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A Practical Guide for Item Generation in Measure Development: Insights From the Development of a Patient-Reported
Shane Sinclair1,2,3, Priya Jaggi4,5, Thomas F Hack6,7,8
1Faculty of Nursing, University of Calgary, Calgary, AB, Canada sinclair@ucalgary.ca.
Journal of Nursing Measurement
|March 18, 2020
Summary
This study offers practical item generation guidance for measure development, using a Table of Specifications (TOS) to create a patient-reported compassion measure. The TOS aided consensus on 109 initial items and response scales.
Area of Science:
- Nursing Research
- Psychometrics
- Patient-Reported Outcome Measures
Background:
- Existing measure development guidelines lack practical, systematic item generation strategies.
- Developing reliable and valid patient-reported measures requires robust item generation.
- The construct of compassion is central to nursing care.
Purpose of the Study:
- To provide practical guidance on systematic item generation in measure development.
- To demonstrate the utility of a Table of Specifications (TOS) in item generation.
- To develop a valid and reliable patient-reported measure of compassion.
Main Methods:
- Literature review on measure development and item generation.
- Application of a Table of Specifications (TOS) in an ongoing study.
- Iterative consensus-building process for item pool and response scale selection.
Main Results:
- A Table of Specifications (TOS) facilitated consensus on an initial item pool.
- Achieved consensus on 109 items and their response scales for a compassion measure.
- Demonstrated a systematic approach to item generation using a TOS.
Conclusions:
- Systematic item generation guidance, particularly using a TOS, is crucial for measure development.
- Nurses require tools to identify, measure, and enhance compassion in research and practice.
- The developed methods support the creation of reliable and valid instruments for assessing nursing constructs.
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