Table 3 Content validity and clarity of the tool

Physical daily living

1. Pain

0.93 (93)

0.95 (95)

0.92 (92.5)

95

2. Lack of energy/tiredness

0.93 (93)

0.95 (95)

0.94 (94.5)

95

3. Feeling unwell a lot of the time

0.89 (89.5)

0.92(92.5)

0.91 (91)

95

4. Work around the home

0.89 (89)

0.92 (92.5)

0.90 (90.5)

86

5. Not being able to carry on the regular tasks, which you used to do

0.87 (87.5)

0.9 (90)

0.90 (90)

91

Total

0.90 (90.4)

0.93 (93)

0.91 (91.7)

92.4

Psychological

6. Anxiety

0.89 (89)

0.92 (92.5)

0.91 (91)

93.3

7. Feeling depressed

0.92 (92)

0.95 (95)

0.93 (93.5)

95

8. Feeling sad

0.87 (87)

0.9 (90)

0.89 (89.5)

93.3

9. Fear of spreading the cancer

0.87 (87)

0.9 (90)

0.88 (88.5)

91.6

10. The tension that health condition will be beyond control after the treatment

0.84 (84)

0.87 (87.5)

0.88 (88)

81.6

11. Uncertainty about future

0.87 (87.4)

0.9 (90)

0.89 (89)

90

12. The feeling of being yourself under control of the situation

0.84 (84)

0.87 (87.5)

0.86 (86.5)

83.3

13. Maintaining positive thinking

0.85 (85)

0.87(87.5)

0.86 (86.5)

93.3

14. Feeling the tension of death and dying

0.84 (84)

0.87(87.5)

0.86 (86)

88.3

Total

0.86 (86.6)

0.89 (89.7)

0.88 (88.7)

0.89 (89.9)

Sexuality

15. Change in sexual experiences

0.86 (86.4)

0.90 (90)

0.89 (89.5)

90

16. Change in your sexual relation

0.91 (91)

0.94 (94.4)

0.93 (93)

91.07

31. Providing information about sexual relation

0.90 (90.5)

0.92 (92.5)

0.91 (91)

91.6

Total

0.89 (89.3)

0.92 (92.3)

0.91 (91.1)

0.90 (90.8)

Patient care comfort

17. Worry about your loved one

0.93 (93)

0.95 (95)

0.92 (92)

96.6

18. Many alternatives about choosing doctors/experts of cancer for treatment

0.94 (94)

0.97 (97.5)

0.95 (95)

98.3

19. Many alternatives about choosing the hospital for treatment

0.91 (91)

0.95(95)

0.88 (88)

95

20. Assurance from health worker that whatever you are experiencing /thinking is normal

0.92 (92.2)

0.95(95)

0.93 (93)

91.6

21. Hospital staff attending promptly to your physical problems/needs.

0.93 (93)

0.97(97.2)

0.95 (95)

92.8

22. Awareness and sensitivity of hospital staff to your feelings and emotional aspects and needs

0.88 (88)

0.92(92.5)

0.90 (90)

88.3

Total

0.91 (91.8)

0.95 (95.3)

0.92 (92.1)

93.7

Health system information

23. Giving information about the important aspect of your treatment and care in written form

0.87 (87.5)

0.92(92.5)

0.90 (90)

96.6

24. Giving written information, diagrams and other clear information regarding ideas to manage the disease, its symptoms and side effects at home.

0.91 (91)

0.92(92.5)

0.90 (90)

93.3

25. Sharing the treatment and investigation reports with you, which you were interested to know

0.88 (88)

0.9(90)

0.88 (88)

95

26. Giving adequate information about the treatment that you choose, its side effects before starting the treatment

0.87 (87)

0.9(90)

0.87 (87)

91.6

27. Sharing the reports of your tests/investigation with you soon as far as time allows

0.90 (90)

0.9(90)

0.88 (88)

88.3

28. Giving information about the status of cancer, its minimization or control

0.87 (87.5)

0.9(90)

0.89 (89)

90

29. Giving information about the things that you can do yourself to improve your health

0.89 (89)

0.92 (92.5)

0.89 (89)

90

30. Availability of professional counseling (like a psychologist, social worker, nurse specialist) to you or your family or your friends and relatives whenever needed

0.88 (88)

0.9(90)

0.87 (87)

86.6

32. Being treated humanely and generously not only as a patient

0.86 (86)

0.87(87.5)

0.86 (86)

86.6

33. Friendly structure/ environment in a hospital or clinic as far as possible

0.92 (92)

0.95(95)

0.93 (93)

88.3

34. Easy availability of one staff from hospital with whom you can talk about your condition, treatment and follow up

0.90 (90)

0.92(92.5)

0.91 (91)

88.3

Total

0.88 (88.7)

0.91 (91.1)

0.88 (88.9)

90.4

Scale Content Validity Index (S-CVI)

0.89 (89.01)

0.91 (91.88)

0.90 (90.04)

Average Clarity 91.29