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In order to document the development and refinement of each item in the NiSCI, an item-tracking matrix was developed including information about the development of the item, changes made following translatability assessment, changes following the first round of cognitive interviews, and the final version of items (Version 2) following the second round of interviews.
Patients with osteoarthritis in the knee were involved during the development of the item inventory of the index in order to assess clinical relevance [ 26].
An advantage of the present methodology relates to the potential use of participants own language in the development of the item wording for a new questionnaire.
JP participated in the design of the study, advised on development of the item pool, reviewed the statistical analysis, helped interpret the data and draft the manuscript.
Development of the item pool was based on an iterative process involving review of the historical and contemporary literature in the refugee field in general, and in relation to West Papua in particular.
Our aim was to build a CAT based on the perspective of patients, so in the development of the item bank [ 16], the optimal balance between both perspectives – psychometric results and information gained from patients' experience – remained our goal.
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The development of the items was based on the structure of the control program based on Benda (2008).
Two teachers with graduate-level training in mathematics and with over 10 years of classroom experience in primary education helped on the development of the items.
The development of the items was, based on a thoroughly conducted conceptual work, previous items on alienation or related concepts, discussions with researchers with expertise on adolescent psychosocial health and six focus group interviews comprising 44 13- and 15-year-olds.
After the initial assessment had been made, an item-bank was compiled for consideration by the wider reference group who were asked to contribute detailed feedback and suggestions for further development of the item-bank.
For this study, we focused on a careful development of the items to ensure content validity.
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