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Table 1 Examples of ACHWM Queston Revisions

From: Assessing children’s interpretations of the Aboriginal Children’s Health and Well-Being Measure (ACHWM)

ACHWM question

Problem experienced

Question revision

I feel physically fit…

Word Problem

I feel physically fit (I feel that my body is in good shape)…

My Anishinaabe (Aboriginal) language is…

Word Problem/ Response Set Change

My Native language is…

Knowing a lot about my history and culture is…

Word Problem

Knowing about my culture (like the stories of my ancestors) is…

I drink water to keep me healthy…

Concept Issue/ Response Set Change

Drinking water to keep me healthy is…

I play outside with friends (free play)…

Concept Issue

I am active outdoors…

I feel like giving up - no point in trying…

Concept Issue

deleted

I walk the path of mno-bimaadziwin (the good life)…

Concept Issue

deleted

I have a long-term friendship…

Lack of variability in responses.

deleted

I have access to clean drinking water…

Concept Issue

I can get clean drinking water…