ESTABLISIHING CONTENT VALIDITY- RUBRIC/ ASSESSEMENT RESPONSE FORM

Name of Reviewer: ____________________________________________________ Position: ___________________________________________________

INSTRUCTIONS: This measure is designed to evaluate the content validity of Respondent s’ Knowledge, Attitudes and Practices towards Risk Factor Encountered by
Contractor Caused Delay in Malaysia Government Construction Project. Please rate each item as follows:
a) Please rate the level of relevancy of item in measuring the aligned overarching construct on a scale of 1-4, with 4 being very relevant.
b) Please rate the importance of the item in measuring the aligned overarching construct on a scale of 1-4, with 4 being very relevant.
c) Please rate the level of clarity of item in measuring the aligned overarching construct on a scale of 1-4, with 4 being very relevant.
Space is provided for your comment on the item or suggest revisions.
Overarching Operational Item measuring overarching construct Relevancy of item in Importance of item in Clarity of item Comments
construct Definition (use the exact wording as appears on measuring the measuring the overarching  1 = item is not
the assessment rubric). overarching construct construct  1 = item is not clear
 1 = item is not necessary to measure the  2 = item needs
representative construct major revisions
 2 = item needs major  2 = item provides some to be clear
revisions to be information but is not  3 = item needs
representative essential to measure the minor revisions
 3 = item needs minor construct to be clear
revisions to be  3 = item is useful but not  4 = item is
representative essential to measure the clear
 4 = item is construct
representative  4 = item is essential to
measure the construct
Construct 1: Respondent Knowledge

