Despite the various efforts aiming at ensuring that communities participate in deciding about their affairs including health issues, operationalization of such efforts is poorly done.
Other limitations relate to the operationalization of outcome variables.
Regarding external validity, a key issue in ILSA data is the operationalization of the outcome variable(s) which relies on appropriate and relevant but necessarily limited measurements.
A third-variable explanation is possible, but the issue of operationalization of opportunity to learn and the validity of chosen indicators is the crucial one in our opinion.
There are also other limitations of the present study related to sleep measurement issues: First, the operationalization of OSA was based on a brief self-report questionnaire.
The third problematic point regarding the current operationalization of CM concerns methodological issues in the measurement of impact, particularly social impact.
One main issue was difficulty in operationalization.
Defining the policy instrument as an institution, these authors argue that a device is rarely neutral, but rather is made up of representations of social issues that are diffused through its operationalization.
