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Rather, a 6-month recall period was chosen for the prevalence questions on the final version.
Two prevalence questions included the option 'prescribed by a doctor' to identify mainstream use rather than complementary medicine use.
If the student answered "never" to the lifetime question, it was assumed that the answers to the one week and point prevalence questions were "no".
LBP prevalence questions were taken directly from an established instrument (Nordic Back Pain Questionnaire)[ 26, 27] that captured information retrospectively on lifetime, 12-month, one-month and one-week prevalence.
Our experience from the pilot-tests is that children's reporting of pain is more spontaneous and immediate compared to adults resulting in a higher frequency of trivial pain being recorded when answering the prevalence questions.
These estimates agreed well with findings from the interviews which ranged between 85.7-97.9% and we therefore believe that the prevalence questions accurately reflect the children's perception of pain prevalence.
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Alas, answering the prevalence question might not end that debate.
The lowest kappa obtained (k = 0.57) was for the wrist and hand symptom prevalence question which represented a "moderate" agreement.
This study had similar values for Po and slightly lower kappa reliability results for their 12-month prevalence question with a Po = 0.83-1.00 and k ≥ 0.55.
The life prevalence question is very similar to that used by Chiu and Leung [ 21], which was shown to be reliable and valid.
Furthermore, the life prevalence question was particularly difficult to answer because adolescents had poor recall of symptoms that occurred at a younger age.
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