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Clinicians and those in health sciences are frequently called upon to measure subjective states such as attitudes, feelings, quality of life, educational achievement and aptitude, and learning style in their patients. This fourth edition of Health Measurement Scales enables these groups whooften have limited knowledge of statistics, to both develop scales to measure non-tangible health outcomes, and better evaluate and differentiate between existing tools.  It covers how the individual items are developed various biases that can affect responses (eg social desirability, yea-saying, framing) various response options how to select the best items in the set how to combine them into a scale and then how to determine the reliability and validity ofthe scale. It concludes with a discussion of ethical issues that may be encountered, and guidelines for reporting the results of the scale development process. Appendices include a comprehensive guide to finding existing scales, and a brief 

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