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These findings have necessary implications for survey design and outcome interpretations.
Finding quantitative, site-specific data for model-input parameters and outcome interpretations in Afghanistan is a challenge similar to those faced in other countries (e.g., Silliman et al. 2007).
The main limitation is that our outcome interpretations are dependent upon a small sample size.
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It is paramount to assess the psychometric properties of self-assessment tools in order to check the tests' reliability and validity, also to enable proper outcome interpretation.
This scale was designed to be self-completed by the subjects, but unfortunately in a developing country with low literacy this had affected its outcome interpretation.
In this study, we illustrate the utility of an agent-based simulation to inform a trial design and how this supports outcome interpretation of randomized controlled trials (RCTs).
As a result, these values are not reported to avoid variability in outcome interpretation.
BJK designed and performed data analyses and wrote the draft, WJvdV designed the study and assisted in draft writing and outcome interpretation, FG was responsible for data collection and management and assisted in outcome interpretation, GD assisted in draft writing and outcome interpretation, KvdM assisted in outcome interpretation.
Our study was conducted in five steps: (1) participant selection, (2) data collection and validation, (3) variable definition, (4) data analysis, (5) outcome interpretation.
There are a number of well known challenges, for example, to PRO data collection, appropriate timing of assessment, adequate statistical analysis and outcome interpretation [ 9, 10].
The percentage of adolescent inpatients and day patients is also small in comparison to the adult inpatient sample size which limits the overall outcome interpretation.
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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