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Table 2 Verbal probes used in cognitive interviews based on Tourangeau’s four-stage cognitive model of question response

From: Development of the Parental Experience with Care for Children with Serious Illnesses (PRECIOUS) quality of care measure

Cognitive or measure component

Verbal probe

Response errors or issues

Follow up on observations

Why did you pause on this? What is going through your mind?

 

1) Comprehension

What does [content or term] mean to you?

Unknown terms, ambiguous  concepts, long and overly complex

2) Retrieval/ recall of information

What did you remember when you read this?

Recall difficulty

3) Judgement/estimation

Describe your experiences with [concept] over the (timeframe)

Biased or sensitive, estimation difficulty

4) Response Mapping/reporting

How did you select your [response option?]

Incomplete response options

Overall feedback

Are there things that we do not ask about your child’s care that you think are important? What do you think about the length of the measure? Was it difficult for you to complete the measure?

Relevance, length, participant fatigue