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Difficulties with mental health assessment include lack of consistent assessment tools for measuring psychological distress, lack of cross-cultural validation research and variation in methods for validity testing and differences in methods of translation [ 21].
For validity testing, factor analysis and item analysis were conducted; and for reliability testing, internal consistency and test-retest reliability methods were used.
During intervention, senior medical staff completed the e-checklist after patient assessments during the morning ward rounds, and research staff conducted post-ward round audits for validity testing (via concordance measurement).
Therefore, there was limited scope for validity testing.
To address these gaps, feasible coverage indicator definitions are presented for validity testing.
The approach used to determine sample size for validity testing followed that advocated by Fowler [ 11].
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For validity test, principal component analysis (PCA) based on Varimax rotation was utilized.
Sensitivity and specificity computations were conducted on the data set used originally for concurrent validity testing for PSSCAN, n = 101 [ 10].
We conclude that conformity of the size of scope effects with prior expectations should form a focus for future validity testing.
For the validity testing, questionnaire sensitivity, specificity, positive predictive value (PPV) and negative predictive values (NPV) were calculated with 95%% confidence intervals (CIs).
An additional 15 IONB patients were interviewed for face validity testing.
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