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Changes suggested in each site were incorporated into the final version of the instruments by the investigators responsible of this component of the trial and then reviewed and approved by a WHO special technical review group.
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According to the results, the final version of the instrument consisted of 33 items and had a confidence coefficient of 0.923.
Study 2 aimed to analyze the construct validity of the Arithmetic Subtest and select items for the final version of the instrument.
In the final version of the instrument, we used an interval scale of 11 points (0 to 10) for all indicators belonging to the independent, dependent, and moderating constructs (Table 1).
This iterative process will be conducted until we achieve consensus for the final version of the instrument.
The five participating professionals analyzed the original instrument, the translation, the back translation, and their proposals contributed to the development of the final version of the instrument.
Cronbach's alpha for the first and second administrations of the final version of the instrument were 0.982 and 0.986, respectively.
The final version of the instrument was translated into the languages of participating countries and three pilot interviews were conducted in each capital to assess applicability and suitability.
Based on their responses, the third version was revised, producing the fourth and final version of the instrument in Portuguese (Table 1).
Using the item analysis information 100 multiple-choice questions (MCQ) were selected by the test developers for the final version of the instrument.
The final version of the instrument (PAM 13-Dutch) is attached as an Additional file 1 to this paper (copyright Insignia Health http://www.InsigniaHealth.com).
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com