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To ensure credibility, various methods including prolonged engagement with participants, writing memos, member checking, and peer debriefing were used.
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Peer debriefing was used: the emerging themes were discussed with the co-authors and an expert in qualitative research (FdB).
Barchard and Williams (2008), applying the American Psychological Association ethics code to this area, disagree with those who suggest that deception should not be used online and additionally recommend that debriefing be used in all online studies.
Several strategies (researcher triangulation, context triangulation, audit-trail, peer-debriefing) were used to optimize the methodological quality of the study [ 19].
Research triangulation and frequent debriefing sessions were used throughout the process.
The items and format for the Questionnaire on Anticipated Discrimination (QUAD) were developed from previous versions of the Discrimination and Stigma Scale (DISC), focus groups and cognitive debriefing interviews which were used to further refine the content and format.
Evidence from the video-recorded scenarios, audio-recorded debriefs and field notes were used to list all of the errors made in each scenario.
The interviewers' notes and interview recordings were used to debrief SP and SH who performed the initial analysis and aggregated the data.
Peer debriefing, audit trail, and verbatim quotes were used to ensure that participants' personal perceptions were analyzed, and not the personal beliefs of the investigators [ 33].
Three different samples were used: (1) knowledge debriefing sample: composed of eight men and eight women; (2) pilot sample: composed of 13 randomly enrolled patients; and (3) reduction and validation sample: defined by applying three representativeness criteria.
The notes taken by these individuals were used in the debrief each group provided at the end of each exercise.
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