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Table 2 Content validity index of item relevancy and clarity, and Modified Kappa agreement of the Australian and Canadian Osteoarthritis Index (AUSCAN)

From: Evaluation of the content validity index of the Australian/Canadian osteoarthritis hand index, the patient-rated wrist/hand evaluation and the thumb disability exam in people with hand arthritis

Item

Relevance

Clarity

Interpretation

Agreement

I-CVI*

Pc**

K***

Agreement

I-CVI*

Pc**

K***

 

Rate your pain

 At rest

49/57

0.86

<  10 −5

0.86

49/50

0.98

<  10 − 5

0.98

Excellent

 Gripping

55/57

0.96

<  10 − 5

0.96

49/49

1.00

<  10 −5

1.00

Excellent

 Lifting

55/57

0.96

<  10 −5

0.96

49/50

0.98

<  10 −5

0.98

Excellent

 Turning

54/57

0.95

<  10 −5

0.95

46/50

0.92

<  10 −5

0.92

Excellent

 Squeezing

55/57

0.96

<  10 −5

0.96

50/50

1.00

<  10 −5

1.00

Excellent

Rate your stiffness

 After first wakening in the morning

52/56

0.93

<  10 −5

0.93

48/48

1.00

<  10 − 5

1.00

Excellent

Rate your difficulty when

 Turning taps/faucets on

51/58

0.88

<  10 −5

0.88

51/51

1.00

<  10 −5

1.00

Excellent

 Turning a round doorknob or handle

54/59

0.92

<  10 −5

0.92

53/53

1.00

<  10 − 5

1.00

Excellent

 Doing up buttons

52/59

0.88

<  10 −5

0.88

52/52

1.00

<  10 −5

1.00

Excellent

 Fastening jewellery

52/59

0.88

<  10 − 5

0.88

53/53

1.00

<  10 − 5

1.00

Excellent

 Opening a new jar

57/59

0.97

<  10 −5

0.97

53/53

1.00

<  10 − 5

1.00

Excellent

 Carrying a full pot with one hand

56/59

0.95

<  10 − 5

0.95

52/53

0.98

<  10 −5

0.98

Excellent

 Peeling vegetables/fruits

56/59

0.95

<  10 −5

0.95

53/53

1.00

<  10 −5

1.00

Excellent

 Picking up large heavy objects

55/59

0.93

<  10 − 5

0.93

51/51

1.00

<  10 − 5

1.00

Excellent

 Wringing out wash cloths

52/59

0.88

<  10 − 5

0.88

50/51

0.98

<  10 −5

0.98

Excellent

S - CVI

0.92 (95% CI: 0.90 to 0.94)

 

0.99 (95% CI: 0.98 to 1.00)

  
  1. NOTE: *I-CVI: item-level content validity index, **pc (probability of a chance occurrence) was computed using the formula: pc = [N! /A! (N -A)!] *.5N where N = number of raters and A = number of raters who agree that the item is relevant or clear, ***K (Modified Kappa) was computed using the formula: K = (I-CVI- PC)/(1- PC). 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. I-CVI, item-level content validity index; scale-level content validity index, average (S-CVI/Ave)