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Coronary Intervention Improves Disease Specific Health-Related Quality of Life but Not Individualised Quality of Life: A Potential Response Shift Effect?

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Abstract

To explore potential response shift effects with different quality of life (QoL) instruments in cardiac patients undergoing coronary intervention. Study Design and Setting: Recalibration was assessed with the disease specific health-related quality of life (HRQL) instrument MacNew in combination with a then-test approach. Reconceptualisation and reprioritisation were assessed with the individualised QoL instrument SEIQoL-DW. Significant treatment effects were seen on the MacNew (global Δ: 0.6 ± 1.1, p = 0.004) but not on the SEIQoL-DW (Δ: 3.3 ± 16, p = 0.37) 6 months after coronary intervention. No recalibration effect was found on the MacNew then-test, while with the SEIQOL-DW potential response shift effects of reconceptualisation and reprioritisation were seen. For the first time response shift effects were explored in cardiac patients undergoing coronary intervention. This study confirmed that there is a clinically significant improvement in disease specific HRQL over time following successful coronary interventions. However, no treatment effect was seen for individualised QoL with the SEIQoL-DW. This might be due to reconceptualisation and reprioritisation response effects. Future studies need to focus on exploring response shift effects, and the interrelationship between its different components, captured by different patient reported outcome instruments in larger patient groups undergoing coronary interventions.

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Authors and Affiliations

  1. Department of Medical Psychology, Innsbruck Medical University, Innsbruck, Austria

    Stefan Höfer, Daniela Renn & Marion Platter

  2. Department of General and Social Psychiatry, Innsbruck Medical University, Innsbruck, Austria

    Nicole Pfaffenberger

  3. www.psypraxis.org, Innsbruck, Austria

    Daniela Renn

  4. Department of Pharmacy, Uppsala University, Uppsala, Sweden

    Lena Ring

  5. Department of Medical Psychology, Medical University Innsbruck, Schöpfstr. 23a, 6020, Innsbruck, Austria

    Stefan Höfer

Authors
  1. Stefan Höfer
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  2. Nicole Pfaffenberger
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  3. Daniela Renn
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  4. Marion Platter
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  5. Lena Ring
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Correspondence to Stefan Höfer.

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Höfer, S., Pfaffenberger, N., Renn, D. et al. Coronary Intervention Improves Disease Specific Health-Related Quality of Life but Not Individualised Quality of Life: A Potential Response Shift Effect?. Applied Research Quality Life 6, 81–90 (2011). https://doi.org/10.1007/s11482-010-9117-3

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