Respondent Knowledge of 1a) I have the right to be informed of 4 4 4

Knowledge price the estimated charges that may be
information incurred prior to the initiation of care or
treatment.
Respondent Knowledge of 1b) I can choose to get my medication 3 3 3 This question
Knowledge medicine anywhere that I like and not necessarily (1b) and the
availability from the doctor that have treated me. next (1c)
question
seems to be
intertwined
1
 Overarching Operational Item measuring overarching construct Relevancy of item in Importance of item in Clarity of item Comments
construct Definition (use the exact wording as appears on measuring the measuring the overarching  1 = item is not
the assessment rubric). overarching construct construct  1 = item is not clear
 1 = item is not necessary to measure the  2 = item needs
representative construct major revisions
 2 = item needs major  2 = item provides some to be clear
revisions to be information but is not  3 = item needs
representative essential to measure the minor revisions
 3 = item needs minor construct to be clear
revisions to be  3 = item is useful but not  4 = item is
representative essential to measure the clear
 4 = item is construct
representative  4 = item is essential to
measure the construct
and measure
the same
thing? To
separate the
2, may be
first question
(1b) can be
about
knowing
his/her right
to get a
prescription
and second
question (1c)
can be on
knowing
about the
option to
purchase
medicines
anywhere
that offers
cheaper
prices.
Consumer Knowledge of 1c) I can request for my prescription 4 4 3 The word
Knowledge medicine from the doctor and have it filled in ‘filled’ may
2
 Overarching Operational Item measuring overarching construct Relevancy of item in Importance of item in Clarity of item Comments
construct Definition (use the exact wording as appears on measuring the measuring the overarching  1 = item is not
the assessment rubric). overarching construct construct  1 = item is not clear
 1 = item is not necessary to measure the  2 = item needs
representative construct major revisions
 2 = item needs major  2 = item provides some to be clear
revisions to be information but is not  3 = item needs
representative essential to measure the minor revisions
 3 = item needs minor construct to be clear
revisions to be  3 = item is useful but not  4 = item is
representative essential to measure the clear
 4 = item is construct
representative  4 = item is essential to
measure the construct
availability pharmacy that I know offer cheaper not be
price of medication. understood
by lay
person. Use
buy?
Consumer Knowledge on 1d) I can refuse to purchase the 4 4 4
Knowledge affordability of medication at the clinic/hospital if I feel
medicine the price is unreasonable.
Consumer Knowledge on 1e) I can request a change for a cheaper 4 4 4
Knowledge affordability of medication from my prescriber.
medicine
Consumer Knowledge on 1f) Generic medications offer less 4 4 4
Knowledge affordability of expensive price than the innovator
medicine brands.
Consumer Knowledge on 1g) Health care provider has the right to 4 4 4
Knowledge itemized billing decline customer’s request on itemized
bill.
Consumer Knowledge on 1h) It is OK that itemized bill list only the 4 3 3
Knowledge itemized billing total cost of the treatment/medications.
Consumer Knowledge on 1i) I cannot request itemized bill if I do 4 3 4
Knowledge itemized billing not have any claim to made e.g.
insurance claim or claim from employer.
Consumer Knowledge of 1j) Itemised bill can be used to check on 4 4 3 The question
Knowledge itemized billing the reasonableness of a private is getting at
healthcare setting medical bill. medical bill
or medicines
3
 Overarching Operational Item measuring overarching construct Relevancy of item in Importance of item in Clarity of item Comments
construct Definition (use the exact wording as appears on measuring the measuring the overarching  1 = item is not
the assessment rubric). overarching construct construct  1 = item is not clear
 1 = item is not necessary to measure the  2 = item needs
representative construct major revisions
 2 = item needs major  2 = item provides some to be clear
revisions to be information but is not  3 = item needs
representative essential to measure the minor revisions
 3 = item needs minor construct to be clear
revisions to be  3 = item is useful but not  4 = item is
representative essential to measure the clear
 4 = item is construct
representative  4 = item is essential to
measure the construct
price? (Refer
to main
objective of
survey)
Consumer Knowledge of 1k) Medication are taxable good. 4 3 4 Medicines?
Knowledge medicine price
Consumer Knowledge of 1l) Consumer may check medication 4 4 3 Can the
Knowledge price price guide from the Pharmaceutical question be
information Service Programme website. structured
similar to the
other
questions? ‘I
am aware of
the Medicine
Price Guide
that is
available in
the PSP
website’
Consumer Knowledge of 1m) Different distribution channel such 4 4 3
Knowledge medicine price as private hospital and clinics, and retail
pharmacy may have different
medication price.
Consumer Knowledge of 1n) Report on medical billing 2 2 1 Medical bill
Knowledge medicine price overcharging can be made to Ministry or medicines
of Health Malaysia. price?
4
 Overarching Operational Item measuring overarching construct Relevancy of item in Importance of item in Clarity of item Comments
construct Definition (use the exact wording as appears on measuring the measuring the overarching  1 = item is not
the assessment rubric). overarching construct construct  1 = item is not clear
 1 = item is not necessary to measure the  2 = item needs
representative construct major revisions
 2 = item needs major  2 = item provides some to be clear
revisions to be information but is not  3 = item needs
representative essential to measure the minor revisions
 3 = item needs minor construct to be clear
revisions to be  3 = item is useful but not  4 = item is
representative essential to measure the clear
 4 = item is construct
representative  4 = item is essential to
measure the construct
To the reviewer: What additional items would you recommend including to measure the construct? If you have no suggestions, please enter “none.”

To the reviewer: What additional items would you recommend deleting? If you have no suggestions, please enter “none.”

None

To the reviewer: Please provide any additional information you believe may be useful in assessing the identified construct with this instrument. If you have no suggestions,
please enter “none.”

