What is CVI?

Content Validity Index: scale-level summary of all item CVR values

CVI (Content Validity Index) is the average of all individual item CVR values, providing a single validity estimate for the entire scale or instrument. While CVR evaluates individual items, CVI gives you a quick overview of overall scale validity by averaging all the CVR values together.

CVI is useful for:

CVI Formula

CVI = Sum of all CVR values / Number of items

How to Calculate CVI

Step 1: Calculate CVR for each item (using the CVR formula)

Step 2: Add all CVR values together

Step 3: Divide by the number of items

Example Calculation

Suppose you have a 4-item scale with these CVR values:
Item 1: CVR = 0.80
Item 2: CVR = 0.60
Item 3: CVR = 0.90
Item 4: CVR = 0.85

CVI = (0.80 + 0.60 + 0.90 + 0.85) / 4 = 3.15 / 4 = 0.79

Acceptable CVI Thresholds

Different researchers recommend different minimum CVI values depending on the number of experts:

ExpertsMin CVI ThresholdSourceInterpretation
20.80Davis (1992)Acceptable validity
3-51.0Polit & Beck (2006)Perfect agreement needed
6-80.83Lynn (1986)Good validity
9+0.78Lynn (1986)Acceptable validity

Why Do Thresholds Vary?

With fewer experts (2-5), the standard is stricter because each expert's opinion carries more weight. As your expert panel grows, the threshold becomes more lenient because you have more data to show statistical consensus.

CVI Limitations and Alternatives

Why CVI is being replaced:

Preferred alternatives:

Best Practice: Report CVI for compatibility with older research, but also report S-CVI/Ave as the primary scale validity measure. This gives you the best of both worlds.

CVI vs S-CVI/Ave

MetricFormulaInterpretationThresholdModern Use
CVIMean of CVR valuesScale validity (rough)0.78-1.0Legacy/reference
S-CVI/AveMean of I-CVI valuesScale validity (precise)≥ 0.90Current standard

Practical Interpretation

If CVI = 0.90

✓ Your scale has excellent content validity. Proceed with confidence to the next phase of validation (e.g., pilot testing, reliability analysis).

If CVI = 0.78-0.89

⚠ Your scale has acceptable validity, but there may be room for improvement. Consider revising items with lower individual CVR values before proceeding.

If CVI < 0.78

✗ Your scale needs more work. Review the CVR for each item, revise low-scoring items, and consider another expert panel review.

References

Davis, L. L. (1992). Instrument review: Getting the most from a panel of experts. Applied Nursing Research, 5(4), 194-197.

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

Polit, D. F., Beck, C. T., & Owen, S. V. (2007). Is the CVI an acceptable indicator of content validity? Appraisal and recommendations. Research in Nursing & Health, 30(4), 459-467.