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We have concluded that the responsiveness questionnaire and the format of this study are not appropriate for assessing barriers to mental health care.
This paper assesses the psychometric properties of a newly developed responsiveness questionnaire dedicated to evaluating maternal experiences of perinatal care services, called the Responsiveness in Perinatal and Obstetric Health Care Questionnaire (ReproQ), using the eight-domain WHO concept.
In conclusion, given the lack of comparable instruments and the overall favorable study results, we feel that this unique adaptation of the WHO responsiveness questionnaire to evaluate the various phases of perinatal care has been relatively successful.
In accordance with the WHO health system responsiveness questionnaire and the findings of a qualitative study, a Farsi version of the MHSRQ was tailored to suit the mental health system in Iran.
The study used a modified section of a short, out-patient responsiveness questionnaire included in the 2002 2003 World Health Survey [ 23], designed by the World Health Organization (WHO) for measuring health system performance [the survey instrument is available at: http://www.who.int/responsiveness/surveys/individual.pdf].
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We suggest that future studies specify the exact version of the scale they used and thoroughly investigate the psychometric properties (reliability, validity and responsiveness) of questionnaires employed to evaluate the results of spinal surgery.
The responsiveness of questionnaires is limited by the presence of floor or ceiling effects, because changes can not be measured in such cases.
Furthermore, the responsiveness of questionnaires with substantial floor or ceiling effects would be limited, because changes over time cannot be measured in these patients [ 35].
Nevertheless, the selection of instrument for use in a cancer trial should depend on the fit between its content and the objectives of the study [ 8] and the responsiveness of questionnaires may also vary according to the treatments received.
The reliability, validity and responsiveness of this questionnaire have been assessed in a German population of renal transplantation patients [ 7, 13], and the questionnaire has been used to compare HRQoL of patients using tacrolimus and ciclosporin-microemulsion [ 11].
This allowed calculation of the responsiveness of the questionnaire.
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