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 |
Note: All issues in above table were identified by at least 2 children