Table 4. Content Validity Index, Modified Kappa and comprehensiveness of instrument dimensions and total instrument at the third round of judgment.

Dimensions of construct of study: Patient-centered communication	Number giving rating of 3 or 4 to relevancy of item	I-CVI *	p c **	K ***	Interpretation	Comprehensiveness of instrument dimensions and total instrument
						Agree	Proportion of consensus
D1: Trust Building
D1-1	14	1	6.103	1	Excellent	14	1
D1-2	12	0.857	0.022	0.85	Excellent
D1-3	12	0.857	0.022	0.85	Excellent
D1-4	12	0.857	6.103	0.85	Excellent
D1-5	12	0.857	0.022	0.85	Excellent
D1-6	14	1	6.103	1	Excellent
D1-7	12	0.857	6.103	0.85	Excellent
D1-8	14	1	6.103	1	Excellent
D2:Intimacy/Friendship
D2-1	14	1	6.103	1	Excellent	13	0.928
D2-2	14	1	6.103	1	Excellent
D2-3	14	1	6.103	1	Excellent
D2-4	13	0.928	.0008	0.928	Excellent
D2-5	14	1	6.103	1	Excellent
D2-6	14	1	6.103	1	Excellent
D2-7	12	0.857	0.022	0.85	Excellent
D3: Patient activation
D3-1	12	0.857	0.022	0.85	Excellent	14	1
D3-2	13	0.928	0	0.928	Excellent
D3-3	13	0.928	0	0.928	Excellent
D3-4	13	0.928	0	0.928	Excellent
D3-5	14	1	6.103	1	Excellent
D4: Problem Solving
D4-1	14	1	6.103	1	Excellent	14	1
D4-2	14	1	6.103	1	Excellent
D4-3	12	0.857	0.022	0.85	Excellent
D4-4	12	0.857	0.022	0.85	Excellent
D4-5	13	0.928	0	0.928	Excellent
D4-6	14	1	6.103	1	Excellent
D4-7	14	1	6.103	1	Excellent
D5: Emotional support
D5-1	13	0.928	0	0.928	Excellent	14	1
D5-2	14	1	6.103	1	Excellent
D5-3	12	0.857	0.022	0.85	Excellent
D5-4	14	1	6.103	1	Excellent
D5-5	13	0.928	0	0.928	Excellent
D5-6	12	0.857	0.02	0.85	Excellent
D6: Informational support
D6-1	14	1	6.103	1	Excellent	13	0.928
D6-2	13	0.928	0	0.928	Excellent
D6-3	14	1	6.103	1	Excellent
D6-4	13	0.928	0	0.928	Excellent
D6-5	14	1	6.103	1	Excellent
D6-6	14	1	6.103	1	Excellent
D7:Spirituality strengthening
D7-1	12	0.857	0.022	0.85	Excellent	14	1
D7-2	12	0.857	0.022	0.85	Excellent
D7-3	12	0.857	0.022	0.85	Excellent
D7-4	14	1	6.103	1	Excellent
D7-5	14	1	6.103	1	Excellent
D7-6	12	0.857	0.022	0.85	Excellent
D7-7	12	0.857	0.022	0.85	Excellent
D7-8	13	0.928	0	0.928	Excellent
D7-9	14	1	6.103	1	Excellent
D7-10	13	0.928	0	0.928	Excellent
D7-11	14	1	6.103	1	Excellent
D7-12	13	0.928	0	0.928	Excellent
D7-13	13	0.928	0	0.928	Excellent
D7-14	13	0.928	0	0.928	Excellent
53 Items	S-CVI/Ave= 0.939S-CVI/UN= 0.434					Agreement on total comprehensiveness=14Comprehensiveness of entire instrument=1

NOTE: ^*I-CVI: item-level content validity index,^**p_c (probability of a chance occurrence) was computed using the formula: p_c= [N! /A! (N -A)!] ^*.5^Nwhere N= number of experts and A= number of panelists who agree that the item is relevant. Number of experts=14,^***K(Modified Kappa) was computed using the formula: K= (I-CVI- P_C)/(1- P_C). Interpretation criteria for Kappa, using guidelines described in Cicchetti and Sparrow (1981): Fair=K of 0.40 to 0.59; Good=K of 0.60 to 0.74; and Excellent=K>0.74