Evidence map›Paper›PMID 33481193›Full record

ArticleQuality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation2021

Response shift in results of patient-reported outcome measures: a commentary to The Response Shift-in Sync Working Group initiative.

Mirjam A G Sprangers, Tolulope Sajobi, Antoine Vanier, Nancy E Mayo, Richard Sawatzky, Lisa M Lix, Frans J Oort, Véronique Sébille, Response Shift—in Sync Working Group

Abstract read
In one paragraph

Article in Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 3 pooled it
–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

12 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Impact of response shift on change in patient-reported outcomes: a systematic review.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2026
    Pooled it
  2. Response shift results of quantitative research using patient-reported outcome measures: a meta-regression analysis.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2025
    Pooled it
  3. Response shift results of quantitative research using patient-reported outcome measures: a descriptive systematic review.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2024
    Pooled it
  4. Article
  5. Article
  6. Response shifting: a qualitative meta-synthesis on response shift.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2026
    Review
  7. Implications of the syntheses on definition, theory, and methods conducted by the Response Shift - in Sync Working Group.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2023
    Article
  8. In Sync Working Group response-shift.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2021
    Article
  9. Implications of response shift for micro-, meso-, and macro-level healthcare decision-making using results of patient-reported outcome measures.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2021
    Article
  10. Response shift in patient-reported outcomes: definition, theory, and a revised model.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2021
    Article
  11. What should progress in response-shift research look like?Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2021
    Article
  12. Critical examination of current response shift methods and proposal for advancing new methods.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2021
    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

9 authors.

Mirjam A G SprangersDepartment of Medical Psychology, Research Institute Amsterdam Public Health, Amsterdam University Medical Centers, Location AMC, Meibergdreef 15, J3-211, 1105 AZ, Amsterdam, The Netherlands. m.a.sprangers@amsterdamumc.nl.ORCID http://orcid.org/0000-0002-3728-6933
Tolulope SajobiDepartment of Community Health Sciences, University of Calgary, Calgary, Canada.
Antoine VanierInserm-University of Nantes-University of Tours, UMR 1246 Sphere "Methods in Patient-Centered Outcomes and Health Research", Nantes, France.
Nancy E MayoCenter for Outcomes Research and Evaluation, McGill University, Montreal, Canada.
Richard SawatzkySchool of Nursing, Trinity Western University, Langley, BC, Canada.
Lisa M LixDepartment of Community Health Sciences, University of Manitoba, Winnipeg, Canada.
Frans J OortResearch Institute of Child Development and Education, University of Amsterdam, Amsterdam, The Netherlands.
Véronique SébilleUMR INSERM 1246, SPHERE "methodS in Patient-Centered Outcomes and HEalth ResEarch", University of Nantes, University of Tours, Nantes, France.
Response Shift—in Sync Working Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe Working Group undertook a critical, comprehensive synthesis of the response shift work to date. We aimed to (1) describe the rationale for this initiative; (2) outline how the Working Group operated; (3) summarize the papers that comprise this initiative; and (4) discuss the way forward.

methodsFour interdisciplinary teams, consisting of response shift experts, external experts, and new investigators, prepared papers on (1) definitions and theoretical underpinnings, (2) operationalizations and response shift methods, (3) implications for healthcare decision-making, and (4) on the published magnitudes of response shift effects. Draft documents were discussed during a two-day meeting. Papers were reviewed by all members.

resultsVanier and colleagues revised the formal definition and theory of response shift, and applied these in an amended, explanatory model of response shift. Sébille and colleagues conducted a critical examination of eleven response shift methods and concluded that for each method extra steps are required to make the response shift interpretation plausible. Sawatzky and colleagues created a framework for considering the impact of response shift on healthcare decision-making at the level of the individual patient (micro), the organization (meso), and policy (macro). Sajobi and colleagues are conducting a meta-analysis of published response shift effects. Preliminary findings indicate that the mean effect sizes are often small and variable across studies that measure different outcomes and use different methods.

conclusionFuture response shift research will benefit from collaboration among diverse people, formulating alternative hypotheses of response shift, and conducting the most conclusive studies aimed at testing these (falsification).

Indexed as

Patient Reported Outcome MeasuresQuality of LifeHumansDecision-makingDefinitionMeta-analysisMethodResponse shiftTheory

Identifiers

PMID33481193
PMCPMC8602228

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.