“… 5 , 7 , 8 ) The alpha value in our study was lower than those in the Greek, Lithuanian, Romanian, and Polish validation studies (0.960, 0.950, 0.946, and 0.920, respectively) suggesting that some questions in the SarQoL may be redundant. 9 , 10 , 13 , 25 ) However, although the internal consistency of the Ukrainian was excellent, this does not mean that cross-cultural effects are, therefore, excluded. Although we paid particular attention to cross-cultural equivalence, Ukrainian participants may have responded differently to certain questions.…”