| Literature DB >> 32025957 |
Fabiane F R Morgado1, Juliana F F Meireles2, Clara M Neves2, Ana C S Amaral3, Maria E C Ferreira2.
Abstract
The scale development process is critical to building knowledge in human and social sciences. The present paper aimed (a) to provide a systematic review of the published literature regarding current practices of the scale development process, (b) to assess the main limitations reported by the authors in these processes, and (c) to provide a set of recommendations for best practices in future scale development research. Papers were selected in September 2015, with the search terms "scale development" and "limitations" from three databases: Scopus, PsycINFO, and Web of Science, with no time restriction. We evaluated 105 studies published between 1976 and 2015. The analysis considered the three basic steps in scale development: item generation, theoretical analysis, and psychometric analysis. The study identified ten main types of limitation in these practices reported in the literature: sample characteristic limitations, methodological limitations, psychometric limitations, qualitative research limitations, missing data, social desirability bias, item limitations, brevity of the scale, difficulty controlling all variables, and lack of manual instructions. Considering these results, various studies analyzed in this review clearly identified methodological weaknesses in the scale development process (e.g., smaller sample sizes in psychometric analysis), but only a few researchers recognized and recorded these limitations. We hope that a systematic knowledge of the difficulties usually reported in scale development will help future researchers to recognize their own limitations and especially to make the most appropriate choices among different conceptions and methodological strategies.Entities:
Keywords: Assessment; Measurement; Psychometrics; Reliability; Validity
Year: 2017 PMID: 32025957 PMCID: PMC6966966 DOI: 10.1186/s41155-016-0057-1
Source DB: PubMed Journal: Psicol Reflex Crit ISSN: 0102-7972
Fig. 1Flowchart showing summary of the systematic process of identifying and selecting article
Systematic review of the scale development process recorded in 105 included studies
| Study | Scale | Step 1 | Step 2 | Step 3 | N | Initial item pool | Final item pool | Main limitations reported |
|---|---|---|---|---|---|---|---|---|
| Aagja and Garg ( | PubHosQual Scale | LR/ES/I | EJ | EFA/CFA/NV/CV/DV/ICR | 401 | 59 | 24 | LG |
| Ahmad et al. ( | Service Quality Scale | LR/FC | EJ | CFA/CV/DV/S-RR/ICR | 413 | 31 | 10 | LG |
| Akter et al. ( | MHealth Service Quality Scale | LR/ES/FC/I | EJ | EFA/CFA/NV/PV/CV/DV/I-JR/I-T-CR/ICR | 305 | 29 | 22 | LG/CSM |
| Alvarado-Herrera et al. ( | CSRConsPerScale | LR/ES | EJ | CFA/CV/DV/NV/ICR | 1087 | 73 | 18 | LG/Lack of the PV |
| Armfield ( | IDAF-4C+ | LR/ES | EJ | EFA/CtV/PV/T-RR/ICR | 1083 | 29 | 8 | LG/Lack of the CV/SRM |
| Atkins and Kim ( | Smart Shopping Scale | LR/FC/I | EJ/TPJ | EFA/CFA/NV/CV/DV/ICR | 1.474 | 62 | 15 | LG |
