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In the meanwhile, patients were interviewed to determine whether they had difficulties in understanding the items in the pilot trial.
In general there were no major problems in reading and understanding the items by women.
No further difficulties in understanding the items were discovered during the pre-testing phase.
The participants were queried about the difficulties in understanding the items and any changes required were done accordingly.
They provided general remarks about the questionnaire and were interviewed about potential difficulties in understanding the items.
All participants stated they had no difficulties understanding the items, and most were able to complete the questionnaire in 15 minutes.
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However, in one child, difficulty related to thinking about the topic rather than understanding the item was noted, and thus the item was not altered.
The participants believed that the PE measures focus on important consequences of PE, and they did not have difficulty understanding the item content or in responding to the questionnaire.
However, we believe, as seen in the response processes evidence, that the healthcare aides in our sample had difficulty understanding the item, thus rendering their responses to it as less valid.
No respondent reported having had difficulty understanding the instrument items.
In each country, caregivers were asked to complete the local language version of the SCQ and the CaGI, to indicate if they had any difficulties in understanding the instructions, the items, and response scales, and to paraphrase each sentence in the questionnaires or reformulate it with their own words.
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