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New Variations for Strategy Set-shifting in the Rat

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Published on: January 23, 2017

Response shifting: a qualitative meta-synthesis on response shift.

Kara Schick-Makaroff¹, Antoinette F Davey^2,3, Véronique Sébille^4,5

¹Faculty of Nursing, University of Alberta, Edmonton, Canada.

Quality of Life Research : an International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation

|June 6, 2026

Summary

This qualitative meta-synthesis explored how people experience response shift in health. Findings reveal recalibration, reprioritization, and reconceptualization as key mechanisms influencing perceived health changes.

Keywords:

Focus groups Interviews Patient-reported outcomes Qualitative Qualitative meta-synthesis Response shift Systematic review

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Area of Science:

Health Psychology
Qualitative Research Methods
Patient-Reported Outcomes

Background:

Response shift is a complex phenomenon influencing how individuals perceive their health status over time.
Understanding response shift is crucial for accurate interpretation of patient-reported outcomes in health research.
Qualitative methods offer unique insights into the subjective experiences of health changes.

Purpose of the Study:

To systematically review and synthesize qualitative health-related studies examining response shift.
To identify and describe the qualitative findings related to response shift phenomena.

Main Methods:

A systematic search of multiple databases (MEDLINE, PSYCINFO, CINAHL, EMBASE, etc.) was conducted.
Qualitative and mixed-methods studies investigating response shift were included.
Constant comparative analysis and "imported concepts" were used for data synthesis.

Main Results:

Fourteen studies were included, with most using patient-reported outcome measures.
All studies provided evidence of response shift, primarily through recalibration, reprioritization, and reconceptualization.
Recalibration involved comparisons to past health or others, adjusted standards, and expectations.
Reprioritization stemmed from shifting life priorities or treatment effects.
Reconceptualization was linked to changes in health conditions/treatment and often co-occurred with reprioritization.

Conclusions:

Response shift is a multifaceted experience involving changes in meaning and perception.
Further research should explore diverse inquiry lenses to understand the varied experiences of change in meaning.
Dialogue is needed on how to best examine the multiplicity of ways people experience changes in meaning.