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Quality of Life Research

Gepubliceerd in:

08-05-2019

Response shift effects in patients’ assessments of their quality of life after cardiac rehabilitation

Auteurs: Michael Friedrich, Jan Karoff, Andreas Hinz

Gepubliceerd in: Quality of Life Research | Uitgave 9/2019

Abstract

Purpose

The effect of intervention programs on health-related quality of life (HRQoL) can be underestimated due to response shift effects. This study aims to compare HRQoL between cardiac patients taking part in a rehabilitation program and the general population and to investigate changes in HRQoL in terms of response shift with two approaches.

Methods

A sample of 282 cardiac rehabilitation inpatients (response rate: 58.9%) responded to the self-report quality of life questionnaire EORTC QLQ-C30 at baseline (during rehabilitation) and three months later (actual and retrospective judgment). Their HRQoL was compared to that of the general population. Response shift evaluation complemented the thentest with the structural equation modeling approach.

Results

Compared to the general population, patients showed impaired quality of life on all scales (Hedges’ g between 0.31 and 1.57). The complementation of the thentest with the structural equation modeling approach revealed response shift effects in physical, emotional, cognitive, and social functioning. No effects were found in role functioning.

Conclusions

The combination of both the thentest and the structural equation modeling approaches proved to be essential for obtaining comprehensive statistical evidence that response shift can distort measurements of change. Our results suggest that studies that use the thentest to evaluate the effectiveness of interventions should complement their analyses with the structural equation modeling approach to avoid biased effects.

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Titel: Response shift effects in patients’ assessments of their quality of life after cardiac rehabilitation
Auteurs: Michael Friedrich
Jan Karoff
Andreas Hinz
Publicatiedatum: 08-05-2019
Uitgeverij: Springer International Publishing
Gepubliceerd in: Quality of Life Research / Uitgave 9/2019
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI: https://doi.org/10.1007/s11136-019-02195-9

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Abstract

Purpose

Methods

Results

Conclusions

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