Evaluation Report
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Results of the Comparative Cognitive Test Workgroup Budapest Initiative Model

Research Support Services, Inc
10/16/2009
Cognitive Interview
2/2008
Budapest Initiative
Citation: Miller, K., 2008, Results of the Comparative Cognitive Test Workgroup Budapest Initiative Model, Hyattsville, MD: National Center for Health Statistics. https://wwwn.cdc.gov/QBank/Report.aspx?1048
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Abstract: This report is a product of a multi-national testing project conducted by the Comparative Cognitive Test Workgroup. The workgroup is a coordinated, international effort organized to develop and implement an evidence-based methodology for testing survey questions in cross-cultural or multinational contexts. For this project, the coalition consisted of representatives from 7 different nations and incorporates 6 different languages: the US (in English and Spanish), the UK, Bulgaria, Portugal, Switzerland (in French), Germany, and Spain. In Fall 2007, workgroup members met in London to discuss project goals and to determine the process and protocol for conducting the study. In the next 5 months, 135 cognitive interviews were conducted by participating countries. Interviews were structured around questions provided by the Budapest Initiative (a UNECE/Eurostat task convened to develop global measures of health states) and the European Social Survey. In February, 2008, the group held a joint analysis meeting whereby a process was developed to conduct a systematic, comparative analysis of those interviews. Through this process, the group was able to identify various interpretive patterns resulting from socio-cultural and language-related differences among countries as well as other patterns of error that could potentially undermine the comparability of survey data. This report summarizes the process and findings of the Budapest Initiative component.

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Questions
Question Text 
Question Topic 
How much difficulty do you have walking 100 yards on level ground that would be ___________? Would you say: no difficulty, a little difficulty, a lot of difficulty, or are you unable to do this?Mobility
How much difficulty do you have walking 100 metres on level ground that would be about _____________ without using your ______ [mention aid(s) in W1b]? Would you say: no difficulty, a little difficulty, a lot of difficulty, or are you unable to do this?Mobility
How much difficulty do you have walking 500 metres on level ground that would be about _____________ (insert country-specific example)? Would you say: no difficulty, a little difficulty, a lot of difficulty, or are you unable to do this?Mobility
How much difficulty do you have walking 500 metres on level ground that would be about _____________ without using your ______ [mention aid(s) in W1b]? Would you say: no difficulty, a little difficulty, a lot of difficulty, or are you unable to do this?Mobility
Because of a physical, mental or emotional problem, do you have difficulty concentrating, remembering or making decisions? Would you say: no difficulty, a little difficulty, a lot of difficulty, or are you unable to do these things?Learning and Cognition
How much difficulty do you have remembering important things? Would you say: no difficulty, a little difficulty, a lot of difficulty, or are you unable to do these things?Learning and Cognition
Overall, during the past week, how worried, nervous, or anxious did you feel? Would you say: not at all, slightly, moderately, a lot, or extremely worried, nervous, or anxious?Anxiety
Overall, during the past week, how sad, low, or depressed did you feel? Would you say: not at all, slightly, moderately, a lot, or extremely sad, low, or depressed?Depression/ Suicide
Overall, during the past week, how much physical pain or discomfort did you have? Would you say: none at all, a little, moderate, a lot, or extreme physical pain or physical discomfort?Pain
How many days during the past week did you have physical pain or discomfort?Pain
During those times when you had physical pain or discomfort, how would you describe your level of physical pain or discomfort? Would you say it was mild, moderate, severe or extreme?Pain
Thinking about the last time you had physical pain or discomfort: On a scale from 1 to 100 how intense was the pain: 0 is no pain or discomfort and 100 is the worst pain or discomfort imaginable.Pain
During the past week, how many days have you felt tired or had little energy?Fatigue
On those days, how much of the day did you feel tired or have little energy? Would you say all day, most of the day, about half of the day, or only for a few hours?Fatigue
During those times when you felt tired or had little energy, how would you describe your level of tiredness or loss of energy? Would you say it was mild, moderate, severe or extreme?Fatigue

Page last reviewed: 12/13/2023
Content source: Collaborating Center for Questionnaire Design and Evaluation Research