Skip to main content
main-content
Top

Tip

Swipe om te navigeren naar een ander artikel

Gepubliceerd in: Quality of Life Research 3/2012

01-04-2012

Understanding appraisal processes underlying the thentest: a mixed methods investigation

Auteurs: Carolyn E. Schwartz, Bruce A. Rapkin

Gepubliceerd in: Quality of Life Research | Uitgave 3/2012

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Abstract

Aims

Mixed methods investigated the cognitive processes reflected in retrospective pretest (thentest) discrepancy scores [i.e., recalibration response shift (RS)].

Methods

People with human immunodeficiency virus/acquired immune disease syndrome (HIV/AIDS) (n = 521) were interviewed at baseline and 6 months using the Quality of Life (QOL) Appraisal Profile, the Rand-36, General Health thentest, and recall items. Open-ended appraisal questions were coded, and factor analyses reduced the data. Ipsative (based on the then-minus-pretest) and normative (based on regression residuals) discrepancy scores were compared. Hypothesis testing related to recall bias and relationships among appraisal parameters and ipsative discrepancies, after covariate adjustment.

Results

Coded frame of reference themes were distinct from experience sampling, standards of comparison, and combinatory algorithm. There was convergence between the ipsative and normative discrepancy scores (r = 0.30), but the former were associated with more appraisal changes and goal-related appraisals than the latter. Thentest effect sizes (ES) were larger than standard change scores, even controlling for recall bias. Multivariate models including appraisal parameters explained 9% more variance over the standard (unadjusted for RS) model.

