Table 4. Summary of cognitive interview analyses: factors related to comprehension, response and suggestions for change.

Meaning
Literacy: self & others		Comments/Suggestions
	Dissemination, dissemination activities, disseminate	Sharing results or sharing data
	Memorandum of Understanding	Roles and responsibilities
	Intellectual property	Articles and presentations
	Management responsibility
	Accountable
	Inclusion, inclusiveness, inclusive quality
	Representation
	Collaboration, collaborative
	Equitable
	Coalition
	Fosters	Encourages, supports
	Incorporate factors	Delete and use examples
	Capacity
	Governance
	Mutually agreed upon, agreed-upon
	Food access	Places to buy or get food
	Stakeholder (termed jargon)
Vague
	Culture, cultural factors	(examples, context)
	Issues	(examples, context)
	Plan	(context)
	Problem Solving
	Resources	(what resources, context)
	Capacity	(context)
	Environment	(context)
	Partner, partners, academic partners (there seems to be a desire to specify “all”	All partners, less confusion; who is included
	Leadership responsibility (also listed as preferred)
RESPONSES
Quality Stem	Confusing, only specifies academic researchers; too wordy	Take word quality out of stem; specify all partners.
Recommended Changes	Additions	“Unsure, undecided,” numbers to ground the quantity scale
Complex Questions	All partners assist in establishing roles and responsibilities for the collaboration	Reference single issue
	All partners have the opportunity to share ideas, input, leadership responsibilities, and governance (for example—memorandum of understanding, bylaws, organizational structure) as appropriate for the project.	It is always appropriate to share information in the partnership; too wordy
	Incorporate factors (for example—housing, transportation, food access, education, employment) that influence health status, as appropriate.	Delete “as appropriate.” Always appropriate.
	Examine data together to determine the health problems that most people in the community think are important.	All partners look at the data to determine the health problems the community thinks are important.
	Partners agree on ownership and management responsibility of data and intellectual property.	Partners agree on ownership of data for publications and presentations.
Importance
Not important	Community has confidence they will receive credit for their contributions.	Researcher focused
	All partners have the opportunity to be coauthors when the work is published.
Factors cited for importance	Trust, benefit, respect, power, control, decision making (mutual), value community