Construct 2: Consumer Attitude

Consumer Attitude 2a) Generally, expensive medication has 4 4 4

Attitude towards better quality than less expensive
medicine price medication.
Consumer Attitude 2b) Price comparison before purchasing 4 4 3 To get
Attitude towards price help consumer to get medicine value for medicine’s
inform money value for
money or the
‘best’ price?
5
Overarching Operational Item measuring overarching construct Relevancy of item in Importance of item in Clarity of item Comments
construct Definition (use the exact wording as appears on measuring the measuring the overarching  1 = item is not
the assessment rubric). overarching construct construct  1 = item is not clear
 1 = item is not necessary to measure the  2 = item needs
representative construct major revisions
 2 = item needs major  2 = item provides some to be clear
revisions to be information but is not  3 = item needs
representative essential to measure the minor revisions
 3 = item needs minor construct to be clear
revisions to be  3 = item is useful but not  4 = item is
representative essential to measure the clear
 4 = item is construct
representative  4 = item is essential to
measure the construct
You can’t tell
value for
money easily
but just
comparing
prices.
Consumer Attitude 2c) It is not OK to purchase medication 2 1 2 Vague. What
Attitude towards without knowing the cost beforehand. does this
medicine price question
trying to get
at? To
purchase,
consumer
surely must
now how
much to pay
before he
can pay. Is it
meant to ask
‘It is NOT OK
to get
treatment
without
knowing the
costs
beforehand?’
6
Overarching Operational Item measuring overarching construct Relevancy of item in Importance of item in Clarity of item Comments
construct Definition (use the exact wording as appears on measuring the measuring the overarching  1 = item is not
the assessment rubric). overarching construct construct  1 = item is not clear
 1 = item is not necessary to measure the  2 = item needs
representative construct major revisions
 2 = item needs major  2 = item provides some to be clear
revisions to be information but is not  3 = item needs
representative essential to measure the minor revisions
 3 = item needs minor construct to be clear
revisions to be  3 = item is useful but not  4 = item is
representative essential to measure the clear
 4 = item is construct
representative  4 = item is essential to
measure the construct
Consumer Attitude 2d) I should not care about the 4 4 4
Attitude towards medication price if my insurance or
medicine price employer pay it for me.
Consumer Attitude 2e) I do not mind paying a similar 4 4 4
Attitude towards medication at high price in private
medicine price health care settings since the
service/facility is good.
Consumer Attitude 2f) It is not OK to not report any 3 3 2 What is
Attitude towards malpractice related to medication considered a
medicine price pricing setting. ‘malpractice’
setting ?: Price too
high?, price
not listed/
not
informed?
Free goods,
undercutting
?
Consumer Attitude 2g) It is not OK if the price for 3 3 4
Attitude towards medication in private healthcare
medicine price settings was set unfairly. For example, I
setting was asked to pay a different price as I
had higher income than the previous
patient.
Consumer Attitude on 2h) It is not OK to receive itemized bill 4 4 3
Attitude itemized billing that do not spell out the price for each
7
 Overarching Operational Item measuring overarching construct Relevancy of item in Importance of item in Clarity of item Comments
construct Definition (use the exact wording as appears on measuring the measuring the overarching  1 = item is not
the assessment rubric). overarching construct construct  1 = item is not clear
 1 = item is not necessary to measure the  2 = item needs
representative construct major revisions
 2 = item needs major  2 = item provides some to be clear
revisions to be information but is not  3 = item needs
representative essential to measure the minor revisions
 3 = item needs minor construct to be clear
revisions to be  3 = item is useful but not  4 = item is
representative essential to measure the clear
 4 = item is construct
representative  4 = item is essential to
measure the construct
of the medication prescribed (Price of
all medicines stated in bundle)
Consumer Attitude on 2i) It is not important to exercise asking 4 4 3
Attitude itemized billing for itemized bill every time I received
my medication/ treatment from my
healthcare providers.
Consumer Attitude on 2j) It is important to study on the charge 3 3 4
Attitude itemized billing set for treatment in itemized bill so it
allows me to make better choice in the
future.

To the reviewer: What additional items would you recommend including to measure the construct? If you have no suggestions, please enter “none.”
Price control?

To the reviewer: What additional items would you recommend deleting? If you have no suggestions, please enter “none.”

none

To the reviewer: Please provide any additional information you believe may be useful in assessing the identified construct with this instrument. If you have no suggestions,
please enter “none.”

