Table 1 Clarity, content validity index, and content validity ratio for each item, with the corresponding total respondents (n) for each index.

From: Development and validation of the EDIT weight stigma reduction checklist

Checklist item stems, by section	Clarity	n_clarity	CVI	n_CVI	CVR	n_CVR	CVR + i
Planning and personnel
1. Providers/clinicians receive training on weight stigma and how weight stigma may affect client interactions.	0.97	30	0.90	29	0.93	30	1.00
2. Providers/clinicians receive training on weight-related communication and using weight-related terminology preferences.	0.87	30	0.93	29	0.67	30	1.00
3. Person-first language is used in intervention materials (printed/distributed materials, online resources, apps, etc.).	0.90	30	0.93	29	0.87	30	0.93
4. Are considerations made to ensure that the equipment and/or built environment support diverse body sizes?	0.83	30	1.00	28	0.93	30	1.00
Intervention design and content
5. Will mental health and wellbeing be assessed, and with appropriate support and/or referral provided if required?	0.76	29	0.76	29	0.10	29	0.93
6. Will the individual goals of the person be discussed in line with person-centred care?	0.68	28	0.89	27	0.29	28	0.85
7. Will the intervention include setting goals/targets with the person that consider aspects of health, other than weight?	0.86	29	0.93	29	0.66	29	0.93
8. Will access to long-term support be made available after the intervention?	0.76	29	0.61	28	0.17	29	0.51
Outcomes and monitoring
9. Is there consideration for how people will be weighed, including asking for consent before weighing, offering blind weighing ensuring weighing takes place in a confidential space?	0.86	28	0.96	28	0.86	28	1.00
10. Are dimensions of health, other than weight, measured?	0.93	28	0.96	28	0.50	28	1.00
11. Are the measured dimensions of health, other than weight, discussed with the person (i.e., feedback on measures)?	0.86	28	0.93	28	0.36	28	0.85
Additional components
12. Provide education on weight-focused communication skills (e.g., how to respond when others make weight-related comments) as part of the intervention.	0.71	28	0.96	28	0.36	28	0.92
13. Provide education or resources to a person’s social support networks (e.g., partner or parents/siblings/family unit) on weight stigma as part of the intervention.	0.96	28	0.93	28	-0.14	28	0.92
14. Address body image concerns as part of the intervention.	0.93	28	0.86	28	0.21	28	0.85
15. Address self-esteem as part of the intervention.	0.85	27	0.85	26	-0.14	28	0.92
16. Address internalised weight bias as part of the intervention.	0.82	28	0.96	27	0.64	28	0.92
17. Measure weight bias internalisation as an outcome.	0.82	28	0.96	27	0.29	28	0.92
18. Promote body compassion/acceptance as part of the intervention.	0.82	28	0.79	28	0.14	28	0.78
19. Provide strategies to increase resilience to public/structural weight stigma as part of the intervention.	0.86	28	0.93	28	0.29	28	0.78
20. Provide support/referral to address impacts of weight stigma (e.g., counselling, referrals for resultant mental health concerns).	0.89	28	0.93	28	0.21	28	0.92
21. Seek feedback on experiences of stigma during the intervention.	0.79	28	0.85	27	0.36	28	0.71

Clarity proportion of responses indicating question was clear, CVI Content Validity Index, CVR Content Validity Ratio, CVR + i Content validity ratio, calculated using the sum of “essential” and “important, but not essential” responses to the item.
Bolded numbers indicate criterion is met.

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Table 1 Clarity, content validity index, and content validity ratio for each item, with the corresponding total respondents (n) for each index.

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