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validity, good divergent validity, and reasonable predictive validity. As the psychometric quality of a scale is a reflection of how closely a scale matches the conceptualization of a concept, this paper is also an attempt to conceptualize and define engagement as a unique concept, providing a first step toward an acceptable standard of defining and measuring engagement. Widespread adoption of electronic health records has enabled the secondary use of electronic health record data for clinical research and health care delivery. Natural
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