Construct 3: Consumer Practice

Consumer Practice on 3a) I ask for the price of 4 4 4

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 Overarching Operational Item measuring overarching construct Relevancy of item in Importance of item in Clarity of item Comments
construct Definition (use the exact wording as appears on measuring the measuring the overarching  1 = item is not
the assessment rubric). overarching construct construct  1 = item is not clear
 1 = item is not necessary to measure the  2 = item needs
representative construct major revisions
 2 = item needs major  2 = item provides some to be clear
revisions to be information but is not  3 = item needs
representative essential to measure the minor revisions
 3 = item needs minor construct to be clear
revisions to be  3 = item is useful but not  4 = item is
representative essential to measure the clear
 4 = item is construct
representative  4 = item is essential to
measure the construct
Practice price medication/medical care before getting
information the treatment from any clinic or private
hospital.
Consumer Practice on 3b) Before purchasing any medication 4 4 4
Practice price at retail pharmacy, I ask or check for the
information price.
Consumer Practice on 3c) I compare the price at different 4 4 4
Practice price pharmacy outlets before deciding to
information purchase my medication.
Consumer Practice on 3d) I asked for a cheaper brand of 4 4 4 What is the
Practice affordability of medication when I can’t afford the difference
medicine recommended medication price. between
affordability
construct
and
purchasing
construct?
Can’t tell the
difference
Consumer Practice on 3e) I just agree with the doctor’s choice 4 4 4
Practice purchasing of medication without taking into
medicine consideration of its price.
Consumer Practice on 3f) Every time I visit private clinic or 4 4 3 What is
Practice itemized billing hospital, I ask for itemized bill. itemized bill?
Medicines
price are
9
 Overarching Operational Item measuring overarching construct Relevancy of item in Importance of item in Clarity of item Comments
construct Definition (use the exact wording as appears on measuring the measuring the overarching  1 = item is not
the assessment rubric). overarching construct construct  1 = item is not clear
 1 = item is not necessary to measure the  2 = item needs
representative construct major revisions
 2 = item needs major  2 = item provides some to be clear
revisions to be information but is not  3 = item needs
representative essential to measure the minor revisions
 3 = item needs minor construct to be clear
revisions to be  3 = item is useful but not  4 = item is
representative essential to measure the clear
 4 = item is construct
representative  4 = item is essential to
measure the construct
declared?
Consumer Practice on 3g) I choose pharmacy, clinic or private 3 4 4 Is this
Practice affordability of hospital that provide me with affordability
medicine medication that is value for money e.g. or purchase
effective medication at reasonable practice?
price.
Consumer Practice on 3h) I ask for discount/negotiate the 4 4 4
Practice affordability of price of my medication at retail
medicine pharmacy
Consumer Practice on 3i) I ask for discount/negotiate the price 4 4 4
Practice affordability of of my medication at private clinic or
medicine hospital.
Consumer Practice on 3j) I just pay for my medication even if I 3 4 4 Is this not
Practice purchasing feel that the price is high/ not affordability?
medicine reasonable.
Consumer Practice on 3k) I ask my healthcare provider if there 4 3 3
Practice itemized billing is any unclear charge in the bill.

Consumer Practice on 3l) I report to the authority if I feel that I 4 4 3 Is this what
Practice purchasing were charged unreasonably (medical medical bill
medicine billing fraud) fraud
means?
To the reviewer: What additional items would you recommend including to measure the construct? If you have no suggestions, please enter “none.”

To the reviewer: What additional items would you recommend deleting? If you have no suggestions, please enter “none.”
10
 Overarching Operational Item measuring overarching construct Relevancy of item in Importance of item in Clarity of item Comments
construct Definition (use the exact wording as appears on measuring the measuring the overarching  1 = item is not
the assessment rubric). overarching construct construct  1 = item is not clear
 1 = item is not necessary to measure the  2 = item needs
representative construct major revisions
 2 = item needs major  2 = item provides some to be clear
revisions to be information but is not  3 = item needs
representative essential to measure the minor revisions
 3 = item needs minor construct to be clear
revisions to be  3 = item is useful but not  4 = item is
representative essential to measure the clear
 4 = item is construct
representative  4 = item is essential to
measure the construct

To the reviewer: Please provide any additional information you believe may be useful in assessing the identified construct with this instrument. If you have no suggestions,
please enter “none.”

11