0.92(92.5) | 0.90 (90) | 88.3 |
| Total | 0.91 (91.8) | 0.95 (95.3) | 0.92 (92.1) | 93.7 |
| Health system information | ||||
| 23. Giving information about the important aspect of your treatment and care in written form | 0.87 (87.5) | 0.92(92.5) | 0.90 (90) | 96.6 |
| 24. Giving written information, diagrams and other clear information regarding ideas to manage the disease, its symptoms and side effects at home. | 0.91 (91) | 0.92(92.5) | 0.90 (90) | 93.3 |
| 25. Sharing the treatment and investigation reports with you, which you were interested to know | 0.88 (88) | 0.9(90) | 0.88 (88) | 95 |
| 26. Giving adequate information about the treatment that you choose, its side effects before starting the treatment | 0.87 (87) | 0.9(90) | 0.87 (87) | 91.6 |
| 27. Sharing the reports of your tests/investigation with you soon as far as time allows | 0.90 (90) | 0.9(90) | 0.88 (88) | 88.3 |
| 28. Giving information about the status of cancer, its minimization or control | 0.87 (87.5) | 0.9(90) | 0.89 (89) | 90 |
| 29. Giving information about the things that you can do yourself to improve your health | 0.89 (89) | 0.92 (92.5) | 0.89 (89) | 90 |
| 30. Availability of professional counseling (like a psychologist, social worker, nurse specialist) to you or your family or your friends and relatives whenever needed | 0.88 (88) | 0.9(90) | 0.87 (87) | 86.6 |
| 32. Being treated humanely and generously not only as a patient | 0.86 (86) | 0.87(87.5) | 0.86 (86) | 86.6 |
| 33. Friendly structure/ environment in a hospital or clinic as far as possible | 0.92 (92) | 0.95(95) | 0.93 (93) | 88.3 |
| 34. Easy availability of one staff from hospital with whom you can talk about your condition, treatment and follow up | 0.90 (90) | 0.92(92.5) | 0.91 (91) | 88.3 |
| Total | 0.88 (88.7) | 0.91 (91.1) | 0.88 (88.9) | 90.4 |
| Scale Content Validity Index (S-CVI) | 0.89 (89.01) | 0.91 (91.88) | 0.90 (90.04) | Average Clarity 91.29 |
I-CVI and S-CVI were assessed. I-CVI more than 0.7 and S-CVA more than 0.8 was accepted. Item wise clarity of questionnaire more than 80% was accepted