Global Comfort Scale: development and content validation

Authors

  • Filipa Veludo Universidade Católica Portuguesa, Lisboa, Portugal | Centro de Investigação Interdisciplinar em Saúde (CIIS), Lisboa, Portugal https://orcid.org/0000-0001-8749-0193
  • Rita Marques Centro de Investigação Interdisciplinar em Saúde (CIIS), Lisboa, Portugal | Escola Superior de Saúde da Cruz Vermelha Portuguesa, Lisboa, Portugal | ciTechCare - Center for Innovative Care and Health Technology, Leiria, Portugal http://orcid.org/0000-0003-2868-7468
  • Patrícia Pontífice-Sousa Universidade Católica Portuguesa, Lisboa, Portugal | Centro de Investigação Interdisciplinar em Saúde (CIIS), Lisboa, Portugal http://orcid.org/0000-0003-0749-9011
  • Maria dos Anjos Dixe ciTechCare - Center for Innovative Care and Health Technology, Leiria, Portugal | Instituto Politécnico de Leiria, Leiria, Portugal http://orcid.org/0000-0001-9035-8548

DOI:

https://doi.org/10.29352/mill0216e.35508

Keywords:

comfort; scale development; content validation; Delphi technique

Abstract

Introduction: Comfort is an indicator of good practice, which is why its promotion and assessment are essential, regardless of the person's health/illness condition.

Objective: To construct and validate the content of the Global Comfort Scale.

Methods: Methodological study. Content validation was carried out using the e-Delphi technique with experts who commented on clarity, pertinence, and relevance. The content validity of the items was checked using the IVC-I and the scale using the IVC-S. The pre-test was carried out by talking to 20 members of the target population (adults or elderly people, healthy or suffering from illness), and the final version of the instrument was applied to 43 participants.

Results: 12 experts assessed the content of the instrument's items using a Likert-type response scale, resulting in a final scale made up of 55 items with an acceptability criterion of over 0.80. A CVI-S of 0.97 was obtained for clarity, 0.90 for pertinence, and 0.93 for relevance, which confirms the validity of the content. In the spoken reflection, the participants had no difficulties or suggestions. The 43 participants had a good level of comfort with all the items. We found a Cronbach's alpha of 0.981 and Pearson correlation values of the item with the total scale without the item between 0.247 and 0.879.

Conclusion: The instrument showed a good content validity index, followed at a later stage by psychometric validation.

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References

Alp, F. Y., & Yucel, S. C. (2021). The Effect of Therapeutic Touch on the Comfort and Anxiety of Nursing Home Residents. Journal of Religion and Health, 60(3), 2037–2050. https://doi.org/10.1007/s10943-020-01025-4

Benson, H., Lucas, C., & Williams, K. A. (2020). Establishing consensus for general practice pharmacist education: A Delphi study. Currents in Pharmacy Teaching and Learning, 12(1), 8–13. https://doi.org/10.1016/j.cptl.2019.10.010

Cinar Yucel, Ş., Goke Arslan, G., Ergin, E., & Kuguoglu, S. (2019). Psychometric Characteristics of the Turkish Version of the Nurse Comfort Questionnaire. Journal of Religion and Health, 58(5), 1803–1816. https://doi.org/10.1007/s10943-019-00852-4

Coluci, M. Z. O., Alexandre, N. M. C., & Milani, D. (2015). Construção de instrumentos de medida na área da saúde. Ciencia e Saude Coletiva, 20(3), 925–936. https://doi.org/10.1590/1413-81232015203.04332013

Cronin, P., Ryan, F., & Coughlan, M. (2010). Concept analysis in healthcare research. International Journal of Therapy & Rehabilitation, 17(2), 62–69. https://doi.org/10.12968/ijtr.2010.17.2.46331

Duncan, C., Cloutier, J. D., & Bailey, P. M. (2007). Concept analysis: The importance of differentiating the ontological focus. Journal of Advanced Nursing, 58(3), 293–300. https://doi.org/10.1111/j.1365-2648.2007.04277.x

Fernandes, M. G. M., Nóbrega, M. M. L., Garcia, T. R., & Macêdo-Costa, K. N. F. (2011). Conceptual analysis: methodological considerations. REBEn Revista Brasileira de Enfermagem, 64(6), 1150–1156. https://doi.org/10.1590/S0034-71672011000600024

Freitas, K. S., Menezes, I. G., & Mussi, F. C. (2012). Comfort From the Perspective of Families of People Hospitalized in the Intensive Care Unit. Text & Context Nursing Journal, 24(4), 896–904. https://doi.org/10.1590/S0104-07072012000400021

Godovykh, M., & Pizam, A. (2022). Measuring patient experience in healthcare. International Journal of Hospitality Management, 103405. https://doi.org/10.1016/j.ijhm.2022.103405

Hupcey, J. E., & Penrod, J. (2005). Concept Analysis: Examining the State of the Science. Research and Theory for Nursing Practice: An International Journal, 19(2), 197–208. https://doi.org/10.1891/088971805780957350

Juárez-Hernández, L. G., & Tobón, S. (2018). Analysis of the elements implicit in the validation of the content of a research instrument. Espacios, 39(53). https://www.revistaespacios.com/cited2017/cited2017-23.html

Jünger, S., Payne, S. A., Brine, J., Radbruch, L., & Brearley, S. G. (2017). Guidance on Conducting and REporting Delphi Studies (CREDES) in palliative care – recommendations based on a methodological systematic review. Palliative Medicine, 31(8), 684–706. https://doi.org/10.1177/0269216317690685

Kolcaba, K. (2003). Comfort Theory and Practice (R. Chasek & J. Hurking-Torres (eds.)). Springer Publishing Company.

