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The participation restriction items yielded the highest proportion of total problems and the most comprehension problems (Table 4), with item C14 'How healthy is your physical environment?' being identified as the most problematic item of the measures (this item being dropped in the Ab-IAP measures).
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Another item measuring this ability, Item 20, also indicated a low agreement rate (11.2 %).
It is postulated that the perception of contagion of depression measured by this item aligns more with this 'Dangerous-Undesirable' dimension than the 'Weak-not-Sick' dimension.
In addition, an intervention that is in fact beneficial to fatigue, for example, would also risk not to show change on a generic measure because this item was not included.
53 Cancer Survivors Unmet Needss measure (CaSUN) —this 35-item scale assesses unmet needs across information, patient care, psychosocial, physical and sexual domains.
This item measures the frequency with which respondents experienced social activity limitations due to health.
This item measures the match of the content of practice to learning need.
Diabetes self-care activity measure : This 11-item instrument is a self-reported questionnaire of diabetes self-management which includes five aspects (activities) of the diabetes regimen.
While not a comprehensive measure of sexual preference, this item is arguably a good indicator of same-sexual orientation and behaviour.
Problems were identified in 3.1% of responses in the 35-item measures, This 'think aloud' analysis supported the previously carried out statistical item analysis and illustrated how 'think aloud' methods can compliment traditional statistical methods for item reduction and the use of both methods may advance measurement development.
This item of measure also allowed participants to indicate their view of uncertainty about the ToE.
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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