Implications of response shift for micro-, meso-, and macro-level healthcare decision-making using results of patient-reported outcome measures.
Richard SawatzkyJae-Yung KwonRuth BarclayCynthia ChauhanLori FrankWilbert B van den HoutLene Kongsgaard NielsenSandra NolteMirjam A G Sprangersnull nullPublished in: Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation (2021)
Given empirical evidence of response shift, there is a critical need for guidelines and knowledge translation to avoid potential misinterpretations of PROM results and consequential biases in decision-making. Our framework with guiding questions provides a structure for developing strategies to address potential impacts of response shift at micro-, meso-, and macro-levels.