What is the process for adding or subtracting questions on the survey?
Any question included in the international HBSC survey must have published evidence of reliability and validity in more than one country. The usual process for adding questions is for them to be initially proposed as optional items which may be adopted by countries that are interested. Modifications to the mandatory international questions are decided by the Scientific Development Group of the HBSC, which is composed of representative from different content areas. I am a member of that group. The US HBSC survey includes all of the mandatory international questions and those optional questions that are of particular interest to the US investigators. In addition, there are some US-specific items which are appropriate to US youth, culture, and/or organizations but are not included among the mandatory or optional international items. As health priorities change or as more appropriate assessments are developed, items may be replaced on the survey. Q: Is there any possibility to include any