Table 2.

Content Validity Index (CVI) <0.78 of the Items and the Action Taken.

Construct	Item	CVI	Action Taken
Feelings	1. I feel that being a father would increase my self-esteem.	0.6	Edited
	2. I would like having children but have been unable.	0.6	Deleted
Intent to have children in the future	1. Because HIV medications will let me live longer, I am considering becoming a father.	0.6	No action
	2. As a man with HIV, I can go to a fertility clinic and access medical help to have a child, including egg donor and surrogates.	0.6	Deleted
Worries	I am worried that if I become a father, my child will be born HIV positive.	0.6	No action
Contraception and sexual history	1. Have you had sexual intercourse (vaginal) with a female partner EVER in your lifetime?	0.6	No action (skip pattern recommended)
	2. If you have any children, has your doctor asked you about the HIV status of the person who carried that pregnancy?	0.4	Deleted
Fertility and parenting history	1. If you have biological children, what is your current relationship with them?	0.6	Deleted
	2. If you have biological children, have any of these children been diagnosed with HIV?	0.6	Deleted
	3. How many children LIVE with you now? (Include children that you care for but did not give birth to)	0.6	Deleted
	4. If you have children that you are caring for, how old are they? (please list their ages)	0.6	Deleted
Satisfaction with providers related to fertility goals	Do you have a family doctor?	0.6	No action
	I can trust my family doctor.	0.6	No action
HIV history	1. Do you currently have any of the following sexually transmitted infections?	0.6	Edited
	2. Are you currently taking hepatitis C treatment? (This medication should not be taken when trying to have a child.)	0.6	No action