| Bagdare and Jain ( | Retail Customer Experience Scale | LR/EP | EJ/TPJ | EFA/CFA/CV/ICR | 676 | 45 | 12 | LG/This study has not established DV and NV |
| Bakar and Mustaffa ( | Organizational Communication Scale | LR/FC | EJ | EFA/CFA/CtV/CV/DV/T-RR/ICR | 596 | 386 | 38 | LG/Inadequate choose variables to be correlated |
| Beaudreuil et al. ( | URAM | EP/I | EJ/TPJ | EFA/CV/DiV/T-RR/ICR | 138 | 52 | 9 | LG/SSS |
| Bhattacherjee ( | Individual trust in online firms scale | LR/ES | TPJ | CFA/CV/DV/NV/ICR | 269 | 18 | 7 | WBS |
| Blankson et al. ( | International consumers’selection of banks scale | LR/FC | EJ/TPJ | EFA/CFA/CV/PV/NV/ICR/I-T-CR | 773 | 60 | 18 | LG |
| Blankson et al. ( | Scale measuring college students’ choice criteria of credit cards | FC/ES | EJ | EFA/CFA/CV/DV/S-RR/ICR | 405 | 59 | 19 | LG/CSM |
| Bolton and Lane ( | IEO | LR/ES | TPJ | EFA/IV/EV/CV/DV/I-T-CR/ICR | 1162 | NCR | 10 | LG/Lack of the CFA |
| Bova et al. ( | HCR | I/FC. | EJ | EFA/T-RR/ICR | 99 | 58 | 15 | LG/Scale was administered in a face-to-face interview/SSS. |
| Boyar et al. ( | CESS | LR | EJ | CFA/DV/ICR | 446 | 140 | 52 | CSM |
| Brock and Zhou ( | OIU | LR/I | EJ | DV/PV/NV/ICR | 112 | NCR | 7 | LG |
| Brun et al. ( | Online relationship quality scale | LR, and ES | EJ/TPJ | EFA/CFA/CV/DV/PV/ICR | 476 | 33 | 21 | LG |
| Butt and Run ( | SERVQUAL model scale | LR/EP | EJ | EFA/CFA/CV/DV/ICR | 340 | 17 | 17 | LG |
| Caro and García ( | Perceived service quality in urgent transport service scale | LR/I/ES | EJ/TPJ | EFA/CFA/DV/CV/NV/I-T-CR/ICR | 375 | 68 | 38 | LG/Lack of the CV or DV |
| Chahal and Kumari ( | CPV Scale | LR/ES | EJ/TPJ | EFA/CFA/CV/I-T-CR/ICR | 515 | 32 | 27 | LG |
| Chen et al. ( | Process Orientation Scale | LR/I | EJ | EFA/CFA/CV/DV/I-I-CR/ICR | 356 | NCR | 6 | LG/SSS/Lack of the NV |
| Choi et al. ( | Measure of dyspnea severity and related functional limitations | LR/I/EP | EJ/TPJ | EFA/CFA/CV/DiV/T-RR/ICR | 608 | 364 | 33 | CSM |
| Christophersen and Konradt ( | Reflective and formative usability scales | LR/EP/ES | EJ | CFA/CtV/PV/EV/ICR | 378 | 80 | 54 | CSM/SRM |
| Cicero et al. ( | ASI | LR/EP | EJ/TPJ | EFA/CFA/CV/DV/ICR | 1281 | NCR | 29 | Items are not reverse-scored |
| Coker et al. ( | IPPR | LR/I | EJ/TPJ | EFA/CFA/CtV/NV/DV/ICR | 1200 | 65 | 11 | LG |
| Coleman et al. ( | B2B service brand identity scale | LR | EJ/TPJ | EFA/CFA/DV/I-T-CR/ICR | 210 | 119 | 15 | LG/Deductive approach to scale development |
| Colwell et al. ( | Measure of service convenience | LR/I | EJ/TPJ | EFA/CFA/CV/DV/NV/ICR | 201 | 30 | 17 | LG/CSM |
| Cossette et al. ( | Caring Nurse–Patient Interactions Scale | LR/ES | EJ | EFA/CV/CtV/ICR | 332 | 121 | 70 | CSM |
| Dennis and Bocarnea ( | Servant leadership assessment instrument | LR/EP | EJ | EFA/CtV/ICR | 293 | 71 | 42 | MD |
| Devlin et al. ( | Fairness measurement scale | LR, and ES | EJ/TPJ | EFA/CFA/CV/DV/NV/ICR | 3100 | 9 | 8 | LG |
| Dunham and Burt ( | Organizational Memory Scale | LR/ES | NCR | EFA/CFA/CV/T-RR/ICR | 431 | 72 | 21 | SRM |
| Edwards et al. ( | STL | FC | TPJ | EFA/CV/CtV/ICR | 270 | NCR | 84 | LG |
