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I have just returned from vacation and read the article that appeared in the July 14 South Bay section entitled "Jewish Identity: Group Fears the Loss of Community, Hopes to Bring Families Back to Fold". I wanted to add several items for clarification that might give your readers a more comprehensive understanding of the issues raised in the article.
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Other items needed rephrasing for clarification of the possible indicator.
Based on these findings, the wording of several items was revised for clarification.
Response behaviour suggestive of problems with questions (item non-response, request for clarification, comments, inadequate answer, "don't know") was systematically registered.
Comments made during the cognitive debriefings on the clarity of wordings, instructions and response options were tabulated by each interviewer into the following categories: 1) instructions were not understood correctly; 2) respondents did not understand the item and required examples for clarification; and 3) respondents encountered difficulties with the response options.
The interviewers noted any items about which the subjects asked for clarification and they discussed problematic items with the women in order to check understanding.
Further, we used self- administered questionnaires rather than face-face interview that would have offered better opportunity for clarification on items that could be confusing to the respondent.
13 However, questionnaire responses can be restricted by the wording of the items and provide little opportunity for clarification or elaboration.
Therefore, we not only asked patients to think aloud while answering the QoL items, but additionally probed them for clarification or during pauses in which they did not think aloud to capture patients' cognitive processes as comprehensively as possible.
The authors of these trials were not contacted for clarification regarding these items.
However, physicians, more often than nurses, asked for clarification about reverse items and expressed their preference for those written in a normal sequence.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com