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Table 2 Changes made to the SAATSA as a result of cognitive response testing

From: Development and psychometric validation of a novel patient survey to assess perceived quality of substance abuse treatment in South Africa

Items for cognitive response testing Changes made to item as a result of testing
1a. The amount of time between when I asked for and received help was OK. Discard
1b. The amount of time I had to wait to get services was acceptable to me. Retain
2a. It is difficult to pay for my treatment. Discard
2b. I can afford my treatment. Revise: I can afford the treatment I want to receive
3. The staff at this treatment centre are sensitive to my culture. Replace: The staff at this treatment centre treat me with respect
4. The staff at this treatment centre are sensitive to my gender. Discard
5. The people I went to for treatment services spent enough time with me. Revise: The people I went to for treatment services at this centre spent enough time with me.
6. I help to plan my treatment. Revise: I have a say in deciding about my substance abuse treatment that I am receiving here
7a. I have received enough information about the different services. Discard
7b. The staff at this treatment centre told me about other services in the community. Revise: The staff at this treatment centre told me about services in my area that will help me stay off drugs and alcohol
8a. I have access to all the services I need in this treatment centre for my recovery Discard
8b. I am given a choice of services in this treatment centre. Retain
9a. This treatment centre teaches me how to avoid getting HIV. Retain
9b. This treatment centre helps me reduce my HIV risk. Discard
10. The staff at this treatment centre are sensitive to my background. Retain
11. My general health is improving. Retain
12. I am better able to cope when things go wrong. Retain
13. I am better able to accomplish the things I want to do. Retain
14. I am less likely to use alcohol or other drugs. Retain
15. I am doing better at work/finding work or at school. Retain
16. I am more likely to practice safe sex. Retain
17. There is someone who cares about whether I am doing better. Retain
18. I have someone who will help me when I have a problem. Retain
19. I have people in my life who are a positive influence. Retain
20. The people who care about me are supportive of my treatment. Retain
21. My friends and family are more able to count on me. Retain
22. I have friends who are not using alcohol or drugs. Retain
23. I have someone who will listen to me when I need to talk. Retain
24a. I think the use of alcohol and drugs is a problem for me. Discard
24b. I now know that using alcohol and drugs is a problem for me. Retain
25. I need to work on my problems with alcohol and/or drugs. Retain
26. The treatment centre is helping me to recover from using drugs and alcohol. Retain
27. I would recommend this treatment centre to a friend Retain