Refining a Web-based goal assessment interview: item reduction based on reliability and predictive validity.
Background: Goals are an important basis for patients' cognitive appraisal processes underlying quality-of-life (QOL) assessment because they are the foundation to one's frame of reference. We sought to identify the best of six goal delineation items and relevant themes for two new versions of the Q...
| Publicado en: | Quality of Life Research Vol. 25; no. 9; pp. 2201 - 2213 |
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| Autores principales: | , , , , |
| Formato: | research Journal Article |
| Publicado: |
Springer Nature
Sep2016
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=117355782&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 117355782 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09629343 GPQ jtl: Quality of Life Research issn: 09629343 maglogo: N pubinfo: dt: Sep2016 vid: 25 iid: 9 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 117355782 117355782 NLM26961007 117355782 10.1007/s11136-016-1258-x NLM26961007 117355782 ppf: 2201 ppct: 12 formats: fmt: @attributes: type: P tig: atl: Refining a Web-based goal assessment interview: item reduction based on reliability and predictive validity. aug: au: Schwartz, Carolyn Li, Jei Rapkin, Bruce Schwartz, Carolyn E Rapkin, Bruce D affil: Division of Community Collaboration and Implementation Science, Department of Epidemiology and Population Health , Albert Einstein College of Medicine , Bronx USA sug: subj: Internet Quality of Life Goals and Objectives Data Collection Human Middle Age Female Multiple Sclerosis Psychosocial Factors Male Mental Health Reproducibility of Results Adult Validation Studies Comparative Studies Evaluation Research Multicenter Studies Middle Aged: 45-64 years Adult: 19-44 years Female Male ab: Background: Goals are an important basis for patients' cognitive appraisal processes underlying quality-of-life (QOL) assessment because they are the foundation to one's frame of reference. We sought to identify the best of six goal delineation items and relevant themes for two new versions of the QOL Appraisal Profile: an interview tool using a subset of the best open-ended goal delineation items, and a shorter close-ended version for use in survey research.Methods: This is a secondary analysis of longitudinal data (n = 1126) of participants in the North American Research Committee on Multiple Sclerosis (MS) registry. The open-ended data were coded by at least two trained coders with moderately high inter-rater agreement. There were 31 themes reflecting goal content such as health, interpersonal, independence, mental health, and financial themes. Descriptive statistics identified most prevalent themes. Reliability analysis (alpha, item-total correlations) and hierarchical linear modeling identified the best goal items.Results: Based on these qualitative and quantitative analyses, Solve (item 2) is the best single item because it is clear anchor for about a third of the goal themes, and explains the most variance in outcomes and demographic characteristics, suggesting that it taps into and reveals diversity in the sample. The next best items are Accomplish and Maintain (items 1 and 4), which are useful in tapping into and revealing diversity among people reporting cognitive deficits (Accomplish), and demographic factors (both Accomplish and Maintain items).Conclusions: The goal delineation items identified as best performers in this study will be used to develop a shorter open-ended version of the QOL Appraisal Profile, and an entirely close-ended version of the QOL Appraisal Profile for use in more standard survey research settings. These tools will enable coaching patients in medical decision making as well as investigations of appraisal and response shift in QOL research. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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