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The common factor analysis produced a rotated factor structure, close to that expected at the development phase of the instrument supporting the construct validity of the instrument.
It is encouraged to involve patients during the development phase of the instrument, in order to ensure content validity of a PRO measure, and to represent patient values [ 39].
Although during the qualitative development phase of the instrument items 2 and 3 were considered important for a company's willingness to implement WHP, both items had to be removed from the Health Promotion Willingness scale because they did not reach the factor loading or item total correlation cut-offs [Additional file 2] (Models 1 and 2).
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In contrast to the pain trials which were profiled in the development phase of the Jadad instrument, the majority of the items in the 3-item version (randomization and blinding items) yield no variation in scores in our context and are, therefore, not useful to discriminate among cancer trials.
141 individuals undergoing genetic testing were approached and consented to the instrument development phase of the study (Phase I).
The 'factors' produced in this study coincide with the constructs contextually identified in the development phase of other instruments used to study antibiotic use.
It has been recommended that the ICF be considered during the development phase of instruments, as this assists in achieving a stronger basis for international comparability [ 26].
The measuring of patient satisfaction through surveys is a common approach in quality management, while literature suggests major methodological challenges [ 36, 37] and indicates the development phase of instruments assessing patient perception of quality [ 38- 40].
In its development phase the instrument was applied to 99 paper-based and 52 electronic systematic reviews [6] [7].
It could be argued that more participants should have been included during this phase of the instrument development.
All participants for each phase of the instrument development were patients age 18 years and older with the chronic conditions of diabetes, hypertension, heart disease, or heart failure.
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