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Thus we modified the item as follows " There is a problem with the presentation of this information".
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The judgemental approach further modified the items and weighted them based on expert-opinion.
We subsequently modified the items to increase clarity.
They modified the items of inappropriate expression for ensuring its surface and content validity.
One reviewer modified the items on uninterpretable results and withdrawals to add a "not appropriate" response.
In the current context we modified the items by replacing the word "whiplash" with "back pain" or "neck pain".
The preliminary scale was developed after modifying the item pool based on the advice of the experts and the outcomes of the comprehension tests.
The preliminary scale was developed after modifying the item pool based on the suggestions of the physician experts, psychometric expert and patients as well as on the outcomes of the comprehension tests for patients.
We needed to modify the item on sexual activity (because it is not appropriate in the culture) and it is arguable whether the replacement with sexual feeling is adequate.
Based on the discussions during the cognitive debriefing, the committee agreed to modify the item from " Saya sering terfikir tentang merokok sejak akhir - akhir ini" to "Saya sering terfikir untuk merokok sejak akhir-akhir ini" which means "I think about smoking a lot".
Students' answering patterns, pictures, and comments were used to modify the items.
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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