TY - JOUR
T1 - Response shift after coronary revascularization
AU - Oreel, Tom H.
AU - Nieuwkerk, Pythia T.
AU - Hartog, Iris D.
AU - Netjes, Justine E.
AU - Vonk, Alexander B. A.
AU - Lemkes, Jorrit
AU - van Laarhoven, Hanneke W. M.
AU - Scherer-Rath, Michael
AU - Henriques, José P. S.
AU - Oort, Frans J.
AU - Sprangers, Mirjam A. G.
AU - Verdam, Mathilde G. E.
N1 - Funding Information: This study was funded by the Netherlands Organisation for Scientific Research (NWO; Grant No. NWO319-20-003) and Merck Sharp & Dohme (MSD). Publisher Copyright: © 2021, The Author(s).
PY - 2022/2
Y1 - 2022/2
N2 - Purpose: The aims of this study were to investigate (1) the extent to which response shift occurs among patients with coronary artery disease (CAD) after coronary revascularization, (2) whether the assessment of changes in health-related quality of life (HRQoL), controlled for response shift, yield more valid estimates of changes in HRQoL, as indicated by stronger associations with criterion measures of change, than without controlling for response shift, and (3) if occurrences of response shift are related to patient characteristics. Methods: Patients with CAD completed the SF-36 and the Seattle Angina Questionnaire (SAQ7) at baseline and 3 months after coronary revascularization. Sociodemographic, clinical and psychosocial variables were measured with the patient version of the New York Heart Association-class, Subjective Significance Questionnaire, Reconstruction of Life Events Questionnaire (RE-LIFE), and HEXACO personality inventory. Oort’s Structural Equation Modeling (SEM) approach was used to investigate response shift. Results: 191 patient completed questionnaires at baseline and at 3 months after treatment. The SF-36 showed recalibration and reprioritization response shift and the SAQ7 reconceptualization response shift. Controlling for these response shift effects did not result in more valid estimates of change. One significant association was found between reprioritization response shift and complete integration of having CAD into their life story, as indicated by the RE-LIFE. Conclusion: Results indicate response shift in HRQoL following coronary revascularization. While we did not find an impact of response shift on the estimates of change, the SEM approach provides a more comprehensive insight into the different types of change in HRQoL following coronary revascularization.
AB - Purpose: The aims of this study were to investigate (1) the extent to which response shift occurs among patients with coronary artery disease (CAD) after coronary revascularization, (2) whether the assessment of changes in health-related quality of life (HRQoL), controlled for response shift, yield more valid estimates of changes in HRQoL, as indicated by stronger associations with criterion measures of change, than without controlling for response shift, and (3) if occurrences of response shift are related to patient characteristics. Methods: Patients with CAD completed the SF-36 and the Seattle Angina Questionnaire (SAQ7) at baseline and 3 months after coronary revascularization. Sociodemographic, clinical and psychosocial variables were measured with the patient version of the New York Heart Association-class, Subjective Significance Questionnaire, Reconstruction of Life Events Questionnaire (RE-LIFE), and HEXACO personality inventory. Oort’s Structural Equation Modeling (SEM) approach was used to investigate response shift. Results: 191 patient completed questionnaires at baseline and at 3 months after treatment. The SF-36 showed recalibration and reprioritization response shift and the SAQ7 reconceptualization response shift. Controlling for these response shift effects did not result in more valid estimates of change. One significant association was found between reprioritization response shift and complete integration of having CAD into their life story, as indicated by the RE-LIFE. Conclusion: Results indicate response shift in HRQoL following coronary revascularization. While we did not find an impact of response shift on the estimates of change, the SEM approach provides a more comprehensive insight into the different types of change in HRQoL following coronary revascularization.
KW - Cardiac disease
KW - Disease-specific health-related quality of life
KW - Generic health-related quality of life
KW - Longitudinal data
KW - Response shift
KW - Structural equation modelling
UR - http://www.scopus.com/inward/record.url?scp=85108596707&partnerID=8YFLogxK
U2 - https://doi.org/10.1007/s11136-021-02902-5
DO - https://doi.org/10.1007/s11136-021-02902-5
M3 - Article
C2 - 34159517
SN - 0962-9343
VL - 31
SP - 437
EP - 450
JO - Quality of life research
JF - Quality of life research
IS - 2
ER -