VALIDATION DATA

MEASUREMENT PROPERTIES
Limitations
Observations
1. RELIABILITY
A. Internal Consistency Tested
Cronbach's (Describe)

Cronbach’s α for the baseline Impact Index scores was 0.85 (95% CI 0.83, 0.85) and for the follow-up scores was 0.91 (95% CI 0.89, 0.93). All four items in the Impact Index were highly correlated with one another.

B. Reliability intraobserver or test-retest Not Tested
Continuous scores: intraclass
correlation coefficient (ICC)
Dichotomus: Cohen kappa (Describe)
C. Reliability interobserver or Measurement error Not Tested
Standard error of measurement (SEM),
smallest detectable change (SDC) or
Limits of agreement (LoA) (Describe)
2. VALIDITY
A. Content validity: face validity Not Tested
Expert opinion (relevance and
comprehensiveness) (Describe)
B. Construct Validity:
Structural validity
Not Tested
Hypotheses-testing Tested
Cross-cultural validity Not Tested
Brief Description
C. Criterion validity Tested
Comparison with a 'gold standard' Continuous scores:
correlations, ROC curves Dichotomus:
Sensitivity & Specificity (Describe)

Assessment of predictive validity showed that in the frst model Impact Index was predictive of surgical choice (b=0.37, p<0.001, OR=1.45) indicating that those with greater Impact Index scores were more likely to choose to undergo surgery.When overall health was added into the model, the model is not improved (p=0.93); thus overall health is not a signifcant predictor of choice, but Impact Index is still a signifcant predictor of choice. Finally, in the third step the model is still not improved (p=0.23); thus, CCI and overall health are not signifcant predictors of choice, while Impact Index is still a signifcant predictor of choice.