Table 1 Item generation process
| Development steps | Item selection | Results |
|---|---|---|
| Step 2: generate a set of items | Initial set 1 of items (first author) | 41 items: 21 from GSF, SPICT and NECPAL© 17 from other instruments and expert recommendations 3 different ‘surprise’ questions |
| Initial set 2 of items (CICE) | 43 items: 32 items selected from the initial set 11 new items added from the CICE clinical experience | |
| Categorisation of second set of items (CICE) | Two part instrument: 25 items for general PC 18 items for specialised PC | |
| Step 3: review of initial set of items | Delphi round 1 (expert panel) | 5 items: 3 items for general PC 2 items for specialised PC |
| Delphi round 2 (expert panel) | 13 items: 7 items for general PC 6 items for specialised PC | |
| Delphi round 3 (expert panel) | Two lists of items 7 items for general PC 8 items for specialised PC |