TY - JOUR
T1 - Using cognitive interviewing to improve questionnaires
T2 - An exemplar study focusing on individual and condition-specific factors
AU - Kamp, Kendra
AU - Wyatt, Gwen
AU - Dudley-Brown, Sharon
AU - Brittain, Kelly
AU - Given, Barbara
N1 - Funding Information:
This work was supported by a Sigma Theta Tau International Small Grant ; the Jonas Center for Nursing Excellence , Jonas Nurse Scholar Cohort IV ; and the Linda J Spence Endowed Fellowship (Michigan State University).
Publisher Copyright:
© 2018 Elsevier Inc.
PY - 2018/10
Y1 - 2018/10
N2 - Questionnaires are a standard component of quantitative research, but seldom do researchers consider the importance of item clarity and participant comprehension. This is particularly true among the often overlooked individual and condition-specific items which characterize the patient and disease process. Cognitive interviewing is one approach to assess item clarity and identify how participants understand and respond to questions. The purpose of this paper is to describe the process of cognitive interviewing used to identify questions that are unclear or challenging to answer for a unique population, emerging adults (age 18–29) with inflammatory bowel disease (IBD). Through cognitive interviewing four areas were identified as needing improvement among individual and condition-specific items: 1) clarity — describing terms and adding details to item directions; 2) cognitive recall burden — rewording questions to avoid the need for mental math, 3) timeframe — adding phrases like ‘in the past 2 weeks,’ and 4) question relevance — including items on disease remission. Analysis of these four areas may guide other researchers working with IBD patients to obtain high quality data, as well as stimulate questionnaire adaption using cognitive interviewing with other populations. Cognitive interviewing can be useful when drafting a new questionnaire or when adapting an established questionnaire; in either case, it can enhance item clarity and participant comprehension.
AB - Questionnaires are a standard component of quantitative research, but seldom do researchers consider the importance of item clarity and participant comprehension. This is particularly true among the often overlooked individual and condition-specific items which characterize the patient and disease process. Cognitive interviewing is one approach to assess item clarity and identify how participants understand and respond to questions. The purpose of this paper is to describe the process of cognitive interviewing used to identify questions that are unclear or challenging to answer for a unique population, emerging adults (age 18–29) with inflammatory bowel disease (IBD). Through cognitive interviewing four areas were identified as needing improvement among individual and condition-specific items: 1) clarity — describing terms and adding details to item directions; 2) cognitive recall burden — rewording questions to avoid the need for mental math, 3) timeframe — adding phrases like ‘in the past 2 weeks,’ and 4) question relevance — including items on disease remission. Analysis of these four areas may guide other researchers working with IBD patients to obtain high quality data, as well as stimulate questionnaire adaption using cognitive interviewing with other populations. Cognitive interviewing can be useful when drafting a new questionnaire or when adapting an established questionnaire; in either case, it can enhance item clarity and participant comprehension.
KW - Cognitive interview
KW - Demographics
KW - Inflammatory bowel disease
KW - Questionnaire clarity
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U2 - 10.1016/j.apnr.2018.06.007
DO - 10.1016/j.apnr.2018.06.007
M3 - Editorial
C2 - 29954654
AN - SCOPUS:85048970699
SN - 0897-1897
VL - 43
SP - 121
EP - 125
JO - Applied Nursing Research
JF - Applied Nursing Research
ER -