Study Design
This qualitative study used Think-Aloud and cognitive interviewing methods to obtain feedback from AYA-CCS on acceptability, usefulness, and validity of the PROMIS SexFS Brief for this population.26-30 These methods are evidence-based qualitative approaches for assessing respondent understanding and content validity, and have been used both in creation of surveys and in evaluating existing surveys for new popultions.26-30Specifically, we used the Think-Aloud approach, in which participants completed the Sex FS Brief while actively verbalizing their thoughts.31 Use of Think-Aloud allows a glimpse of participants’ thought processes during use of the SexFS Brief, including immediate impressions and problems or questions encountered in understanding or answering the survey item. After undergoing Think-Aloud data collection, participants underwent cognitive interviewing to evaluate whether the survey fulfilled its intended purpose, with specific probes to elucidate acceptability, content validity, and usefulness.32 This study was performed after obtaining local institutional review board approval. In addition to qualitative data collection, basic demographic, diagnostic and treatment information were also collected.