Development and Psychometric Evaluation of the Healthcare Provider’s Practices, Attitudes, Self-confidence, & Knowledge Regarding Bullying Questionnaire

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Vicki Hensley




     The purpose of this research was to develop and evaluate the psychometric properties of Hensley’s Healthcare Provider’s Practices, Attitudes, Self-confidence, & Knowledge Regarding Bullying Questionnaire (HCP-PACK). 


     Hensley’s HCP-PACK consists of 63 items and three subscales.  The subscales were developed based on bullying literature and feedback from five bullying experts.  Clinical experts evaluated the scale for content validity and health care providers responded to the questionnaire to examine test re-test reliability and internal consistency for the questionnaire’s subscales.


     The content validity index for the questionnaire was .97 for relevancy and .96 for clarity.  Test-retest analysis on the three subscales: attitudes, self-efficacy, and, knowledge yielded Pearson r of.80, .81, and .77 respectively.  The subscales for attitudes, self-efficacy, and knowledge had Cronbach’s alphas of .70, .88, and .84 respectively. 


     These results provide preliminary evidence of the validity and reliability of Hensley’s HCP-PACK.  With additional psychometric testing, Hensley’s HCP-PACK instrument has potential for measuring current practices, attitudes, confidence level, and knowledge of pediatric healthcare providers regarding bullying and assessing for bullying during well child exams.  Furthermore, the questionnaire could be slightly modified to assess other populations, such as teachers or counselors.  Lastly, the information gained during the collection of data can aid in the development of provider interventions to those involved in bullying behaviors.    

Article Details

How to Cite
HENSLEY, Vicki. Development and Psychometric Evaluation of the Healthcare Provider’s Practices, Attitudes, Self-confidence, & Knowledge Regarding Bullying Questionnaire. Medical Research Archives, [S.l.], v. 2, n. 10, dec. 2015. ISSN 2375-1924. Available at: <>. Date accessed: 25 june 2018.
Childhood bullying, questionnaire development and psychometrics,
Research Articles


Bandura, A. (2006). Guide for constructing self-efficacy scales. In F. Pagares & T. Irdan (Eds.) Self-efficacy beliefs of adolescents. Greenwich, CT: Information Age Publishing.

Borrowsky, I.W. & Ireland, M. (1999). National survey of pediatricians’ violence prevention counseling. Archives of Pediatrics and Adolescent Medicine 153, 1170-1176.
Chamberlain, T., George, N., Golden, S., Walker, F., & Benton, T. (2010). Tellus4 national report. Colchester, Essex: UK Data Archive.

Cook, DA., &Beckman, TJ. (2006). Current Concepts in Validity and Reliability for Psychometric Instruments: Theory and Application. American Journal of Medicine, 119(2), 116.e7-116.e16.

Committee on Injury, Violence, and Poison Prevention. (2009). Role of the Pediatrician in Youth Violence Prevention. Pediatrics, 124, 393-402.

Dale, J., Russel, R., & Wolke, D. (2014). Intervening in Primary Care Against Childhood Bullying: An Increasing Pressing Public Health Need, Journal of Royal Society Medicine, 107(6) 219-223.

Eaton, D.K., Kann, L., Kinchen, S., Shanklin, S., Flint, K.H., Hawkins, J.,Wechsler, W. (2012). Youth Risk Behavior Surveillance: United States, 2011. (2012). MMWR Surveillance Summary, 61, 1-162.

Eisenberg, M.E., & Aalsma, M.C. (2005). Bullying and peer victimization: Position paper of the society for adolescent medicine. Journal of Adolescent Health, 36(1), 88-91

Frank-Stromborg, M., & Olsen, S.L. (eds) (2004). Instruments for Clinical Health-care Research (3rd edition.). Sudbury, MA.

Grant, J.S., & Davis, L.L. (1997). Selection and use of the content experts for instrument development. Research in Nursing & Health, 20(3), 269-274.

Haynes, S.N., Richard, D.C.d., &Kubany, E.S. (1995). Content Validity in Psychological Assessment: A Functional Approach to Concepts and Methods. Psychological Assessment, 7(3) 238-247.

Hensley, V. (2013). Childhood bullying: a review and implications for healthcare professionals. Nursing clinics of North America, 48(2), 203-213.

Infectious Diseases in Children (2011). Bullying: What a pediatrician should know. Retrieved from

Lereya, S.T., Samara, M., &Wolke, D. (2013). Parenting behavior and the risk of becoming a victim and a bully/victim: a meta-analysis study. Child Abuse Neglect, 37, 1091-1108.

Lynn, M. R. (1986). Determination and quantification of content validity. Nursing Research, 35(6), 382-385.

Nansel, T. R., Overpeck, M., Pilla, R.S., Ruan, W.J., Simons-Morton, B., & Scheidt, P. (2001). Bullying behaviors among US youth: Prevalence and association with psychosocial adjustment. Journal of American Medical Association, 285 (16), 2094-2100.

National Center for Mental Health Promotion and Youth Violence Prevention. Retrieved from

O’Brien, H.L. & Toms, E.D. (2010). The Development and evaluation of a Survey to Measure User Engagement. Journal of the American Society of Information Science Technology, 61(1), 50-69.

Radford, L., Corral., S., Bradley, C., & Fisher, H.L. (2013). The prevalence and impact of child maltreatment and other types of victimization in the UK: findings from a population survey of
caregivers, children and young people and young adults. Child Abuse Neglect, 37, 801-813

Scrabstein, J.C., & Merrick, J. (2012). Bullying is Everywhere: An Expanding Scope of Public Health Concerns, International Journal of Adolescent Medicine and Health, 24:1.

Sireci, S.G. (1998). The Construct of Content Validity, Social Indicators Research, 45, 83-117.

Smith, P.K., Mahdavi, J., Carvalho, M., Fisher, S., Russell, S., & Tippett, N. (2008). Cyberbullying: its Nature and Impact in Secondary School Pupils. Journal of Child Psychology and Psychiatry, 49, 376-385.

Spector, P. (1992). Summated Rating Scale Construction. Thousand Oaks, CA: Sage.

Streiner, D.L. & Norman, G.R. (2003). Health Measurement Scales: a practical guide to theirvdevelopment and use (3rd ed.) . New York: Oxford University Press.

Wang, J., Iannotti, R.J., Nansel, T.R. (2009). School Bullying among US Adolescents: Physical, Verbal, Relational, and Cyber. Journal of Adolescent Health, 45(4), 368-375.

Wolke, D., Copeland, W.E., Angold, A., & Costello, E.J. (2013). Impact of Bullying in Childhood on Adult Health, Wealth, Crime and Social Outcomes. Psychology Science, 24 (10), 1958-1970.

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