Methodological approaches for assessing response shift in longitudinal health-related quality-of-life research

Methodological approaches for assessing response shift in longitudinal health-related quality-of-life research
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DOI:
10.1016/s0277-9536(99)00047-7
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发表时间:
1999-06-01
影响因子:
5.4
通讯作者:
Sprangers, MAG
Sprangers, MAG
中科院分区:
医学2区
文献类型:
--
作者:
Schwartz, CE;Sprangers, MAG

文献摘要

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健康状态变化对个体生活质量的影响在社会和医学临床研究中受到越来越多的关注。与这一研究相关的一个新兴概念是反应转移现象。这一概念是指在健康状况变化的催化下,生活质量的内部标准、价值观或概念化的变化。为了促进对反应转移的研究,我们提出了在观察性和干预性临床研究中测量反应转移的方法学考虑和有前景的评估方法。我们描述和评价了个性化方法、基于偏好的方法、逐次比较方法、设计方法、统计方法和定性方法。文章还讨论了该结构的层次结构,特别强调了如何通过使用所提出的方法和途径的经验评估来阐明该结构。还建议在未来对反应转移的研究中纳入改变的标准措施。(C)1999爱思唯尔科学有限公司。保留所有权利。
The impact of health state changes on an individual's quality of life (QOL) has gained increased attention in social and medical clinical research. An emerging construct of relevance to this line of investigation is response shift phenomenon. This construct refers to the changes in internal standards, in values, or in the conceptualization of QOL which are catalyzed by health stale changes. In an effort to stimulate research on response shift, we present methodological considerations and promising assessment approaches for measuring it in observational and interventional clinical research. We describe and evaluate individualized methods, preference-based methods, successive comparison methods, design approaches, statistical approaches and qualitative approaches. The hierarchical structure of the construct is also discussed, with particular emphasis on how it might be elucidated by empirical assessment which uses the proposed methods and approaches. it is also recommended that criterion measures of change be included in future studies of response shift. (C) 1999 Elsevier Science Ltd. All rights reserved.