A promising method for identifying cross-cultural differences in patient perspective: the use of Internet-based focus groups for content validation of new Patient Reported Outcome assessments

Table 6 Importance rating of symptom bother items by country (ordered from most to least important)

Item	All Grps Mean ⁺⁺	US	Mean ⁺⁺ (SD)	Deutsch	Mean ⁺⁺ (SD)	F value	P Value
Unattractive	1.6	1.7	(1.0)	1.4	(0.7)	1.37	0.25
Frustrated	2.0	1.9	(1.1)	2.1	(1.1)	0.50	0.49
Inconvenienced	2.1	2.1	(1.1)	2.1	(0.9)	0.01	0.94
Bothered	2.1	2.1	(1.0)	2.2	(1.0)	0.15	0.70
Embarrassed	2.1	1.8	(1.0)	2.0	(1.1)	5.43	0.02*
Nervous	2.2	2.5	(1.3)	2.0	(0.8)	2.24	0.14
Discouraged	2.2	1.9	(1.0)	2.7	(1.1)	5.83	0.02*
Annoyed	2.2	2.0	(1.1)	2.5	(0.9)	3.06	0.09
Disgusted	2.2	2.0	(1.1)	2.4	(1.3)	0.98	0.33
Self-conscious	2.2	1.6	(1.0)	2.8	(1.4)	10.75	0.00***
Preoccupied/Distracted	2.3	2.3	(1.0)	2.4	(0.9)	0.04	0.85
Worried	2.4	2.3	(1.2)	2.5	(1.2)	0.49	0.49
Irritable	2.4	2.4	(1.3)	2.4	(1.2)	0.03	0.86
Distressed	2.5	2.4	(1.1)	2.7	(1.1)	0.64	0.43

⁺⁺ 1, Extremely important; 2, Very Important; 3, Important; 4, A Little Important; 5, Not important at all.
* p < .05
*** p < .001

ISSN: 1477-7525