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The cognitive debriefing interviews did not reveal any problems with patients' understanding of items or instructions, and confirmed the appropriateness of the recall period and response options.
Cognitive probing was conducted in children to evaluate their understanding of items and the response scale.
In addition, modifications were made to the 'pop-up' descriptions developed to facilitate adolescents' understanding of items.
The MEONF-II demonstrated good user-friendliness in terms of time to complete, ease of understanding of items, as well as ease of completion.
Finally, the pre-final version was used and tested to determine understanding of items at the Rehabilitation Department, Phramongkutklao Hospital [ 15].
This attributional problem was confirmed in our study, and shows the importance of thoroughly testing the understanding of items before moving on to psychometric testing (11, 12).
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For example, some participants described engaging in lifestyle behaviours, or not, as consequence of their understanding of particular items of lifestyle information: FM2 (male): Well, red wine reduces your cholesterol - well that has been my excuse for [a] long [time]!
In short, a different understanding of item wordings may have contributed to this.
Also items were cross-loaded on multiple scale factors when necessary to explore a better understanding of item misfit.
Six items specifically address: satisfaction with current treatment (item 1), treatment convenience (item 4), flexibility of treatment (item 5), understanding of diabetes (item 6), recommending treatment (item 7) and continuing treatment (item 8).
Six (items 1, 4-8) of them (item 1: satisfaction with current treatment; item 4: treatment convenience; item 5: flexibility of treatment; item 6: understanding of diabetes; item 7: continuity of treatment, and item 8: recommending treatment to others with diabetes), are summed to get treatment satisfaction score with a possible range of 0 (very dissatisfied) to 36 (very satisfied).
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com