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Table 5 Seven revised items in response to content validity index scores for relevance and clarity, and comments from experts

From: Development of the Health Literacy of Caregivers Scale - Cancer (HLCS-C): item generation and content validity testing

Construct Item # Initial item Relevance Clarity Comments from experts Action Revised item
    CVI CVI    
Understanding the healthcare system 81 I know which healthcare providers look after the health of the person I care for 1.00 1.00 Almost identical to another item in the scale Deleted -
Adequate information about cancer and cancer management 42 I am sure I have all the information I need to help manage the health of the person I care for 1.00 0.71 Item #42 and #64 are similar Revised I have enough information to look after the health of the person I care for
Processing health information 70 Find out if the health information that I have received is suitable for the person I am caring for 0.71 0.43 Implies that health information e.g. by healthcare providers is not suitable Revised Find out if the health information that I have found from various resources, is suitable for the person I am caring for
Communication with the care recipient 21 The person I care for tells me how they are, in order for me to help 1.00 0.71 Items #21 and 29 are similar, but also very general in description Revised The person I care for tells me about their health, in order for me to help
  37 I talk honestly about the cancer with the person that I care for 1.00 0.71 Item seems general Revised I have honest talks about the cancer with the person I care for
Understanding the care recipient 6 I understand how much information about the cancer, the person I am caring for needs to know 0.86 0.71 There is a difference between ‘needs’ and ‘wants’ Revised I understand how much information about the cancer, the person I am caring for wants to know