ArticleQuality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation2016
Using structural equation modeling to detect response shifts and true change in discrete variables: an application to the items of the SF-36.
Article in Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.
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Who cites it
23 citing papers in PubMed, 1 synthesis or guideline pooled it, 42 citations in OpenAlex.
- The Role of Response-Shift in Studies Assessing Quality of Life Outcomes Among Cancer Patients: A Systematic Review.Frontiers in oncology · 2019Pooled it
- Comparison the effect of Otago and chair squat exercises on the fear of falling and the quality of life of the older adults, a clinical trial study.Aging clinical and experimental research · 2025Trial
- A pre-illness reference reminder alters cross-sectional patient-reported outcome responses: evidence from EQ-5D-5L and EQ-HWB-9.Health and quality of life outcomes · 2026Article
- Response shift-adjusted longitudinal assessment of patient-reported outcomes in older people living with HIV: a multilevel structural equation and Rasch analysis.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2026Article
- Rasch models to assess the impact of lack of measurement invariance and reveal hidden differences in anxiety and depression between groups and over time in patients with early-stage melanoma or breast cancer using the RespOnse Shift ALgorithm at the Item level (ROSALI).BMC medical research methodology · 2026Article
- Association of ever use of e-cigarettes with health and lifestyle variables among young adults: a Canadian health measure survey study.European journal of pediatrics · 2024Article
- Response shift in parent-reported psychopathology in children with chronic physical illness.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2023Article
- Quality of Life in Mexican Older Adults: Factor Structure of the SF-36 Questionnaire.Healthcare (Basel, Switzerland) · 2022Article
- Evaluation of the link between the Guttman errors and response shift at the individual level.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2022Article
- Using structural equation modeling to investigate change and response shift in patient-reported outcomes: practical considerations and recommendations.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2021Article
- Reply to letter to editor: "RespOnse Shift ALgorithm in item response theory (ROSALI) for response shift detection with missing data in longitudinal patient-reported outcome studies".Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2020Article
- How peoples' ratings of dental implant treatment change over time?Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2020Article
- How to Investigate the Effects of Groups on Changes in Longitudinal Patient-Reported Outcomes and Response Shift Using Rasch Models.Frontiers in psychology · 2020Article
- Patient characteristics and valuation changes impact quality of life and satisfaction in total knee arthroplasty - results from a German prospective cohort study.Health and quality of life outcomes · 2019Article
- Health-related quality of life in adults undergoing transthoracic device closure of ventricular septal defect.Journal of cardiothoracic surgery · 2019Article
- Subjectively different but objectively the same? Three profiles of QoL in people with severe mental health problems.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2018Article
- Worth a thousand words? Visual concept mapping of the quality of life of people with severe mental health problems.International journal of methods in psychiatric research · 2018Article
- Scoping review of response shift methods: current reporting practices and recommendations.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2018Article
- Item bias detection in the Hospital Anxiety and Depression Scale using structural equation modeling: comparison with other item bias detection methods.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2017Article
- Minimal impact of response shift for SF-12 mental and physical health status in homeless and vulnerably housed individuals: an item-level multi-group analysis.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2017Article
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe structural equation modeling (SEM) approach for detection of response shift (Oort in Qual Life Res 14:587-598, 2005. doi: 10.1007/s11136-004-0830-y ) is especially suited for continuous data, e.g., questionnaire scales. The present objective is to explain how the SEM approach can be applied to discrete data and to illustrate response shift detection in items measuring health-related quality of life (HRQL) of cancer patients.
methodsThe SEM approach for discrete data includes two stages: (1) establishing a model of underlying continuous variables that represent the observed discrete variables, (2) using these underlying continuous variables to establish a common factor model for the detection of response shift and to assess true change. The proposed SEM approach was illustrated with data of 485 cancer patients whose HRQL was measured with the SF-36, before and after start of antineoplastic treatment.
resultsResponse shift effects were detected in items of the subscales mental health, physical functioning, role limitations due to physical health, and bodily pain. Recalibration response shifts indicated that patients experienced relatively fewer limitations with "bathing or dressing yourself" (effect size d = 0.51) and less "nervousness" (d = 0.30), but more "pain" (d = -0.23) and less "happiness" (d = -0.16) after antineoplastic treatment as compared to the other symptoms of the same subscale. Overall, patients' mental health improved, while their physical health, vitality, and social functioning deteriorated. No change was found for the other subscales of the SF-36.
conclusionThe proposed SEM approach to discrete data enables response shift detection at the item level. This will lead to a better understanding of the response shift phenomena at the item level and therefore enhances interpretation of change in the area of HRQL.
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