Conclusions

Ipsative and normative discrepancy scores measure distinct constructs, represent different configurations of appraisal change, and are not invalidated or explained by recall bias. The thentest does not imply recalibration alone but rather a host of health- and self-care-related concerns.
Literatuur
1.
go back to reference Sprangers, M. A., & Schwartz, C. E. (1999). Integrating response shift into health-related quality of life research: A theoretical model. Social Science and Medicine, 48(11), 1507–1515. PubMedCrossRef Sprangers, M. A., & Schwartz, C. E. (1999). Integrating response shift into health-related quality of life research: A theoretical model. Social Science and Medicine, 48(11), 1507–1515. PubMedCrossRef
2.
go back to reference Schwartz, C. E., & Sprangers, M. A. (1999). Methodological approaches for assessing response shift in longitudinal health-related quality-of-life research. Social Science and Medicine, 48(11), 1531–1548. PubMedCrossRef Schwartz, C. E., & Sprangers, M. A. (1999). Methodological approaches for assessing response shift in longitudinal health-related quality-of-life research. Social Science and Medicine, 48(11), 1531–1548. PubMedCrossRef
3.
go back to reference Schwartz, C. E., et al. (1999). An evaluation of a psychosocial intervention for survivors of childhood cancer: Paradoxical effects of response shift over time. Psychooncology, 8(4), 344–354. PubMedCrossRef Schwartz, C. E., et al. (1999). An evaluation of a psychosocial intervention for survivors of childhood cancer: Paradoxical effects of response shift over time. Psychooncology, 8(4), 344–354. PubMedCrossRef
4.
go back to reference Mayo, N., Scott, S. C., & Ahmed, S. (2009). Case management poststroke did not induce response shift: The value of residuals. Journal of Clinical Epidemiology, 62, 1148–1156. PubMedCrossRef Mayo, N., Scott, S. C., & Ahmed, S. (2009). Case management poststroke did not induce response shift: The value of residuals. Journal of Clinical Epidemiology, 62, 1148–1156. PubMedCrossRef
5.
go back to reference Razmjou, H., et al. (2006). Response shift in outcome assessment in patients undergoing total knee arthroplasty. Journal of Bone and Joint Surgery American, 88(12), 2590–2595. CrossRef Razmjou, H., et al. (2006). Response shift in outcome assessment in patients undergoing total knee arthroplasty. Journal of Bone and Joint Surgery American, 88(12), 2590–2595. CrossRef
6.
go back to reference Visser, M. R. M., Oort, F. J., & Sprangers, M. A. G. (2005). Methods to detect response shift in quality of life data: A convergent validity study. Quality of Life Research, 14, 629–639. PubMedCrossRef Visser, M. R. M., Oort, F. J., & Sprangers, M. A. G. (2005). Methods to detect response shift in quality of life data: A convergent validity study. Quality of Life Research, 14, 629–639. PubMedCrossRef
7.
go back to reference Schwartz, C. E., et al. (2011). Response shift in patients with multiple sclerosis: An application of three statistical techniques. Quality of Life Research (revision under review). Schwartz, C. E., et al. (2011). Response shift in patients with multiple sclerosis: An application of three statistical techniques. Quality of Life Research (revision under review).
8.
go back to reference Schwartz, C. E. (2010). Applications of response shift theory and methods to participation measurement: A brief history of a young field . Archives of Physical Medicine and Rehabilitation, 91(9, Suppl 1), S38–S43. Schwartz, C. E. (2010). Applications of response shift theory and methods to participation measurement: A brief history of a young field . Archives of Physical Medicine and Rehabilitation, 91(9, Suppl 1), S38–S43.
9.
go back to reference Sprangers, M. A., et al. (1999). Revealing response shift in longitudinal research on fatigue—the use of the thentest approach. Acta Oncologica, 38(6), 709–718. PubMedCrossRef Sprangers, M. A., et al. (1999). Revealing response shift in longitudinal research on fatigue—the use of the thentest approach. Acta Oncologica, 38(6), 709–718. PubMedCrossRef
10.
go back to reference Visser, M., Oort, F. J., & Sprangers, M. (2003). Assessing response shift in QL: The thentest and a structural equation modeling approach compared. Quality of Life Research, 12(7), 45. Visser, M., Oort, F. J., & Sprangers, M. (2003). Assessing response shift in QL: The thentest and a structural equation modeling approach compared. Quality of Life Research, 12(7), 45.
11.
go back to reference Nolte, S., et al. (2009). A test of measurement invariance fails to support the application of then-test questions as a remedy to response shift bias. Journal of Clinical Epidemiology, 62, 1173–1180. PubMedCrossRef Nolte, S., et al. (2009). A test of measurement invariance fails to support the application of then-test questions as a remedy to response shift bias. Journal of Clinical Epidemiology, 62, 1173–1180. PubMedCrossRef
12.
go back to reference Schwartz, C. E., & Sprangers, M. A. G. (2010). Guidelines for improving the stringency of response shift research using the then-test. Quality of Life Research, 19, 455–464. PubMedCrossRef Schwartz, C. E., & Sprangers, M. A. G. (2010). Guidelines for improving the stringency of response shift research using the then-test. Quality of Life Research, 19, 455–464. PubMedCrossRef
13.
go back to reference Schwartz, C. E., et al. (2004). Exploring response shift in longitudinal data. Psychology and Health, 19(1), 51–69. CrossRef Schwartz, C. E., et al. (2004). Exploring response shift in longitudinal data. Psychology and Health, 19(1), 51–69. CrossRef
