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Published in: Quality of Life Research 2/2022

Open Access 01-02-2022

Response shift after coronary revascularization

Authors: Tom H. Oreel, Pythia T. Nieuwkerk, Iris D. Hartog, Justine E. Netjes, Alexander B. A. Vonk, Jorrit Lemkes, Hanneke W. M. van Laarhoven, Michael Scherer-Rath, José P. S. Henriques, Frans J. Oort, Mirjam A. G. Sprangers, Mathilde G. E. Verdam

Published in: Quality of Life Research | Issue 2/2022

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Abstract

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.
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Metadata
Title
Response shift after coronary revascularization
Authors
Tom H. Oreel
Pythia T. Nieuwkerk
Iris D. Hartog
Justine E. Netjes
Alexander B. A. Vonk
Jorrit Lemkes
Hanneke W. M. van Laarhoven
Michael Scherer-Rath
José P. S. Henriques
Frans J. Oort
Mirjam A. G. Sprangers
Mathilde G. E. Verdam
Publication date
01-02-2022
Publisher
Springer International Publishing
Published in
Quality of Life Research / Issue 2/2022
Print ISSN: 0962-9343
Electronic ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-021-02902-5

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