| Feuerstein et al. ( | Response to work in those with upper extremity pain scale | LR/FC/ES | TPJ | EFA/T-RR/ICR | 282 | 136 | 136 | LG/SSS |
| Fisher et al. ( | Entrepreneurial Success Scale | LR/I | EJ | EFA/CFA/ICR | 213 | 9 | 4 | SSS/Subjective Analysis/SRM |
| Flight et al. ( | Characteristics-based innovation adoption scale | LR | EJ/TPJ | EFA/CFA/ICR/EV/CV/DV/NV/ICR | 430 | 122 | 43 | LG |
| Forbush et al. ( | EPSI | LR | NCR | EFA/CFA/CV/CtV/DV/T-RR/ICR | 1528 | 160 | 45 | LG |
| Foster et al. ( | GNS | LR/ES | NCR | EFA/CFA/ICR | 2259 | 35 | 33 | Lack of the validity |
| Franche et al. ( | RRTW | LR/EP | EJ | EFA/CFA/CrV/PV/IV/EV/ICR | 632 | NCR | 22 | SSS/CSM |
| Gesten ( | HRI | LR/EP/ES | EJ | EFA/T-RR/ICR | 592 | 79 | 54 | LG |
| Gibbons et al. ( | MULTIPleS | LR/ES/QER | TPJ | EFA/T-RR/ICR | 490 | 53 | 22 | LG |
| Gligor and Holcomb ( | SCA | LR/ES/I | EJ/TPJ | EFA/CFA/CV/DV/EV/ICR | 151 | NCR | 21 | CSM |
| Glynn et al. ( | PFS | ES/QER | NCR | EFA/CV/T-RR/ICR | 1496 | 26 | 10 | LG/MD |
| Gottlieb et al. ( | Consumer perceptions of trade show effectiveness scale | LR/I | NCR | EFA/CFA/CV/DV/NV/I-T-CR/ICR | 739 | 13 | 11 | LG/Items ambiguous/Difficult to control variables |
| Hall et al. ( | General Trust in physicians scale | LR/FC/EP | EJ/TPJ | EFA/CV/CtV/ICR | 502 | 25 | 11 | LG/CSM |
| Han et al. ( | Scale of switching barriers in full-service restaurants | LR/FC | EJ/TPJ | EFA/CFA/CV/NV/I-JR/ICR | 401 | NCR | 17 | LG |
| Henderson-King and Henderson-King ( | ACSS | LR | TPJ | EFA/DV/CV/T-RR/ICR | 1288 | 26 | 15 | LG |
| Hernandez and Santos ( | Development-based trust | LR/I | TPJ | EFA/CFA/CV/DV/NV/ICR | 238 | 30 | 27 | CSM |
| Hildebrandt et al. ( | MDDI | LR/ES | NCR | EFA/CV/DiV/T-RR/ICR | 245 | 21 | 20 | LG/Lack of the DV |
| Ho and Lin ( | Scale for measuring internet banking service quality | LR/I/ES | TPJ | EFA/DV/CV/ICR | 130 | 30 | 17 | SSS |
| Jong et al. ( | CRIQ | LR/ES | EJ | EFA/CFA/T-RR/ICR | 310 | 120 | 120 | Lack of the CFA - the CFI fit is below the 0.90 |
| Kim et al. ( | CEI | LR | TPJ | EFA/CFA/CV/DV/ICR | 397 | 134 | 26 | LG/Lack of the validity/WBS |
| Kim et al. ( | SAPS | LR | EJ | CFA/CtV/CV/ICR | 795 | 29 | 15 | Lack of the DV |
| Kwon and Lennon ( | Brand Association Scale | LR | EJ | EFA/CFA/CV/DV/I-JR/ICR | 671 | 28 | 14 | LG |
| Lin and Hsieh ( | SSTQUAL Scale | LR/FC/I | EJ | EFA/CFA/CV/DV/NV/I-T-CR/ICR | 1238 | 75 | 20 | LG/subjectivity in the EFA and CFA |
| Lombaerts et al. ( | SRLTB | LR | EJ | EFA/CFA/ICR | 952 | 39 | 10 | Initial unsatisfactory factor analysis output |
| Lucas-Carrasco et al. ( | QOCS | LR/FC | TPJ | EFA/CFA/CV/DV/ICR | 3772 | 44 | 17 | Recruitment of a larger number of interviewers |
| Mahudin et al. ( | Measuring rail passenger crowding | LR/ES | EJ/TPJ | EFA/CFA/CV/DV/ICR | 525 | 9 | 20 | Lack of the CtV/SRM |
| Medina-Pradas et al. ( | BDSEE | ES/EP | EJ | EFA/CV/CtV/ICR | 77 | 14 | 14 | SSS/CSM |
| Morean et al. ( | AEAS | LR/ES | EJ/TPJ | EFA/CFA/CV/CtV/DV/T-RR/ICR | 546 | 40 | 22 | LG/SRM/CSM |
| Morgado et al. ( | SAS-EB | LR/FC | EJ/TPJ | CFA/CV/DV/ICR | 318 | 33 | 18 | Lack of the use of a validated scale in the CV |
