Detecting response shift in health-related quality of life measurement among patients with hypertension using structural equation modeling.

ABSTRACT:

Background

Outcomes derived from longitudinal self-reported health-related quality of life measures can be confounded by response shift. This study was aimed to detect response shift among patients with hypertension attending a community-based disease management program.

Methods

240 consecutive consulting or follow-up patients with diagnosed hypertension were recruited. The Short Form 36-item Health Survey was self-administered at 12 community health service stations at baseline and four weeks after attending the program. The 4-step structural equation modeling approach assessed response shift.

Results

Data from 203 (84.6%) patients were eligible for analyses (mean age 65.9 ± 10.8 years, 46.3% female). The results showed uniform recalibration of social functioning ([F

SUBMITTER: Chen H 

PROVIDER: S-EPMC7968327 | biostudies-literature | 2021 Mar

REPOSITORIES: biostudies-literature