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Table 1 Summary of feedback from cognitive interviews

From: Development of a scale to measure expected concussion reporting behavior

Original item Feedback theme (n) Example(s) Modification Final version
(stem) If I think I had a concussion I would tell my coach… (v1) Unclear reference (3) “…my answers depend on the how sure you are and the severity of the concussion. If it wasn't very severe and you weren't sure, you probably wouldn't say something, especially if it's the championship game and the team is counting on me to play.”
“If I knew I'd say strongly agree across the board. I based my answers off of that I'm pretty sure I have a concussion. For me it has to do with severity.”
“If I felt dizzy after a bump or hit to the head, I would tell my coach…” (v2) “If I felt dizzy after a bump or hit to the head, I would tell my coach right away…”
Unclear reference (1) “I would play but if I didn't feel worse, I may not tell coach right away.” “If I felt dizzy after a bump or hit to the head, I would tell my coach right away…” (v4)
…even if the team was counting on me to play No feedback Unmodified
…even during a championship game No feedback Unmodified
…even if I really wanted to keep playing No feedback Unmodified
…even if my team is losing Wording/tone Respondents who played for less competitive teams flagged questions like this in other scales and remarked that the negative wording was “mean.” “…even if it is a close game” “…even if it is a close game”
…even if my team will be down a player No feedback Unmodified
…even though I am a top player Other Dropped to address concerns about competitive level Dropped
“…even if my parent/guardian said I’m fine to play” No feedback Unmodified