使用患者报告的结果指标进行定量研究的响应转移结果:描述性的系统性审查
Richard Sawatzky1,2,3, Tolulope T Sajobi4, Lara Russell5,6
1School of Nursing, Trinity Western University, 22500 University Drive, Langley, BC, V2Y 1Y1, Canada. rick.sawatzky@twu.ca.
概括
响应转移效应在使用患者报告结果测量 (PROM) 的纵向研究中很常见. 了解这些变化的流行率和规模对于准确解释PROM数据至关重要.
科学领域:
- 健康 结果 研究 研究 结果
- 心理测量 心理测量 心理测量
- 纵向数据分析 纵向数据分析
背景情况:
- 患者报告的结果测量 (PROM) 对于评估健康状况和治疗结果至关重要.
- 响应转移,即测量的意义或解释的变化,可以偏差纵向PROM数据.
- 了解反应转移对于准确解释随时间变化的健康状况至关重要.
研究的目的:
- 系统地审查各种方法,种群,研究设计和PROM的响应转移效应的流行率和规模.
- 分析响应转移效应,以便单独进行重新校准和重新优先级/重新概念化.
主要方法:
- 针对2021年之前发表的纵向定量研究,在多个数据库中进行了全面的文献搜索.
- 总结了反应转移效应的流行率和大小,并进行了包括所有研究的分析,然后排除了无关研究和独立样本的分析.
- 从报告的统计信息中确定了效应大小 (科恩的d,R平方,受访者百分比).
主要成果:
- 在包括150项研究中的86.7%中检测到响应转移效应.
- 在可以确定大小的1130种效应中,47.5%显示了响应转移.
- 平均重新校准效应大小通常在0.20-0.30 (科恩d) 之间,而重定位/重新概念化效应很少超过0.15.
结论:
- 在纵向PROM研究中经常观察到响应转移.
- 响应转移流行和规模的变化需要进一步调查.
- 未来的研究应侧重于确定影响反应转移发生和影响的因素.
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