Table 2.

Reasons for Modifications to the Draft Questionnaire at Each Stage.

Stage	Number of potential items	Reasons for item removal/addition
Qualitative interviews	665
		Assessed other outcome constructs
		Duplicated other items
		Idiosyncratic
		Poorly worded
		Unsuitable for miscellaneous reasons
Cross-cultural review	86
		16 items too similar
		5 items replaced with others from original item pool
		1 item added from interview transcript
Translation	71
		8 items difficult to translate
Cognitive Debriefing Interviews	63
		Similarly worded item pairs
		Problematic due to cultural and/or linguistic reasons
Postal survey	30
		5 items removed due to RMT analyses (reported elsewhere)
Final APPLIQue	25