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Cronbach's alpha did not improve sufficiently when items were removed to justify the omission of items from the scale.
Further, their omission of items on more relevant dimensions means that these instruments would not be able to reflect changes on those aspects at all.
However, a limitation of the MOS-HIV is its omission of items relating to spiritual well being, a unique predictor of QOL in other settings [ 35].
For instance, respondents may experience fatigue or lose concentration towards the end of a questionnaire and as a result, the probability of misinterpretation and omission of items may increase.
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The omission of item 4 yielded an increase in Cronbach's alpha (α = 0.631) and improvements of the factor structure and model fit.
Depression rates were not calculated in this study and the omission of item 21 did not pose a problem to the analyses.
However, estimation of item calibrations after omission of dependent items showed that this had minimal influence on the magnitude of item calibrations.
An important limitation to this study was the high percentage of missing and not applicable values for several items, especially those items where the hospital was the frame of reference, which necessitated the omission of these items from analyses.
Internal consistency was assessed using Cronbach's Alpha, examining whether the item to total correlations were improved by the omission of individual items.
Exclusion of these less specific items (P7, N5, G1, G2, G3, G5, G10, G11, G12, G15 and G16) resulted in high internal reliability between PANSS 30-item subscales and Mini-PANSS subscales, indicating that omission of these items in future clinical trials is not likely to significantly alter the PANSS subscales.
Nonetheless, the omission of certain items might be interpreted as an honest expression of a lack of knowledge.
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