The findings suggest that the participants, whatever their proficiency level, are aware of the functional differences between the yes/no questions with and without an assertive item.
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In those studies, items loading on the Assertive factor involved one's confidence to suggest condom use to a partner.
EC-17 mean item scores at the start of the self-management program ranged from 2.02 for item 12 "I can be assertive to get what I need to meet my health needs" to 2.85 for item 2 "I understand the information I receive about my disease" (Table 2).
Items with sufficient factor loadings on the first component only constituted an index called 'Submissiveness', consisting of items such as 'It is hard for me to be self-assertive'It'is is hard for me to set limits' and 'It is hard for me to show anger'.
