The economic burden is a major concern for parents/caregivers of children with cerebral palsy (CP). This study used the sequential explanatory mixed-method approach to explorethe economic burden on parents/caregivers with a CP child in Malaysia and the factors associated with the economic burden. The study period spanned April 2020 and December 2020. A total of 106 questionnaire respondents were selected for the quantitative part, and 15 were interviewed to obtain qualitative input. A retrospective costing analysis was conducted based on the cost data obtained from the questionnaire. The majority of the children were GrossMotor Function Classification System (GMFCS) Level 5 (71%), quadriplegic (63%), and aged >4 years (90%). The estimated annual median total economic burden on the parents/caregivers per child in 2020 was RM52,540.00 (~USD12,515.03), with indirect cost being the greatest cost (RM28,800.00, ~USD6860.16), followed by developmental cost (RM16,200.00, ~USD3858.84), direct healthcare cost (RM4540.00, ~USD1081.43) and direct non-healthcare cost (RM3000.00, ~USD714.60). The annual household income was identified as a significant determinant factor (p=0.019, 95% CI: 0.04, 0.40) of the economic burden. The participants’ responses during the in-depth interview in the qualitative part of the study supported the premise that socioeconomic factors play a substantial role in determining the total economic burden. Our findings may aid local policymakers when planning the greater provision of support to the affected families in the future, especially for the parents/caregivers of children with CP, who are facing socioeconomic challenges.

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Single sentences are commonly used to develop objective questions that are used to evaluatestudents’ learning progress. It is crucially important to be able to develop objective questions of differentdifficulty levels consistently. Therefore, B1 Single Sentence Descriptors (B1-SSD) is invented to facilitateinstructors who need to construct single sentences that are used for developing objective questions ofthree difficulty levels at B1 or the intermediate level of English proficiency. To date, there is no descriptorsfor single sentences found on Google Search. From the studies that have been published so far, thereare limited readability formula for single sentences that can be used as guidelines for constructing singlesentences of different difficulty levels. Moreover, the studies employ a strenuous process of determiningof single sentence readability. Therefore, B1-SSD has specified the features for single sentences of threedifficulty levels at B1 or the intermediate level of English proficiency that that are more easily determined.The features can be analysed by using free resources such as the sentence depth by using Enju athttp://www.nactem.ac.uk/enju/demo.html and the vocabulary level by using Online Cambridge Dictionaryat http://dictionary.cambridge.org/. B1-SSD is significantly useful to facilitate instructors in in developingobjective questions faster, more easily and economically. It also has a great potential in developingobjective questions for learning assessments and instructional games that have commercial values for aspecified target group.