Meaning behind measurement: self-comparisons affect responses to health-related quality of life questionnaires
- 01-03-2009
Gepubliceerd in:
- Auteurs
- Clare Robertson
- Anne L. Langston
- Sally Stapley
- Elaine McColl
- Marion K. Campbell
- William D. Fraser
- Graeme MacLennan
- Peter L. Selby
- Stuart H. Ralston
- Peter M. Fayers
- The PRISM Trial Group
- Gepubliceerd in
- Quality of Life Research | Uitgave 2/2009
Abstract
Purpose
The subjective nature of quality of life is particularly pertinent to the domain of health-related quality of life (HRQOL) research. The extent to which participants’ responses are affected by subjective information and personal reference frames is unknown. This study investigated how an elderly population living with a chronic metabolic bone disorder evaluated self-reported quality of life.
Methods
Participants (n = 1,331) in a multi-centre randomised controlled trial for the treatment of Paget’s disease completed annual HRQOL questionnaires, including the SF-36, EQ-5D and HAQ. Supplementary questions were added to reveal implicit reference frames used when making HRQOL evaluations. Twenty-one participants (11 male, 10 female, aged 59–91 years) were interviewed retrospectively about their responses to the supplementary questions, using cognitive interviewing techniques and semi-structured topic guides.
Results
The interviews revealed that participants used complex and interconnected reference frames to promote response shift when making quality of life evaluations. The choice of reference frame often reflected external factors unrelated to individual health. Many participants also stated that they were unclear whether to report general or disease-related HRQOL.
Conclusions
It is important, especially in clinical trials, to provide instructions clarifying whether ‘quality of life’ refers to disease-related HRQOL. Information on self-comparison reference frames is necessary for the interpretation of responses to questions about HRQOL.
- Titel
- Meaning behind measurement: self-comparisons affect responses to health-related quality of life questionnaires
- Auteurs
-
Clare Robertson
Anne L. Langston
Sally Stapley
Elaine McColl
Marion K. Campbell
William D. Fraser
Graeme MacLennan
Peter L. Selby
Stuart H. Ralston
Peter M. Fayers
The PRISM Trial Group
- Publicatiedatum
- 01-03-2009
- Uitgeverij
- Springer Netherlands
- Gepubliceerd in
-
Quality of Life Research / Uitgave 2/2009
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649 - DOI
- https://doi.org/10.1007/s11136-008-9435-1
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