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Confusing items were removed, rewritten or replaced.
The participants were asked to repeat the questionnaire two times at a thirty minute interval in order to identify obscure or confusing items; items with kappa scores less than 0.6 were excluded to limit the number of items and to ensure reliability of the preliminary questionnaire.
Supplementary written information explaining a few potentially confusing items (due to their brevity) needed to be provided.
Concerning acceptability, it was in general very good, no disturbing questions, few confusing items, very low percentage of missing data for items and scales, and the duration of administration of the questionnaire is short [ 14, 15].
Similar(54)
The Turkish version omitted the following items: the calorie aspect of food (item 1), finding food shopping confusing (item 2), mood specificity (item 9), and a preference for eating alone (item 15).
Item 5 "Problems reading street name signs" and item 25 "Problems doing household tasks" had low factor loadings and interpretation of factors was confusing (both items loaded almost equally on two factors).
The use of identical items may contribute to the low capacity since it is likely that observers sometimes confused tracked items with untracked items within the same set of objects.
There were three primary reasons for their confusion: 1) they felt unclear about what kind of "decision" Item 19 refers to; 2) they felt confused about Item 19 because they thought that they would have not consulted doctors if their decision were the most important; and 3) they simply did not understand what Item 20 meant.
Thirteen patients (6%) found one or more items confusing or difficult to answer.
Having the G-Links homepage within the G-language Project wiki is confusing, as menu-items on the left are relevant to the latter.
If too many associations are stored, the quality will be so low that the extracted items will be easily confused with similar items or, in extreme cases, completely unrecognizable"(p. 139).
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Since I tried Ludwig back in 2017, I have been constantly using it in both editing and translation. Ever since, I suggest it to my translators at ProSciEditing.

Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com