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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