ArticleQuality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation2003
On assessing responsiveness of health-related quality of life instruments: guidelines for instrument evaluation.
Article in Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation, 2003. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 228 papers, 15 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
228 citing papers in PubMed, 15 syntheses or guidelines pooled it.
- Psychometric Properties of the SarQoL Questionnaire: A Systematic Review and Meta-Analysis.Journal of cachexia, sarcopenia and muscle · 2025Pooled it
- Psychometric properties of self-reported measures of psychological birth trauma in puerperae: A COSMIN systematic review.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2025Pooled it
- Patient-Reported Outcome Measures for Pelvic Organ Prolapse: A Systematic Review Using the COnsensus-Based Standards for the Selection of Health Measurement Instruments (COSMIN) Checklist.BJOG : an international journal of obstetrics and gynaecology · 2025Pooled it
- Tools for measuring client experiences and satisfaction with healthcare in low- and middle-income countries: a systematic review of measurement properties.BMC health services research · 2023Pooled it
- Pooled it
- Psychometric properties of the EQ-5D-5L: a systematic review of the literature.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2021Pooled it
- A meta-analysis of measurement properties of the Western Ontario Meniscal Evaluation Tool (WOMET).Journal of orthopaedic surgery and research · 2020Pooled it
- Patient-Reported Quality-of-Life Outcome Measures in the Thyroid Cancer Population.Thyroid : official journal of the American Thyroid Association · 2020Pooled it
- Current Evidence of Measurement Properties of Physical Activity Questionnaires for Older Adults: An Updated Systematic Review.Sports medicine (Auckland, N.Z.) · 2020Pooled it
- Physical Activity Questionnaires for Pregnancy: A Systematic Review of Measurement Properties.Sports medicine (Auckland, N.Z.) · 2018Pooled it
- Measurement properties of tools measuring mental health knowledge: a systematic review.BMC psychiatry · 2016Pooled it
- Pooled it
- Physical activity questionnaires for adults: a systematic review of measurement properties.Sports medicine (Auckland, N.Z.) · 2010Pooled it
- Self-efficacy instruments for patients with chronic diseases suffer from methodological limitations--a systematic review.Health and quality of life outcomes · 2009Pooled it
- Psychometric evaluation of health-related work outcome measures for musculoskeletal disorders: a systematic review.Journal of occupational rehabilitation · 2007Pooled it
- Assessing measurement properties of EQ-5D-5L and ICECAP-A in patients with chronic depression in England.Health and quality of life outcomes · 2025Trial
- Development and Validation of the Chinese Version of the Quality of Recovery-40 Questionnaire.Therapeutics and clinical risk management · 2020Trial
- Inter-rater reliability, sensitivity to change and responsiveness of the orthopaedic Wolf-Motor-Function-Test as functional capacity measure before and after rehabilitation in patients with proximal humeral fractures.BMC musculoskeletal disorders · 2019Trial
- Comparative responsiveness of the PROMIS-10 Global Health and EQ-5D questionnaires in patients undergoing total knee arthroplasty.The bone & joint journal · 2019Trial
- Trial
168 more citing papers are in PubMed but not listed here.
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
A lack of clarity exists about the definition and adequate approach for evaluating responsiveness. An overview is presented of different categories of definitions and methods used for calculating responsiveness identified through a literature search. Twenty-five definitions and 31 measures were found. When applied to a general and a disease-specific quality of life questionnaire large variation in results was observed, partly explained by different goals of existing methods. Four major issues are considered to claim the usefulness of an evaluative health-related quality of life (HRQL) instrument. Their relation with responsiveness is discussed. The confusion about responsiveness arises mostly from a lack of distinction between cross-sectional and longitudinal validity and from a lack of distinction between responsiveness defined as the effect of treatment and responsiveness defined as the correlation of changes in the instrument with changes in other measures. All measures of what is currently called responsiveness can be looked at as measures of longitudinal validity or as measures of treatment effect. The latter ones tell us little about how well the instrument serves its purpose and are only of use in interpreting score changes. We therefore argue that the concept of responsiveness can be rejected as a separate measurement property of an evaluative instrument.
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Identifiers
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.