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Table 3 Results of pretest in terms of comprehensibility

From: Translation and cross-cultural adaptation of a Nepali version of the Dutch Participation and Activity Inventory for Children and Youth (PAI - CY) with visual impairment

Subcategory

Description of problem

Domain/ Item no

Possible solution

Problem with instruction

Younger children had difficulty to answer questions and took mother’s help

Communication/ 1,3,9

Item 1“How difficult is if for you to tell your parents what you want to say; while they understand what you mean”

Item 3:How difficult is it for you to talk about feelings (for example: if you feel scared or sad or happy,) do you tell that to your parents”;

Item 9“How difficult is it for you to notice how other children are feeling

Acceptance/ 4

How difficult is it for you to empathize with others (for example: do you understand why a child in your class may sometimes be sad or upset)”?

Younger children can answer questions with the help of caregiver

Item specific problem

The question was  too vague.

How difficult is it for you to accept that you can’t do “certain things”

Acceptance Self-reliance/ 3

“Certain things” to be specified like read, play etc. The question was modified to

“How difficult it is for you to accept that you can’t do certain things, for example read, play etc.”

Item specific problem

How difficult for you to handle or deal with feeling of love

Social contact / 7

The question was modified to: How difficult it is it for you to “express feeling of love”