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One might claim that the relatively high Cronbach's alpha coefficient obtained in this study was due to the large number of items in the F-ECOHIS [ 25] when compared with some other questionnaires used to assess the OHRQoL of children [ 4].
This is consistent with some other questionnaires for measuring aspects of functional status, such as the Sickness Impact Profile [ 16], the Mini-mental state examination and the CAMCOG [ 15], in which items, to which patients make no response, are coded in a 'negative' category.
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Recall bias also seems to explain the poor external consistency scores of some other questionnaire items, including symptoms present when the patient first arrived at INCAN, the diagnosis offered by the first doctor consulted, the tests requested by this first doctor, and the time that passed from identification of the problem until the patient told someone about the problem.
As for the OACT, some questions are based on other questionnaires from literature, while other questions have been introduced on the basis of some common symptoms of patients affected by OSA.
For the other questionnaires and some subscales, Norman's 'rule of thumb' was used whereby a ≈0.5 SD difference indicates a threshold of discriminating change in HRQoL scores of a chronic illness [ 21].
A descriptive analysis was performed with all other questionnaires, even if some data was incomplete.
Regarding comparisons with domains from other questionnaires and qualitative work, there is some consistency with the type of domains expressed.
This is a strength compared to other questionnaires [ 15], which have used sampling strategies which over-represented some groups used to generate and validate questionnaire items.
Other questionnaires for the diagnosis of TTH are few.
The other questionnaires were for a different project and not examined here.
Besides these instruments, a broad spectrum of other questionnaires is used in different varieties and combinations.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com