| Nagy et al. ( | Scale to measure liabilities and assets of newness after start-up | LR/I | EJ | EFA/CFA/DV/ICR | 260 | 235 | 19 | LG/SSS |
| Napoli et al. ( | Consumer-based brand authenticity scale | LR | EJ/TPJ | EFA/CFA/CV/DV/PV/ICR | 762 | 157 | 14 | Lack of a more robust LR |
| Negra and Mzoughi ( | OCPS | LR/I | EJ | EFA/CFA/CV/DV/NV/I-T-CR/ICR | 512 | 77 | 5 | Widely heterogeneous sample/Brevity of the scale. |
| Ngorsuraches et al. ( | TRUST-Ph | LR/FC/EP/ES | EJ | EFA/CV/CtV/ICR | 400 | 40 | 30 | LG/SSS/MD/social desirability bias |
| Oh ( | Affective reactions to print apparel advertisements scale | LR/FC/ES | TPJ | EFA/CFA/CV/DV/CtV/ICR | 128 | 66 | 54 | LG |
| Olaya et al. ( | ISAD | EP/ES | EJ | CV/DiV/T-RR/ICR | 76 | 20 | 17 | LG |
| Omar and Musa ( | LPSQual | LR/FC | EJ | EFA/CFA/CV/DV/NV/ICR | 655 | 57 | 26 | LG/Lack of the NV/CSM |
| Pan et al. ( | PMGS | I | EJ/TPJ | EFA/CFA/CV/S-RR/I-I-CR/I-T-CR/ICR | 554 | 71 | 14 | LG/SRM/Lack of the T-RR |
| Patwardhan and Balasubramanian ( | Measurement scale for brand romance | LR/ES/QER | TPJ | EFA/CFA/CV/DV/CtV/NV/ICR | 711 | 70 | 12 | LG |
| Pimentel et al. ( | EPM | NCR | EJ/TPJ | EFA/CFA/ICR | 480 | 13 | 13 | LG/Lack of the CV and DV |
| Pommer et al. ( | PCQ | EP/FC | TPJ | EFA/CFA/CV/ICR | 953 | 391 | 18 | CSM |
| Reed et al. ( | ESLS | ES | EJ | EFA/CFA/CV/DV/ICR | 218 | 55 | 25 | LG/SRM/WBS |
| Rice et al. ( | MDRS-22 | LR | EJ | EFA/CFA/ICR | 1176 | 82 | 22 | LG/Lack of the T-RR/Lack of the CV |
| Riedel et al. ( | RSM-scale | LR/ES | EJ/TPJ | DV/T-RR/ICR | 136 | 43 | 36 | LG |
| Rodrigues and Bastos ( | Organizational Entrenchment Scale | EP/ES | EJ | EFA/CFA/I-T-CR/I-I-CR/ICR | 721 | 31 | 22 | LG |
| Rodríguez et al. ( | VEDAS | ES | NCR | EFA/CFA/CV/CtV/T-RR/ICR | 1034 | 40 | 20 | Long time between the test and retest/Lower Cronbach’s alpha |
| Rosenthal ( | IEK | EP | EJ | EFA/CV/CrV/I-T-CR/I-I-/T-RR/ICR | 292 | 54 | 21 | LG/SSS |
| Saxena et al. ( | UCLA Hoarding Severity Scale | LR/EP | EJ | EFA/CV/DV/I-I-CR/ICR | 127 | NCR | 10 | Lack of the T-RR/Lack of the instructions for raters in the initial version of the scale |
| Schlosser and McNaughton ( | I-MARKOR scale | LR/FC/I | EJ/TPJ | EFA/CFA/CV/DV/NV/ICR | 138 | 71 | 20 | SSS/CSM. |
| Sewitch et al. ( | PPDS | LR | EJ | EFA/CrV/CV/ICR | 200 | 10 | 10 | LG/CrV was limited/content validity was not formally assessed |
| Sharma ( | Personal Cultural Orientations Scale | LR/I | EJ | EFA/CFA/NV/CV/PV/DV/ICR | 2332 | 96 | 40 | LG/Lack of the PV |
| Sharma and Gassenheimer ( | SPC Scale | LR/EP/I | EJ | EFA/CFA/CV/DV/ICR | 511 | 8 | 17 | Lack of the EV |
| Shawyer et al. ( | VAAS | LR | EJ | CV/T-RR/ICR | 41 | 61 | 31 | Lack of a more robust demonstration of the validity/SSS |
| Sin et al. ( | CRM | LR | EJ | EFA/CFA/CV/DV/NV/ICR | 641 | 78 | 18 | LG/CSM |
| Sohn and Choi ( | Expected Interactivity Scale | LR/EP/I | EJ | EFA/CFA/CV/DV/CtV/T-RR/ICR | 378 | 50 | 12 | Lack of the empirical test |
| Song et al. ( | SECI | LR | EJ | EFA/CFA/CV/I-I-CR/ICR | 469 | 26 | 17 | LG/deductive approach |
| Staines ( | Investigative Thinking Styles Scale | LR | TPJ | EFA/CV/CtV/ICR | 545 | 68 | 16 | LG |
