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At each of the following evaluation steps two reviewers evaluated the items independently and consequently discussed disagreements face-to-face to reach consensus.
The pre-publication history for this paper can be accessed here: http://www.biomedcentral.com/1471-2393/14/1/prepub The authors wish to thank the members from the two expert panels, one that evaluated questions and scale items and the other that evaluated the items according to the self-efficacy theory.
Then an expert panel evaluated the items by assessing content validity index and content validity ratio.
Patients with revision surgery evaluated the items of the SF-36 similar to patients with primary surgery.
DRI has previously been applied in studies of pregnant women [ 2, 10], and we also evaluated the items to be adequate for this group.
At least 8 scientists evaluated the items, showing that the terminology used in many of the items, especially the word discrimination, was indeed too loaded.
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We evaluated the item level changes with a Wilcoxon Rank Sum test as way to examine the feature-level contribution to overall change in the SRS-2 scores, as each question's response options were ordinal (1 = not true, 2 = sometimes true, 3 = often true, and 4 = almost always true).
Second, members of the EORTC CAT group evaluated the item list.
We also evaluated the item-score profiles at the latent cutoff points.
We evaluated the item performance, scaling characteristics, reliability, and construct validity of the M-NCAS using baseline assessment data.
We also evaluated the item residual correlations in order to monitor local independence, with a criterion set than not more than 5% of the item residual correlations should exceed 0.30 [ 47].
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