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Even after preliminary domain reduction, all four solution strategies must backtrack to find the solution.
A parametric study has been performed to search the preliminary domain of the design.
The card sorting procedure was performed by the DISABKIDS investigators and assisted in the final item selection and provided a preliminary domain structure for each module for use in the pilot study.
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This resulted in a total of ten preliminary domains and 44 items.
Based on the development process described in this paper, the current PRAQ comprises ten (preliminary) domains and 43 items, and takes approximately 15 min to fill out.
A majority of both healthcare professionals and patients wanted to be able to discuss each of the ten preliminary domains, so we considered all domains relevant for the PRAQ.
This first version of the PRAQ consists of 43 items and 10 preliminary domains, and covers the aspects of quality of life that healthcare professionals and patients wish to discuss in clinical practice.
The working group then grouped the items into preliminary domains according to their topic, keeping in mind the conceptual model of health-related quality of life developed by Wilson and Cleary [16], separating items on symptoms and functional status.
We took this into account in the development of the PRAQ by asking healthcare professionals whether they expected that different aspects of quality of life, as covered by the preliminary domains, would improve after treatment for OSA.
Our preliminary pool of items consisted of 63 items, which the working group sorted into 10 preliminary domains: symptoms at night, sleepiness, tiredness, memory & concentration, unsafe situations, concerns about health, daily functioning, direct effect of apnea on others (e.g. bothering others due to snoring), social interactions (with sexuality as a subtopic), and emotions.
Each of the initial pool items reflected specific characteristics one of the three preliminary domains underlying the tool.
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