Björn Bouwmeester Stjernetun, Catharina Gillsjö, Elzana Odzakovic, Jenny Hallgren
"It´s like walking in a bubble", nursing students´ perspectives on age suit simulation in a home environment - group interviews from reflection seminars
BMC nursing
community health workers chws increasingly required perform complex health care activities especially community cardiovascular disease stroke prevention however currently psychometrically validated instruments assessing chw competencies roles article describes development validation stroke literacy assessment test slatpertaining lifes simple seven ls7 risk factors strokefor evaluating chws competencies context education training programs slat developed using iterative instrument design protocol followed empirically testing instrument 68 chws columbia university institute training outreach community health intouch new york data collection began march 2021 continued may 2021 evaluation based four types validity evidence content validation expert reviews items overall domain b validation examinee response processes cognitive interviews c item validation diagnostic analysis validity evidence based expected directional group differences addition internal consistency reliability total test scores best functioning items evaluated two iterative cycles yielded 34item written structured response test assesses factual knowledge application levels cognition demonstrates sufficient validity reliability cronbachs 69 use chws specializing stroke prevention efforts slat novel valid reliable instrument contributes filling critical gap rigorous competency assessments chws deployed chronic disease prevention