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Although there were challenges in designing and developing the CRTs (notwithstanding the added complication of ensuring that the items could be delivered in multiple languages and contexts), the OECD report that experts felt that the CRTs were a positive step in competency assessment, in that they assessment higher level skills and provided a more comprehensive instrument.
As a more comprehensive instrument the 15D, contrary to other generic, including preference-based instruments, covers sexual functioning.
The Short Form (SF -36 iSF -36re comprehensise instrument than the EQ-5D-5 L and includes an additional section on energy.
The use of a more comprehensive instrument when measuring the exposure, with multiple response options regarding context, frequency and perpetrator would have clarified this further and provided more comprehensive knowledge about the nature of the violence.
A good example of a more comprehensive instrument is the Brief Fatigue Inventory (BFI), which was developed to assess the severity of fatigue and the effect of fatigue on daily functioning in the past 24 h for patients with cancer [ 51].
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Comparatively, the more comprehensive instruments assessing multiple domains of potential problems tend to be lengthy and time consuming, which may limit the clinical application.
BPI is short and therefore is easy to use and score, though the instrument offers few advantages over and duplicates scales of more comprehensive instruments, such as the WOMAC and SF-36.
This difference is most likely due to the method, as many of the previous studies were designed to measure violence [ 12, 27– 31] in specific populations, such as children and adolescents [ 27– 29] and women [ 30, 31], using more comprehensive instruments.
We conclude that the BPI is a short instrument that can be used as an alternative or complement to more established instruments in this patient group, though the instrument offers few advantages over, and duplicates scales of, more comprehensive instruments, such as the WOMAC and SF-36.
A more comprehensive QoL instrument has been developed in France (S-QoL, [ 23]).
A much larger study with a more comprehensive patient reported outcomes instrument may enable more definitive correlations to be identified.
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