If scales from one culture are used in another, adaptations are needed because a reliable measure of suffering in one culture may not be significant or understandable in another [ 29 ].
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Validation of the World Health Organization Disability Assessment Schedule-II for Measuring Women With a History of Potentially Life-Threatening Maternal Conditions at Six Months Postpartum in Tigray, Northern Ethiopia.
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Using a four‐level item rating system (1 = not relevant, 2 = somewhat relevant, 3 = fairly relevant, and 4 = highly significant), the CVI was determined based on the evaluation of nine experts in the disciplines of public health, midwifery, nursing, and obstetrics.