Table 1.

Thresholds established to evaluate the items during round iteration.

Fixed threshold				Action
	Round 1	Round 2	Round 3
Item	≥ 80% Likert 4/4	Median ≥ 8 IQR ≤ 2	Median ≥ 8 IQR ≤ 2	Preserve the item
	< 80% Likert 4/4	Median < 8 IQR > 2	Median < 8 IQR > 2	Reformulate the item
Additional suggestion	≥ 15/20	≥ 15/20	≥ 15/20	Include into the item
	10-14/20	10-14/20	\	Propose in the next round with literature support
	< 10/20	< 10/20	< 15/20	Remove