Table 4 Common issues identified by participants in first round of interviews
General Formatting Issues | |
|---|---|
Make the words larger | |
Issues with Instructions | |
Put recall period in bold type | |
Instructions are too long | |
Young children didn't understand the words "questionnaire" or "accurate" | |
Item Comprehension Issues: Word Meaning | |
Problematic Word | Suggested Change |
"clothing drawers" | "dresser drawers" |
"irritable" | "grumpy", "cranky" |
"worry" | "scared" |
"stressed" | "mad", "upset" |
"exhausted" | "tired" |
"how severe" | "how bad" |
"social activities" | "activities with friends" |
"ER" | "emergency room" |
"grumpy" | "mad", "angry" |
"rely" | "trust" |
"furious" | "angry", "mad" |
"frustrated" | "grouchy", "mad" |
"frightened" | "scared", "afraid" |
"snaps" (i.e., shirt snaps) | "zipper", "button" |
Item Comprehension Issues: Vague/Ambiguous Words/Phrases | |
ProblematicWords/Phrases | Explanation |
"activities" | Could mean sports or hobbies (i.e., crafts) |
"clothes" | Could mean pants, shirts, or both |
"walk" | Could be a block or a mile |
"hard to have fun" | Doesn't specify if it's hard due to physical or emotional issues |
"did things" | Isn't specific. What kinds of things? |
"go out" | Could mean going outside (i.e., to play) or going out with family/friends (i.e., to dinner) |
"relationships" | Could mean relationships with friends, family, teachers, or others |
"others" | Could mean friends, family, teachers, strangers, or others |
"I felt like I did everything badly" | Unclear if it is due to poor performance or if they got in trouble |
"I felt so bad that I didn't want to do anything" | Unclear if "bad" referred to physical health, guilt/shame, or low self-esteem. |
"feel terrible" | Could mean physically or emotionally |
Issues with Item Tense | |
Past tense items were preferred over present tense items | |
Misc. Issues | |
Assistive device items (i.e., questions about using a walker or wheelchair) didn't apply to a large number of children |