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The web-based survey was created based on existing instruments (Environmental Defense Fund 2008) and on a focus group discussion with PHNAs of Ohio local public health departments (n = 6).
These surveys were based on existing instruments in the field of acculturation and were used to analyze the acculturation balance levels of the individuals taking part in the study.
Therefore, in developing our measurement system, we combined the ICF model with an empirical approach based on existing instruments.
A Delphi procedure was conducted to examine the applicability of a preliminary questionnaire in PGME, which was based on existing instruments designed for business and health care organizations.
Risk behaviours were assessed by items based on existing instruments previously developed by Municipal Public Health Services and health institutes in the Netherlands [ 31].
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Specifically, this paper addresses three core aims, namely: (1) the initial psychometric properties of three new instruments based on existing MSF instruments and the influence of potential sociodemographic variables, (2) the correlation between physician self-evaluation and other raters' evaluations, (3) the number of evaluations needed per physician for reliable assessments.
Quality assessments were adapted based on existing validated instruments and the study characteristics in order to assess the implemented methodologies and theory utilization.
A questionnaire based on existing validated instruments from national surveys of reproductive health of youth in Pakistan was used [ 18, 19], but it was supplemented with context-specific items to assess the knowledge and awareness of behaviours related to HIV/AIDS.
Specific instruments developed for the QM draw on existing instruments in each respective field of research.
The task now is to develop an instrument based on existing research that is suitable for larger-scale implementation.
Development of the data collection instruments was based on existing tools and guidelines for infection control [ 12- 16].
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