Lorente, S., Losilla, J. M., & Vives, J. (2018). Instruments to assess patient comfort during hospitalization: A psychometric review. In Journal of Advanced Nursing (Vol. 74, Issue 5). https://doi.org/10.1111/jan.13495

McMillan, S. S., King, M., & Tully, M. P. (2016). How to use the nominal group and Delphi techniques. International Journal of Clinical Pharmacy, 38(3), 655–662. https://doi.org/10.1007/s11096-016-0257-x

Munhall, P. (2013). Interpreive phenomenology. In C. T. Beck (Ed.), Routledge International Handbook of Qualitative Nursing Research (p. 647). Routledge.

Mussi, F. C. (1996). Conforto: revisão de literatura. Revista Da Escola de Enfermagem Da U S P, 30(2), 254–266. https://doi.org/10.1590/S0080-62341996000200006

Pasquali, L. (2017). Psicometria: Teoria dos testes na psicologia e na educação. Editora Vozes.

Penrod, J., & Hupcey, J. E. (2005). Enhancing methodological clarity: Principle-based concept analysis. Journal of Advanced Nursing, 50(4), 403–409. https://doi.org/10.1111/j.1365-2648.2005.03405.x

Pestana, H., & Gajeiro, J. N. (2014). Análise de dados para ciências sociais. A Complementaridade do SPSS (Edições Sílabo (ed.)).

Pinto, S., Caldeira, S., & Martins, J. C. (2016). A Systematic Literature Review Toward the Characterization of Comfort. Holistic Nursing Practice, 30(1), 14–24. https://doi.org/10.1097/HNP.0000000000000126

Polit, D., Beck, C. T., & Owen, S. V. (2007). Is the CVI an acceptable indicator of content validity? Appraisal and recommendations. Research in Nursing & Health, 30(4), 459–467. https://doi.org/10.1002/nur.20199

Polit, D. F., & Beck, C. T. (2006). The content validity index: Are you sure you know what’s being reported? critique and recommendations. Research in Nursing & Health, 29, 489–497. https://doi.org/10.1002/nur

Prinsen, C. A. C., Mokkink, L. B., Bouter, L. M., Alonso, J., Patrick, D. L., de Vet, H. C. W., & Terwee, C. B. (2018). COSMIN guideline for systematic reviews of patient-reported outcome measures. Quality of Life Research, 27(5), 1147–1157. https://doi.org/10.1007/s11136-018-1798-3

Siefert, M. Lou. (2002). Concept Analysis of Comfort. Nursing Forum, 37(4), 16–23. https://doi.org/10.1111/j.1744-6198.2002.tb01288.x

Sousa, P. P. (2020). O Conforto da Pessoa Idosa (Universidade Católica Editora (ed.); 2a).

Streiner, D. L., & Norman, G. R. (2008). Health Measurement Scales: A practical guide to their development and use. (4 th). Oxford University Press, Inc. https://doi.org/10.1093/acprof:oso/9780199231881.001.0001

Terwee, C. B., Prinsen, C. A. C., Chiarotto, A., Westerman, M. J., Patrick, D. L., Alonso, J., Bouter, L. M., de Vet, H. C. W., & Mokkink, L. B. (2018). COSMIN methodology for evaluating the content validity of patient-reported outcome measures: a Delphi study. Quality of Life Research, 27(5), 1159–1170. https://doi.org/10.1007/s11136-018-1829-0

Veludo, F. (2018). Comfort as a sensation: Concept Analysis. [Tese de Doutoramento,Universidade Católica Portuguesa]. Repositório Universidade Católica Portuguesa. https://repositorio.ucp.pt/handle/10400.14/31068

Vilelas, J. (2020). Investigação - O Processo de Construção do Conhecimento, 3ª Edição. Edições Sílabo.

Walker, L. O., & Avant, K. C. (2014). Strategies for Theory Construction in Nursing, 5th edition. Pearson®.

Wensley, C., Botti, M., & Mckillop, A. (2015). Patient comfort after cardiac surgery: Developing a culturally responsive quality improvement framework. International Forum on Quality and Safety in Healthcare, 0–1.

Williams, A. M., & Irurita, V. F. (2006). Emotional comfort: The patient’s perspective of a therapeutic context. International Journal of Nursing Studies, 43(4), 405–415. https://doi.org/10.1016/j.ijnurstu.2005.06.004

World Health Organization, Organisation for Economic Co-operation, and Development, & The World Bank. (2018). Delivering quality health services - A global imperative for universal health coverage (Issue July). http://apps.who.int/bookorders.

Yusoff, M. S. B. (2019). ABC of Content Validation and Content Validity Index Calculation. Education in Medicine Journal, 11(2), 49–54. https://doi.org/10.21315/eimj2019.11.2.6

Published

2025-02-05

How to Cite

Veludo, F., Marques, R., Pontífice-Sousa, P., & Dixe, M. dos A. (2025). Global Comfort Scale: development and content validation. Millenium - Journal of Education, Technologies, and Health, 2(16e), e35508. https://doi.org/10.29352/mill0216e.35508

Issue

Section

Life and Healthcare Sciences