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It also remains possible that the interpretation of questionnaires was different between patients, which may affect the generalizability of our findings.
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This adds complexity to the interpretation of questionnaire results.
This has to be considered in the interpretation of questionnaire scores.
For seven questionnaires, two or more types of score distributions were presented that can facilitate the interpretation of questionnaire scores.
This is because individuals from different cultures may have different ways of living, thinking, and expressing [ 2], leading to culture-specific interpretation of questionnaire items and/or response styles and difference in scale scores.
However, due to the self reported character of the variables, caution must be taken with respect to possible bias since we do not know if the women have changed their interpretations of questionnaires and self-report over time.
Such contrasting findings may reflect item validity, participants' interpretations of questionnaire items, denial or fluctuation of emotion, or recall facilitated by interviews.
Distribution based approaches are used for the interpretation of HRQL questionnaires and allow to quantify the magnitude of score differences between groups.
Results are mean values or relative proportion, respectively The instrument to measure the 'Meaning of Illness' was a German language 8-item questionnaire based on the work of Lipowski, the 'Interpretation of Illness Questionnaire' (IIQ).
The interpretation of the questionnaire might change when it is moved and presented to another population.
This study emphasizes the possibilities to gain better insight and more relevant interpretation of a questionnaire by use of IRT.
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