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Evoluation of the Dutch and Turkish version
Ethics
No external funding was received by the Utrecht University of Applied Sciences to conduct this study. The study was registered with the Medical Ethics Commity of the Acadamic Medical Centre of Amsterdam, which declared that it does not fall under the scope of the “Medical Research Involving Human Subjects Act.” The study was conducted according to the principles of the Declaration of Helsinki. All respondents provided written informed consent. The respondents names used in this paper are all fictitious to protect their privacy.
RESULTS
Encountered Problems
Of the 24 respondents, 20 encountered one or more problems during their response process. Low-educated Michelle and moderately educated Christine, Lydia, and Sandra did not encounter any problem. All members of the total study population stated that they recognized themselves in the overall outcomes of the questionnaire. Bernie stated the following:
“If I would have developed this questionnaire so it would have fitted my health problem I would have done it differently. Instead of selecting specific points on the body chart, for instance, I would have enabled people to select regions. In my case that would have enabled me to select the whole lower part of my body instead of a few specific points in it. But even though I would have done it differently, I recognize myself in the summary of my limitations in functioning. That is mainly due to the pictures of the activities in which I am impaired. When I look at all the outcomes as a whole, it is right. I recognize my own health situation.”
Most problems concerned interpretation of questions and answer options. Questions 1 and 4 generated the most problems. Question 3 generated no problems at all (see Table 4.1.3).
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