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During the development phase, an importance item ("How important is it for you right now to…") was included for each of the five behaviors and ease of managing weight in order to assess the potential of deriving weights for each domain score.
The factor analysis included all subscale items except the importance item from each subscale, as we found these items behaved differently.
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The answering formats of importance items were: not important, fairly important, important, and extremely important.
Answering formats of importance items were: Not important (1); Fairly important (2); Important (3); and Extremely important (4).
The CQI Hip Knee Importance also comprises demographical items, and in addition consists of importance items asking how important hip and knee patients value the quality aspects of the CQI Hip Knee Experience with answering categories ranging from not important to very important.
Responses to the importance items range from "very important" (6) to "very unimportant" (1).
The items are scored according to a 6-point Likert scale ranging from "very satisfied" to "very dissatisfied" for the satisfaction items, and from "very important" to very unimportant" for the importance items.
For low value, low importance items, either place them on a list labeled "Not for now, maybe later", or strike them off the list altogether 6.
For high value, high importance items that require action downstream, but not now, you can schedule them out in time, or place them in a folder (paper or electronic) for some future date when you want to be reminded 7. Get to work accomplishing those high value, high importance items that have immediacy to them or are required to prepare the road for what's coming.
Then you can choose to do what's meaningful, not just what's in front of you. 1. Review each item on your list 2. What result, value or meaning will be accomplished if you get it done 3. How critical or important is that result, value or meaning (today vs. tomorrow) 4. For high value, high importance items, keep them on your current list or schedule them on your calendar 5.
For informed patient choice, the importance items are irrelevant.
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Since I tried Ludwig back in 2017, I have been constantly using it in both editing and translation. Ever since, I suggest it to my translators at ProSciEditing.

Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com