"There was a concern — and I will not judge on motivation — but the structure of the questions led to a concern that career people who were doing their jobs might be disadvantaged for having done their job," Moniz said.
The dimensional structure of the questions on the APAIS questionnaire was also explored using a multi-trait, multi-item analysis.
None of the participants considered that the structure of the questions or their answer options to be confusing.
However, results of this study identified a strong tendency towards acquiescent responding, regardless of the format or structure of the questions in this section.
The structure of the questions were informed by the initial two stages of van Meijel, Gamel, van Swieten-Duijfjes & Grypdonck's framework for using qualitative methods to develop interventions [ 29].
The structure of the questions is simple and easily understood, resulting in a high percentage of answers and a very good acceptance by patients, who don't need supplementary instructions in order to answer the questions independently.
Another limitation is the structure of the questions related to functional status, which ask whether the patient requires agency assistance with the particular ADL and IADL items rather than the patient's actual performance of the item.
As the exact structure of the questions varied by center and questionnaire, complete information on caffeinated and decaffeinated coffee intake was available only in Germany, Greece, Italy (except Ragusa and Naples, the Netherlands, Norway, Spain, Swedenn (except Umea), and the United Kingdom.
This was done because we were using the same instrument in a 3-month follow-up interview for a subset of the subjects enrolled in a brief intervention trial (Tomkins et al., 2008).This may have affected the total AUDIT score but should not affect the factor structure since the structure of the questions was unaltered.
