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. 2024 May 14;11:1382903. doi: 10.3389/fmed.2024.1382903

Table 1.

Content validity on four domains of TPB using PROPER undergraduate medical resources.

Relevance Clarity
TPB domains N I-CVI K* N I-CVI K*
Attitudes
Participants’ positive and negative evaluations on confidentiality can be cognitive or affective (experience) components
  • Belief in the impacts of behavior

  • Evaluation of impacts of behavior

Overall, I think maintaining patient confidentiality is worthless—worthwhile 10 1.0 0.99 10 1.0 0.99
Overall, I think maintaining patient confidentiality is unrealistic—realistic 10 1.0 0.99 9 0.9 0.88
Overall, I think maintaining patient confidentiality is unclear—clear 9 0.9 0.88 7 0.7 0.46
Overall, I think maintaining patient confidentiality is wrong thing to do—right thing to do 10 1.0 0.99 10 1.0 0.99
Overall, I think maintaining patient confidentiality is bad practice—best practice 10 1.0 0.99 10 1.0 0.99
I am more likely to speak to colleagues on confidentiality than PROPER confidentiality guidance resources for UG students 10 1.0 0.99 7 0.7 0.46
I am more likely to consult PROPER confidentiality guidance resources for UG students than institutional confidentiality guidance in practice 10 1.0 0.99 7 0.7 0.46
Subjective norms
Participants feel that others with significant influence support or maintain their confidentiality practices
  • Belief in others’ opinions

  • Motivation to comply with others’ opinions

People who are important to me think I should maintain the confidentiality of my patients 10 1.0 0.99 9 0.9 0.88
It is expected of me to maintain the confidentiality of my patients 10 1.0 0.99 9 0.9 0.88
Please indicate how much pressure you feel from each of the following organizations or people to use the PROPER confidentiality guidance resources for UG students
  • My college/institution

  • Myself/My trust

  • Medical Council

  • Personal tutor/supervisor

  • Peers

  • Teachers

  • Patients

  • Society

  • The media

10 1.0 0.99 8 0.8 0.71
Perceived behavioral control
Participants’ perceptions that they have self-control in maintaining confidentiality practices by using PROPER confidentiality guidance resources
  • Belief in having behavioral control

  • Power perceived in facing obstacles

Overall, I think maintaining patient confidentiality is difficult—easy 10 1.0 0.99 10 1.0 0.99
I am confident that I cannot apply PROPER confidentiality guidance resources for UG students 10 1.0 0.99 9 0.9 0.88
I have enough time to refer to PROPER confidentiality guidance resources for UG students 9 0.9 0.88 9 0.9 0.88
I can easily navigate the PROPER confidentiality guidance resources for UG students to check confidentiality guidelines 10 1.0 0.99 10 1.0 0.99
For me to apply PROPER confidentiality guidance resources for UG students in practice is easy—difficult 10 1.0 0.99 8 0.8 0.71
Intentions
How likely a participant is to do or engage in maintaining confidentiality practices by using PROPER confidentiality guidance resources
  • State of mind in the form of commitment to an action

I intend to refer to PROPER confidentiality guidance resources for UG students the next time I am uncertain 10 1.0 0.99 9 0.9 0.88
I want to use the PROPER confidentiality guidance resources for UG students 10 1.0 0.99 9 0.9 0.88
I do not plan to use the PROPER confidentiality guidance resources for UG students 10 1.0 0.99 9 0.9 0.88
S-CVA Ave 1.0 0.9

N, Number of experts in agreement; K*, kappa statistic; I-CVI, Item-level Content Validity Index; S-CVI/Ave, Scale-level Content Validity Index Average; UG, Undergraduate; PROPER, PROfessionalism Partnership for Education Research; UG: undergraduate.