14.
go back to reference Ahmed, S., et al. (2004). Response shift influenced estimates of change in health-related quality of life poststroke. Journal of Clinical Epidemiology, 57(6), 561–570. PubMedCrossRef Ahmed, S., et al. (2004). Response shift influenced estimates of change in health-related quality of life poststroke. Journal of Clinical Epidemiology, 57(6), 561–570. PubMedCrossRef
15.
go back to reference Norman, G. (2003). Hi! How are you? Response shift, implicit theories and differing epistemologies. Quality of Life Research, 12(3), 239–249. PubMedCrossRef Norman, G. (2003). Hi! How are you? Response shift, implicit theories and differing epistemologies. Quality of Life Research, 12(3), 239–249. PubMedCrossRef
16.
go back to reference Rapkin, B. D., & Schwartz, C. E. (2004). Toward a theoretical model of quality-of-life appraisal: Implications of findings from studies of response shift. Health and Quality of Life Outcomes, 2(1), 14. PubMedCrossRef Rapkin, B. D., & Schwartz, C. E. (2004). Toward a theoretical model of quality-of-life appraisal: Implications of findings from studies of response shift. Health and Quality of Life Outcomes, 2(1), 14. PubMedCrossRef
17.
go back to reference Schwartz, C. E., & Rapkin, B. D. (2004). Reconsidering the psychometrics of quality of life assessment in light of response shift and appraisal. Health and Quality of Life Outcomes, 2, 16. PubMedCrossRef Schwartz, C. E., & Rapkin, B. D. (2004). Reconsidering the psychometrics of quality of life assessment in light of response shift and appraisal. Health and Quality of Life Outcomes, 2, 16. PubMedCrossRef
18.
go back to reference Swartz, R.J., et al. (2011). The king’s foot of patient-reported outcomes: Current practices and new developments for the measurement of change. Quality of Life Research, 20, 1159–1167. Swartz, R.J., et al. (2011). The king’s foot of patient-reported outcomes: Current practices and new developments for the measurement of change. Quality of Life Research, 20, 1159–1167.
19.
go back to reference Taminiau-Bloem, E. F. (2010). Understanding changes in quality of life in cancer patients: A cognitive interview approach, in medical psychology (p. 220). Amsterdam: Academic Medical Center, University of Amsterdam, The Netherlands. Taminiau-Bloem, E. F. (2010). Understanding changes in quality of life in cancer patients: A cognitive interview approach, in medical psychology (p. 220). Amsterdam: Academic Medical Center, University of Amsterdam, The Netherlands.
20.
go back to reference Rapkin, B. A., et al. (2008). Beyond satisfaction: Using the dynamics of care assessment to better understand patients’ experiences in care . Health and Quality of Life Outcomes, 6(20). Rapkin, B. A., et al. (2008). Beyond satisfaction: Using the dynamics of care assessment to better understand patients’ experiences in care . Health and Quality of Life Outcomes, 6(20).
21.
go back to reference VanderZee, K. I., et al. (1996). Psychometric qualities of the RAND 36-item health survey 1.0: A multidimensional measure of general health status. International Journal of Behavioral Medicine, 3(2), 104–122. PubMedCrossRef VanderZee, K. I., et al. (1996). Psychometric qualities of the RAND 36-item health survey 1.0: A multidimensional measure of general health status. International Journal of Behavioral Medicine, 3(2), 104–122. PubMedCrossRef
22.
go back to reference Li, Y., & Rapkin, B. (2009). Classification and regression tree analysis to identify complex cognitive paths underlying quality of life response shifts: A study of individuals living with HIV/AIDS. Journal of Clinical Epidemiology, 62, 1138–1147. PubMedCrossRef Li, Y., & Rapkin, B. (2009). Classification and regression tree analysis to identify complex cognitive paths underlying quality of life response shifts: A study of individuals living with HIV/AIDS. Journal of Clinical Epidemiology, 62, 1138–1147. PubMedCrossRef
23.
go back to reference Bloem, E. F., et al. (2008). Clarifying quality of life assessment: Do theoretical models capture the underlying cognitive processes? Quality of Life Research, 17, 1093–1102. PubMedCrossRef Bloem, E. F., et al. (2008). Clarifying quality of life assessment: Do theoretical models capture the underlying cognitive processes? Quality of Life Research, 17, 1093–1102. PubMedCrossRef
24.
go back to reference Schwartz, C. E., et al. (1998). Self-reported coping behavior in health and disease: Assessment with a card sort game. Behavioral Medicine, 24(1), 41–44. PubMedCrossRef Schwartz, C. E., et al. (1998). Self-reported coping behavior in health and disease: Assessment with a card sort game. Behavioral Medicine, 24(1), 41–44. PubMedCrossRef
25.
go back to reference Schwartz, C. E., & Daltroy, L. H. (1999). Learning from unreliability: The importance of inconsistency in coping dynamics. Social Science and Medicine, 48(5), 619–631. PubMedCrossRef Schwartz, C. E., & Daltroy, L. H. (1999). Learning from unreliability: The importance of inconsistency in coping dynamics. Social Science and Medicine, 48(5), 619–631. PubMedCrossRef
Metagegevens
Titel
Understanding appraisal processes underlying the thentest: a mixed methods investigation
Auteurs
Carolyn E. Schwartz
Bruce A. Rapkin
Publicatiedatum
01-04-2012
Uitgeverij
Springer Netherlands
Gepubliceerd in
Quality of Life Research / Uitgave 3/2012
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-011-0023-4