Response shift in patients with multiple sclerosis: an application of three statistical techniques.

Objective: With the evolution of theory and methods for detecting recalibration, reprioritization, and reconceptualization response shifts, the time has come to evaluate and compare the current statistical detection techniques. This manuscript presents an overview of a cross-method validation done o...

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Published in:Quality of Life Research Vol. 20; no. 10; pp. 1561 - 1573
Main Authors: Schwartz CE, Sprangers MA, Oort FJ, Ahmed S, Bode R, Li Y, Vollmer T, Schwartz, Carolyn E, Sprangers, Mirjam A G, Oort, Frans J, Ahmed, Sara, Bode, Rita, Li, Yuelin, Vollmer, Timothy
Format: research Journal Article
Published: Springer Nature Dec2011
Online Access:View this record in EBSCOhost
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      dt: Dec2011
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      pub: Springer Nature
      place: New York, New York
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        atl: Response shift in patients with multiple sclerosis: an application of three statistical techniques.
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        au:
          Schwartz CE
          Sprangers MA
          Oort FJ
          Ahmed S
          Bode R
          Li Y
          Vollmer T
          Schwartz, Carolyn E
          Sprangers, Mirjam A G
          Oort, Frans J
          Ahmed, Sara
          Bode, Rita
          Li, Yuelin
          Vollmer, Timothy
        affil: DeltaQuest Foundation, Inc, Concord, MA, USA
      sug:
        subj:
          Multiple Sclerosis Psychosocial Factors
          Sickness Impact Profile
          Statistics Methods
          Adult
          Data Analysis, Statistical
          Disease Progression
          Factor Analysis
          Female
          Human
          Male
          Models, Theoretical
          Multiple Sclerosis Classification
          Multiple Sclerosis Physiopathology
          North America
          Data Collection
          Reproducibility of Results
          Self Report
          Nonparametric Statistics
          Adult: 19-44 years
          Female
          Male
      ab: Objective: With the evolution of theory and methods for detecting recalibration, reprioritization, and reconceptualization response shifts, the time has come to evaluate and compare the current statistical detection techniques. This manuscript presents an overview of a cross-method validation done on the same patient sample.Methods: Three statistical techniques were used: Structural Equation Modeling, Latent Trajectory Analysis, and Recursive Partitioning and Regression Tree modeling. The study sample (n = 3,008) was drawn from the North American Research Committee on Multiple Sclerosis (NARCOMS) Registry to represent patients soon after diagnosis, classified as having either a self-reported relapsing, progressive, or stable disease trajectory. Patient-reported outcomes included the disease-specific Performance Scales and the Patient-Derived Disease Steps, and the generic SF-12v2 measure.Results: Small response shift effect sizes were detected by all of the methods. Recalibration response shift was detected by Structural Equation Modeling, Recursive Partitioning Regression Tree demonstrated patterns consistent with all three types of response shift, and Latent Trajectory Analysis, although unable to distinguish types of response shift, did detect response shift in less than 1% of the sample.Conclusion: The methods and their findings were discussed for operationalization, interpretability, assumptions, ability to use all data points from the study sample, limitations, and strengths. Directions for future research are discussed.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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