Table 5 Stages of future CPAS implementation in additional contexts

From: Cumulative psychosocial risk and early child development: validation and use of the Childhood Psychosocial Adversity Scale in global health research

Stage

Description

Minimum participants (approx.)

Contributes to final data?

Review items

Review CPAS candidate items with local collaborators and academic peers for completeness and relevance in local setting, add candidate items suggested by collaborators, and adjust existing items as needed

Not applicable

Not applicable

Pretest

Pretest candidate CPAS items with a sample of participants from the underlying population of interest using cognitive interviewing

25

No

Shorten the instrument

Pilot items with participants and use first 100 administrations for basic psychometric analyses, remove any poorly performing items

30–50

Yes

Assess validity

Administer questionnaire to participants and use first ~250 administrations to generate data to assess validity, including retest reliability if feasible; eliminate items to refine final subscales as appropriate based on EFA

250

Yes

  1. CPAS  Childhood Psychosocial Adversity Scale, EFA exploratory factor analysis