Paediatric anaesthesia & critical care

Psychometric Evaluation of the Turkish Version of the Induction Compliance Checklist in Children Undergoing Mask Anesthesia

Paediatr AnaesthPublished Psychometric validation study

Authors' conclusion

Following rigorous analysis, we found that the Turkish ICC is a reliable and valid tool that can assess children's compliance behaviors during pediatric anesthesia induction.

Study context

Population
Children (ASA I–III) aged 1–7 years undergoing mask induction for anesthesia and surgery
Participants
184 children
Outcome
Content validity, construct validity, internal consistency and inter-observer reliability of the Turkish Induction Compliance Checklist (ICC)
Methodological detailsprospective observational, three independent observers
  • Prospective observational
  • Three independent observers

Performance

As reported in the abstract

Content validity (I-CVI)
0.90-1.00
Content validity (S-CVI)
≈0.99
Inter-observer reliability, total score, InCC (1, 2)
0.92 (95% CI 0.90-0.94)
Inter-observer reliability, total score, InCC (2, 3)
0.97 (95% CI 0.96-0.98)
Item-level Gwet's AC1
0.81 to 0.97
Item-level Kappa (except M11)
0.75-0.90
Internal consistency, KR-20
0.49-0.52
Internal consistency, McDonald's omega
0.66-0.82
CFA single-factor structure, best fit (Observer Surgeon), CFI
0.927
CFA single-factor structure, best fit (Observer Surgeon), TLI
0.907

Further findings

Item analysis (floor effect, inter-item correlation)

Correlation between M9-M10
0.89-0.94
High floor effect, especially in rarely observed severe behaviors (M7-M11)

Original publication

Psychometric Evaluation of the Turkish Version of the Induction Compliance Checklist in Children Undergoing Mask Anesthesia. Paediatr Anaesth. Published 19 August 2026. doi:10.1002/pan.70290

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