| Item-level and dimensionality analyses |
| Floor and ceiling effects |
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Floor and ceiling effects were assessed by examining the proportion of respondents endorsing the lowest (floor) and highest (ceiling) possible response option for each item of the three HRQL measures.
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An item with a floor effect > 20% or a ceiling effect > 20% in the sample was flagged (Terwee et al., 2007)
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| Construct validity: item-convergent and discriminant validity |
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Item to scale correlations were calculated to explore the dimensionality and factor structure of the respective measures. Two criteria were considered:
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Item convergent validity: the item-to-scale correlation coefficient between each item and domain should be > 0.40 or higher ( Cappelleri et al., 2013)
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Item discriminant validity: each item should have a higher item-to-scale correlation coefficient with its own domain than with any other domain and show small (<0.40) or negligible correlations ( Cappelleri et al., 2013)
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| Scale-level analyses |
| Internal consistency |
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Internal consistency reliability was evaluated using Cronbach’s alpha coefficient for all multi-item domains.
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This criterion was considered to be met if the Cronbach’s alpha coefficient was ≥0.70 (Cronbach, 1951; Nunnally and Bernstein, 1994)
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| Known-groups validity |
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| Ability to detect change |
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| Clinically meaningful change analyses |
| Distribution-based analysis |
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