{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T05:57:01Z","timestamp":1790575021485,"version":"4.1.0"},"reference-count":41,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T00:00:00Z","timestamp":1790553600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Health Serv."],"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>This study aimed to evaluate the content validity of the Chinese-language version of the PRAP scale from comprehensive perspectives within the COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) framework.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We evaluated the content validity of the Chinese PRAP scale using COSMIN methodology in a convergent parallel mixed-methods design (August 2022\u2013November 2023) at a tertiary children's hospital in Shanghai, with 57 content validity raters including nurses, social workers, and family caregivers. Quantitative (I-CVI, S-CVI\/Ave) and qualitative data from semi-structured interviews were integrated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The scale showed strong overall content validity based on the quantitative ratings (S-CVI\/Ave\u2009=\u20090.92). Item 5 (\u201cParent\/caregiver stress\u201d) showed the lowest relevance rating (I-CVI\u2009=\u20090.79). Qualitative feedback identified ambiguous phrasing in Items 4 and 5 and inconsistent interpretation of professional terminology.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Despite uncertainties in comprehensibility identified by qualitative insights, the findings provide evidence supporting the content validity of the Chinese PRAP scale, while acknowledging that further psychometric evaluation is required.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/frhs.2026.1935953","type":"journal-article","created":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T05:43:39Z","timestamp":1790574219000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Content validity of the Chinese version of the PRAP scale: a convergent parallel mixed-methods 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