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No child reported difficulty understanding this term.
Some respondents reported difficulty understanding the frequency question; in some cases this was because they were taking 'when required' medication.
And the navigators help with that, ' We were talking about something a little while ago, why don' t we talk about that with the doctor?'" (Provider 4, medical oncologist) Many patients, regardless of their first language, reported difficulty understanding medical terminology.
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Furthermore, when testing the revision, many patients reported difficulties understanding the items on the SMFA questionnaire that were specific to American lifestyles.
None of the patients reported difficulties in understanding the content of the questionnaire.
Participants frequently reported difficulties in understanding what was said during consultations and they attributed these difficulties in part to the language clinical staff (especially doctors) used.
From a study on immigrant South Asian women with GDM in Australia, Bandyopadhyay et al. reported difficulties in understanding dietary recommendations [ 29].
Of the remaining nine (3%) only two women reported having difficulty understanding English and requiring help to complete the questionnaire.
Men reported more difficulty understanding the graphical representation of their OA risk – 17%% of men compared to 3%% of women did not agree that the graphical representation of their risk of developing knee OA was clear and easy to understand.
These participants did not report any difficulty understanding the task procedure and performing each of the Truth and Lie tasks as instructed.
This observation was similar to the report from Uganda that adolescents there have poorer knowledge of HIV and HIV vaccines than adults (20), whereas in India subjects reported difficulties in understanding and accepting the concepts of HIV vaccine trials, including the use of placebo and double blind, and felt that ordinary people would find it very difficult to understand these concepts (10).
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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