Review of clinician feedback led to the removal of nine items due to redundancy, poor wording, or irrelevance and to the rewording of two items.
Demographers for New York City say they believe that the problem can be traced largely to the rewording of a census question about Hispanic ethnicity.
The interview process with students was vital to the rewording of question stems, and several questions and their answers were improved through direct student feedback.
The rationale for the rewording of this item was that although adolescence is developmentally a phase of beginning autonomy, most adolescents still depend a lot on parents and other adults, which is expectable and normative.
The latter groups suggested the addition and/or deletion of questions, and the rewording of questions based, in large measure, on what these individuals viewed from personal experience as barriers that occurred during the process of obtaining the diagnoses of celiac disease.
In order to receive additional parental reports, we modified the KKG for the perspective of caregivers by rewording the items, for example "If my son/daughter has complaints, we ask somebody for advice" instead of "If I have complaints, I ask somebody for advice".
It is understood that the rewording of some of the more colourful parts is being considered in an attempt to offer some "reassurance".
Bengali was recognised as the second official language of Pakistan on 29 February 1956, and article 214(1) of the constitution of Pakistan was reworded to "The state language of Pakistan shall be Urdu and Bengali".
The main changes consisted in the rewording of some items, the development of eleven additional items focusing on issues important to caregivers, the deletion of one item (i.e., item 9 of the ZBI - Do you feel strained when you are around your relative?), and the addition of a recall period (i.e., the past four weeks).
Pilot testing in a group of eight first-time fathers resulted in the deletion of 11 items due to low relevance ratings and in the rewording of several items to improve comprehensibility.
