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We only collected patient-reported information using the questionnaire and did not collect clinical information such as platelet counts.
The research assistants were trained in using the questionnaire and ethical research conduct and were closely supervised by an experienced local research officer.
A large amount of missing scores as well as high floor or ceiling effects would be indicative of difficulty in using the questionnaire and interpreting scores (reflecting acceptability for the clinicians, or "users").
All of the women who showed up at the screening were first interviewed using the questionnaire and received a physical examination by the nurse-midwives to assess their physical condition and to make an initial diagnosis on whether they had an obstetric fistula or some other condition.
Experiences using the questionnaire and its reported shortcomings, such as cross-cultural non-equivalence, difficulties with some word meanings, floor and ceiling effects, poor performance of the two Role Function scales and standard layout, were used as a basis for implementing changes in the second version (v.2) of the SF-36, in use since 1996 [ 8].
Based on our experience, we estimate that for one researcher, 4 workers could be measured simultaneously using the inclinometer, 10 or more using the questionnaire, and only 1 additional worker for the video camera (unless the amount of recording time was shortened).
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All surveyors were trained to use the questionnaire and they practiced interviewing local people in the field.
All the interviews were conducted by an expert child and adolescent psychiatrist (A.G .. Assessments were performed by a resident of psychiatry trained to use the questionnaire and checklist.
The data was gathered by using the questionnaire survey and analysed by the internal consistency and correlation analysis.
The GPs were recruited, and the licenses to use the questionnaires and the algorithms for calculating the scores were acquired.
To strengthen the reliability, the interviewers were trained in using the questionnaire, the different measurements and the manual.
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