The use of prompts or “aides memoires” to optimize recall during completion of the post-travel questionnaire was considered an important addition by the panel. The prompts selected were (1) a calendar with the religious, national, and other local cultural holidays and (2) detailed maps of the destination countries. These retrieval cues were provided with the redrafted questionnaires (version 3) used in the cognitive interviews. Intense cognitive interviews were conducted on 10 returned travelers using the third version of

the questionnaires. Interview duration ranged from 21 to 40 minutes. U0126 supplier Cognitive interviews were particularly useful in revealing the process of memory, inference, and estimation used by respondents. These interviews provided insights into how questions were actually perceived by respondents and their confidence in their own responses. As identified in the cognitive task analysis, recall of dates related to events and locations during travel was a challenging task for travelers. Travelers were able to directly provide dates of departure from and arrival in Australia. However, generating responses about dates of travel in and out of countries

and time spent at each location was a more challenging task. The travelers who were unable to provide the dates initially were able to calculate days spent in given locations using different cues. Main destinations and locations were remembered, but the names PS-341 research buy of smaller or rural locations were less consistently recalled. Cognitive interviews also showed that people reported BCKDHA their itineraries but omitted countries through which they only passed in transit: this was detected when follow-up probe questions about the country in which travelers spent the shortest time revealed previously unreported transit locations. On further questioning, travelers reported that spending a few hours in an airport was not considered travel to a country. The final questionnaire was revised to emphasize the accuracy

of the itinerary reported, and a memory cue about transit locations was added to the item. Some respondents attributed a greater proportion of their total travel days to the main types of accommodation and activities that they recalled. Other travelers responded by systematically calculating the days spent at each accommodation or in each activity. Additional comprehensive lists of response options for accommodation and activities were then provided: these cues served as memory triggers for travelers. Travelers recalled illness episodes by remembering the setting (location, time of day, and company) they were in, a main travel activity, or a significant “landmark” event around the time of illness. Travelers used these cues to generate the date of illness.