Following analysis of the cognitive interviews, edits were made to Version 1 of the instrument.
For each round of interviews, efforts were made to recruit participants diverse in age, gender, race, and educational background.
Based on patient feedback from this first set of cognitive debriefing interviews revisions were made to the questionnaire items and response options during an international harmonization meeting.
Recruitment took place in August and September of 2008 and for each round of interviews, efforts were made to recruit participants diverse in gender, race, and educational background.
Small changes were discussed and implemented at these meetings, for example minor changes to the interview schedule were made to facilitate ease of the interview based on the interviewer's reflections.
If the participants agreed to complete the interview, arrangements were made to either complete the interview in person or over the telephone, depending on the preference of the participant.
Using the list of CHA strategic members, interview appointments were made to strategic team members through visits to the offices while appointments for other staff from the MoH were made through phone calls.
After each round of interviews, iterative changes were made to the pamphlet based on feedback obtained from nurses.
After each set of interviews, iterative changes were made to improve the visual and textual information, according to the principles of user-centered design.
Furthermore, the same overall topic guide was used in all interviews and efforts were made to supervise and support the research assistants.
