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Exact(19)
The scoring system also demonstrated no substantial ceiling or floor effects.
Substantial ceiling effects were apparent for six items (Table 2).
The distribution of the FSS revealed a substantial ceiling effect of 7.1%.
A descriptive section of the EQ-5D has shown substantial ceiling effect [ 19, 38].
Since the 3L is limited to three levels of response categories, a substantial ceiling effect was observed [ 7- 12].
The dichotmous response format of the RP and RE scales also resulted in these scales exhibiting substantial ceiling effects (> 60%).
Similar(40)
The health utilities obtained showed substantial negative asymmetry (ceiling effect).
Secondly, substantial floor and ceiling effects should be absent.
Substantial floor and ceiling effects for SF-36 scores were previously reported in other investigations [ 2, 40], further indicating poor utility of SF-36 in orthopedics.
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].
Other subscales with substantial floor and ceiling effects were SF-36 Role Physical (64%) and Role Emotional (36%) and AIMS2 Walking and Bending (10%).
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