| Sultan and Wong ( | Performance-based servisse quality model scale | LR/FC/ES | EJ | EFA/CFA/ICR | 362 | 67 | 67 | The study uses three sources to collect data |
| Swaid and Wigand ( | E-Service Quality Scale | LR | TPJ | EFA/CFA/CV/DV/ICR. | 557 | NCR | 28 | Online survey |
| Tanimura et al. ( | DDLKOS | LR/I | EJ | EFA/CFA/CtV/ICR | 362 | 48 | 14 | Inadequate choose variables to be correlated with that of the study |
| Taute and Sierra ( | Brand Tribalism Scale | LR/ES | NCR | EFA/CFA/CV/DV/ICR | 616 | 35 | 16 | LG |
| Tombaugh et al. ( | SEW | LR/EP | NCR | EFA/CFA/CV/DV/PV/ICR | 348 | 5 | 5 | CSM/Brevity of the scale |
| Turker ( | CSR | LR/FC/ES | TPJ | EFA/I-I-CR/I-T-CR/ICR | 269 | 55 | 18 | LG |
| Uzunboylu and Ozdamli ( | MLPS | LR/I/EP | EJ | EFA/S-RR/ICR | 467 | 31 | 26 | LG |
| Van der Gaag et al. ( | DACOBS | EP | EJ | EFA/CV/ICR/S-RR/T-RR | 257 | 70 | 42 | SSS/Validation performed with patients/Inappropriate choice of the instruments for validation |
| Von Steinbüchel et al. ( | QOLIBRI | LR/ES | EJ | EFA/CFA/T-RR/ICR | 2449 | 148 | 37 | SSS |
| Voon et al. ( | HospiSE | LR/FC | EJ/TPJ | EFA/CFA/CV/DV/CtV/ICR | 1558 | NCR | 21 | LG/CSM |
| Walshe et al. ( | DIP | LR/I/ES | TPJ | Ecological validity/ICR | 31 | 48 | 48 | SSS/Lack of the DV, CV and T-RR |
| Wang and Mowen ( | SC | LR | EJ | EFA/CFA/CV/DV/PV/I-T-CR/ICR | 140 | 60 | 9 | SSS |
| Wepener and Boshoff ( | The customer-based corporate reputation of large service organizations scale | LR/ES/FC | EJ | EFA/CFA/NV/CV/DV/ICR | 2551 | 78 | 19 | LG |
| Williams et al. ( | SCSC | LR/I | EJ/TPJ | EFA/CFA/CV/DV/PV/I-T-CR/ICR | 162 | 5 | 5 | LG; b) WBS. |
| Wilson and Holmvall ( | Incivility from customers scale | LR/FC | EJ | EFA/CFA/CV/DV/CtV/ICR | 439 | 27 | 10 | LG/CSM/SRM |
| Yang et al. ( | BLOG-S-INNO Scale | EP | TPJ | EFA/CFA/CV/DV/ICR | 498 | 517 | 18 | LG |
| Zhang and Hu ( | Farmer-buyer relationships in China Scale | LR/ES | EJ/TPJ | EFA/CFA/CV/I-I-CR/ICR | 210 | 39 | 22 | LG |
| Zheng et al. ( | DPEBBS | LR/FC | EJ | EFA/CFA/CtV/T-RR/I-T-CR/ICR | 269 | 51 | 24 | LG/SSS/EFA and CFA - same sample/Reliability coefficients - unsatisfactory. |
N sample size, EFA exploratory factor analysis, CFA confirmatory factor analysis, NV nomological validity, CV convergent validity, CrV concurrent validity, CtV criterion validity, DV discriminant validity, DiV divergent validiy, PV predictive validity, IV internal validity, EV external validity, ICR internal consistency reliability, S-RR split-half reliability, I-JR inter-judge reliability, I-T-CR item–total correlation reliability, I-I-CR inter-item correlation reliability, T-RR test-retest reliability, LR literature review, ES existing scales, I interview, FC Focus group, EP expert panel, QER qualitative exploratory research, NCR not clearly reported, EJ expert judges, TPJ target population judges, LG limitations of generalization, SSS small sample size, CSM cross-sectional methodology, SEM self-reporting methodology, WBS web-based survey, MD Missing data
Summary of current practices of the scale development process
