The PLOS ONE Editors After this article [1] was published, it came to light that the authors did not have permission to use the MMAS 1 -8 scale [2].In addition, PLOS identified concerns about the article's [1] study design and reporting. The MMAS 1 -8 scale was adapted and translated for this study, but the methods used for the adaptation and translation were not clearly reported. Furthermore, based on information PLOS received it does not appear as though the adapted and translated versions were rigorously evaluated as to their construct validity and reliability. The article reports that a "pretest" was done, but the details of this pretest are unclear and the article does not report the rationale for the low sample size used in this assessment.The corresponding author provided the following responses to the study design concerns.