Response shift in the measurement of quality of life in hearing impaired adults after hearing aid fitting
Response shift in the measurement of quality of life in hearing impaired adults after hearing aid fitting
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DOI：
10.1023/a:1015598807510
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发表时间：
2002-06-01
影响因子：
3.5
通讯作者：
Anteunis, LJC
中科院分区：
文献类型：
--
作者：
Joore, MA;Potjewijd, J;Anteunis, LJC
研究原因：反应转变是指一个人对目标结构（如生活质量（QOL））的自我评价意义的变化。本研究的目的是调查一般和特定生活质量测量的反应转变是否发生在健康状况相对较轻的人身上。为此目的，听力障碍被用作研究模型。主要发现：在听力相关生活质量维度的分数中观察到反应转移效应。在与听力相关的整体生活质量的分数和一般控制项目的分数中，没有发生反应变化。结论：这项研究表明，反应转变效应也可以在相对温和的条件下发生。随着时间的推移，生活质量评级的反应变化的发生可能会对医疗干预措施有效性的估计以及这些估计在成本效益分析中的使用产生重大影响。成功治疗后，传统的改变可能会低估治疗的有效性，尽管也有人认为心理适应是人类受欢迎的能力，并且随后的测试改变并不能公正地对待这种能力。
Reason for the study: Response shift is the change in the meaning of one's self-evaluation of a target construct, like quality of life (QOL). The objective of this study was to investigate whether response shift in the measurement of generic and specific QOL occurred in persons with a relatively mild health condition. For this purpose hearing impairment was used as a research model. Major findings: Response shift effects were observed in the scores on the dimensions of hearing related QOL. In the scores on overall hearing related QOL, and in the scores on the generic control items, no response shift occurred. Conclusions: This study showed that response shift effects can take place in a relatively mild condition as well. The occurrence of response shift in QOL ratings over time could have large implications for the estimation of the effectiveness of medical interventions and for the use of these estimations in cost-effectiveness analyses. After a successful treatment the conventional change could be an underestimation of the effectiveness of the treatment, although it has also been argued that psychological adaptation is a welcome capacity of human beings, and that then-test changes do no justice to this capacity.