| Methods | Number of scales resorting to | Percentage (%) of scales resorting to |
|---|---|---|
| Step 1—item generation | ||
| Deductive methods (exclusively) | 37 | 35.2 |
| Inductive methods (exclusively) | 8 | 7.6 |
| Combined deductive and inductive methods | 59 | 56.2 |
| Literature review | 89 | 84.7 |
| Existing scales | 40 | 38 |
| Interviews | 28 | 26.6 |
| Focus groups | 25 | 23.8 |
| Expert panel | 23 | 21.9 |
| Qualitative exploratory research | 3 | 5 |
| Not clearly reported method | 1 | 1 |
| Step 2—theoretical analysis | ||
| Expert judges | 78 | 74.2 |
| Target population judges | 46 | 43.8 |
| Use of just one approach | 67 | 63.8 |
| Combined two approaches | 29 | 27.7 |
| Not clearly reported approach | 9 | 8.5 |
| Step 3—psychometric analysis | ||
| EFA | 93 | 88.6 |
| CFA | 76 | 72.3 |
| Combined EFA and CFA | 69 | 65.7 |
| Lack of EFA and CFA | 5 | 4.7 |
| Convergent/concurrent validity | 76 | 72.3 |
| Discriminant validity | 59 | 56.2 |
| Predictive/nomological validity | 34 | 32.3 |
| Criterion validity | 17 | 16.2 |
| External validity | 5 | 4.7 |
| Internal validity | 3 | 2.8 |
| Internal consistency | 105 | 100 |
| Test-retest reliability | 24 | 22.8 |
| Item-total correlation/inter-item reliability | 19 | 18.1 |
| Split-half reliability | 3 | 2.9 |
| Inter-judge reliability | 3 | 2.9 |
| Sample size about step 3 and number of items | ||
| Sample size smaller than the rule of thumb 10:1 | 53 | 50.4 |
| Number of items final scale reduced by 50% | 42 | 40 |
| Number of items final scale reduced more than 50% | 52 | 49.6 |
| Not clearly reported inicial item number | 11 | 10.4 |
EFA exploratory factor analysis, CFA confirmatory factor analysis
Scale development process—ten main limitations
| Limitations |
| % | |
|---|---|---|---|
| 1 | Sample characteristics limitations | 85 | 81 |
| Homogeneous and/or convenience sample—limitations of generalization | 67 | 64 | |
| Small sample size | 18 | 17 | |
| 2 | Methodological limitations | 35 | 33.2 |
| Cross-sectional methodology | 20 | 19 | |
| Self-reporting methodology | 9 | 8.5 | |
| Web-based survey | 6 | 5.7 | |
| 3 | Psychometric limitations | 32 | 30.4 |
| Lack of a more robust demonstration of the construct validity and/or reliability | 21 | 20 | |
| Inadequate choose of the instruments or variables to be correlated with the variable of the study | 6 | 5.7 | |
| Factor analysis limitations | 5 | 4.7 | |
| 4 | Qualitative research limitations | 6 | 5.6 |
| Deductive approach to scale development | 2 | 1.9 | |
| Lack of a more robust literature review | 1 | 1 | |
| Subjective analysis | 1 | 0.9 | |
| Content validity was not formally assessed | 1 | 0.9 | |
| Recruitment of a larger number of interviewers | 1 | 0.9 | |
| 5 | Missing data | 3 | 2.8 |
| 6 | Social desirability bias | 2 | 1.9 |
| 7 | Items limitations | 2 | 1.9 |
| Items ambiguous or difficult to answer | 1 | 1 | |
| None of the items are reverse-scored | 1 | 0.9 | |
| 8 | Brevity of the scale | 2 | 1.9 |
| 9 | Difficult to control all variables | 1 | 0.9 |
| 10 | Lack of a manualized instructions | 1 | 0.9 |