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Table 2 Standardized analysis criteria applied to the cognitive interviews of the MOHLAA study in Germany (12/2015–03/2016)

From: Do adolescents understand the items of the European Health Literacy Survey Questionnaire (HLS-EU-Q47) – German version? Findings from cognitive interviews of the project “Measurement of Health Literacy Among Adolescents” (MOHLAA) in Germany

Cognitive processes by Tourangeau

Criterion

Corresponding research questions

Comprehension of the item wording

C1 Sentence structure/grammar

Is the sentence syntax of the item clear?

Is the wording of the item immediately/easily understood?

Comprehension of the intention of the question

C2 Comprehensibility of item content

Is the item understood as intended?

Was the item interpreted similarly by different respondents?

Comprehension of the meaning of the terms

C3 Understanding of terms/hints

Could a proper definition of the term be given?

Was a given definition unambiguous?

Were hints in the item comprehensible and familiar?

Retrieval of relevant information from memory

C4 Difficulty

Was the item assessed as “easy” or as “difficult” to answer?

Why was it assessed as “difficult”?

C5 Experience/knowledge

What type of knowledge and experience were recalled?

Is the given answer based on any experience or related to an abstract idea/concept?

Decision process, Motivation, sensitivity, social desirability

C6 Reliability of the response

Does the reported justification of the given response suggest that the item evokes a tendency of social desirability?

Which motivation might underlie the given answer?

Response process

C7 Accordance of the formal response category with an internal ascertained response category.

Can respondent find his/her answer option on the response category scale?