Evidence map›Paper›PMID 31993916›Full record

Trial reportQuality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation2020

Do the unlabeled response categories of the Minnesota Living with Heart Failure Questionnaire satisfy the monotonicity assumption of simple-summated scoring?

Visith Uy, Ron D Hays, Jay J Xu, Peter M Fayers, Andrew D Auerbach, Jeanne T Black, Lorraine S Evangelista, Theodore G Ganiats, Patrick S Romano, Michael K Ong

Abstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Visith UyDivision of General Internal Medicine & Health Services Research, UCLA Department of Medicine, 1100 Glendon Avenue, Suite 850, Los Angeles, CA, 90024, USA.
Ron D HaysDivision of General Internal Medicine & Health Services Research, UCLA Department of Medicine, 1100 Glendon Avenue, Suite 850, Los Angeles, CA, 90024, USA. drhays@ucla.edu.ORCID http://orcid.org/0000-0001-6697-907X
Jay J XuUCLA Department of Biostatistics, 650 Charles E. Young Drive South, 51-254 CHS, Los Angeles, CA, 90024, USA.
Peter M FayersDepartment of Cancer Research and Molecular Medicine, Norwegian University of Science and Technology, Trondheim, Norway.
Andrew D AuerbachDivision of Hospital Medicine, Department of Medicine, University of California, San Francisco, 533 Parnassus Avenue, Room 131, San Francisco, CA, 94117, USA.
Jeanne T BlackDepartment of Orthopaedics, Cedars-Sinai Medical Center, Los Angeles, 116 N. Robertson Blvd., Suite 800, Los Angeles, CA, 90048, USA.
Lorraine S EvangelistaSue & Bill Gross School of Nursing, University of California, Irvine, 284 Berk Hall, Irvine, CA, 92697, USA.
Theodore G GaniatsDepartment of Family Medicine and Public Health, University of California, San Diego, 9500 Gilman Drive #0725, La Jolla, CA, 92093, USA.
Patrick S RomanoDepartment of Internal Medicine, University of California, Davis, 4860 Y Street, Suites 0101 & 0400, Sacramento, CA, 95817, USA.
Michael K OngDivision of General Internal Medicine & Health Services Research, UCLA Department of Medicine, 1100 Glendon Avenue, Suite 850, Los Angeles, CA, 90024, USA.

Funding

The Center for Health Improvement of Minority ElderlyP30AG021684 · NIA · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI CATHERINE A SARKISIAN · 2002 to 2026
$19.7M
Variations in Care: Comparing Heart Failure Care Transition Intervention EffectsR01HS019311 · AHRQ · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI ONG, MICHAEL K · 2010 to 2010
$9.9M
Comparative Effectiveness and Outcomes Improvement (CEOI) CenterRC2HL101811 · NHLBI · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI HIRSCH, JAN D, MANGIONE, CAROL M · 2009 to 2010
$3.9M
AHRQ HHS R01 HS019311NHLBI NIH HHS RC2 HL101811NIA NIH HHS P30 AG021684
6 · The paper itself

Abstract

purposeHalf of the 21-item Minnesota Living with Heart Failure Questionnaire (MLHFQ) response categories are labeled (0 = No, 1 = Very little, 5 = Very much) and half are not (2, 3, and 4). We hypothesized that the unlabeled response options would not be more likely to be chosen at some place along the scale continuum than other response options and, therefore, not satisfy the monotonicity assumption of simple-summated scoring.

methodsWe performed exploratory and confirmatory factor analyses of the MLHFQ items in a sample of 1437 adults in the Better Effectiveness After Transition-Heart Failure study. We evaluated the unlabeled response options using item characteristic curves from item response theory-graded response models for MLHFQ physical and emotional health scales. Then, we examined the impact of collapsing response options on correlations of scale scores with other variables.

resultsThe sample was 46% female; 71% aged 65 or older; 11% Hispanic, 22% Black, 54% White, and 12% other. The unlabeled response options were rarely chosen. The standard approach to scoring and scores obtained by collapsing adjacent response categories yielded similar associations with other variables, indicating that the existing response options are problematic.

conclusionsThe unlabeled MLHFQ response options do not meet the assumptions of simple-summated scoring. Further assessment of the performance of the unlabeled response options and evaluation of alternative scoring approaches is recommended. Adding labels for response options in future administrations of the MLHFQ should be considered.

Indexed as

AgedAged, 80 and overBlack or African AmericanFactor Analysis, StatisticalFemaleHealth SurveysHeart FailureHispanic or LatinoHumansMaleMiddle AgedMinnesotaPhysical ExaminationQuality of LifeHealth-related quality of lifeHeart failureItem characteristic curvesMinnesota Living with Heart Failure QuestionnaireSurvey response options

Identifiers

PMID31993916
PMCPMC7195256

What OpenQuestion holds

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Registered trials

None linked

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.