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Frei A et al. – The development and validation process of the majority of the self–efficacy instruments had major limitations. The aim of the instruments was often not specified and for most instruments, not all measurement properties that are important to support the specific aim of the instrument (for example responsiveness for evaluative instruments) were assessed. Researchers who develop and validate self–efficacy instruments should adhere more closely to important methodological concepts for development and validation of patient–reported outcomes and report their methods more transparently.


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