Table 1 Cognitive Interview Questions

Overall evaluation of NHS SM

 1. Which items do you think are easy or difficult to understand?

 2. Do you think any of these items are irrelevant?

 3. Do you think there are any items in these items that make you feel uncomfortable?

 4. Do you feel these questions are out of place in Chinese culture or clinical situations?

 5. Do you have any thoughts or comments on the questionnaire?

 6. What changes would you make to the whole questionnaire?

Understanding of NHS SM items

 1. Can you explain this question in your own words?

 2. What did you think when you answered this question?

 3. Were you confident or unconfident (hesitate) when answering this question?

 4. Which option did you choose and why?

 5. Was the question difficult to understand or easy to understand? Were there any words that were difficult to understand?

Comprehension script probe

 1. How do you understand the term: communication, and can you describe it in your own words or give an example? (Item 2)

 2. How do you understand the term: element? Can you describe it in your own words or give an example? (Item 3)

 3. How do you understand the term: monitoring system? Can you describe it in your own words or give an example? (Item 4)

 4. How do you understand the terms: senior leader and clinical leader? Can you describe them in your own words or give an example? (Item 7 and 8)

 5. How do you understand the term: infrastructure? Can you describe it in your own words or give an example? (Item 10)

 6. How do you understand the term: communication systems? Can you describe them in your own words or give an example? (Item 10)

 7. How do you understand the term: processes? Can you describe them in your own words or give an example? (Item 10)

At the End

 1. Do you have any other comments regarding the questionnaire?