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This highlighted items needing revision in order to achieve equivalence of meaning across cultures.
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The items that were identified as needing revision during the cognitive debriefing process in each of the four countries were discussed along with potential solutions, and collective decisions were made.
The inter-rater agreement of clarity of the items was measured by CVI using the four-point scale according to Yaghmaie: Not clear (1), Item needs some revision (2), Clear but needs minor revision (3) and Very clear (4).
Moreover, all of our analyses (eg: the presence of the large ceiling effect, mistargeting of the items, disordered response thresholds) suggest that the DASH would need revision to be used with a population affected by DC.
The Constitution needs revision.
But that perception might need revision.
But our findings suggest that those myths need revision.
The nomenclature will need revision.
This needs revision.
It needs revision.
Only 4 hips needed revision.
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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