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There were also four questions about the dimensions of performance as follows: availability (ten items); responsiveness (nine items); productivity (six items) and competence (nine items).
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Furthermore, these items and competences showed content validity based a previous study [ 18].
The Cronbach's alpha over the 6 ratings in this study was.93 for both the adherence-items and competence-items.
The 23-item PFQ [ 26] consists of five domains: interpersonal skills (5 items), communication of information (4 items), patient engagement and enablement (7 items), overall satisfaction (3 items), and technical competence (4 items) [see Additional file 1].
Burnout complaints were measured with the Maslach Burnout Inventory-General Survey (MBI-GS) [ 49], which consists of three subscales: emotional exhaustion (5 items), depersonalisation (4 items), and professional competence (6 items).
This instrument consists of visual analogue scales and Likert scale items and has a competence cutoff score of at least 60.
On the evaluation of medication competence, sum score for the analysis consisted of Medication Competence (50 items), and sub-sum scores of Theoretical Medication Competence (30 items), Practical Medication Competence (10 items) and Decision-making Competence (10 items).
The ITSEA is a 165-item parent-report questionnaire to assess social-emotional problems/competencies in the domains of behavioural dysregulation; externalising behaviour; internalising behaviour, and competence Items are presented as statements e.g. "Your child is restless and can't sit still" and rated on a 3-point scale 0 (not true/rarely) 1 (somewhat true/sometimes) 2 (very true/often).
It is composed of 20 competence items and 118 behaviour problem items grouped into four competence scales and eleven problem scales.
Intrarater reliability was 91% for adherence items, 75.7% for competence items and 69% for overall impression scores.
Inter-rater agreement was 80% for adherence items, 67% for competence items and 53.5% for overall impression scores.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com