Examination of Response Shift After Rehabilitation for Orthopedic Conditions: A Systematic Review

Powden, Cameron J.; Hoch, Matthew C.; Hoch, Johanna M.

doi:10.1123/jsr.2017-0104

Cited by 9 publications

(7 citation statements)

References 31 publications

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“…14 Conservative care may not provide a substantial enough catalyst to prime individuals for an RS. 11 As such, our findings support using traditional preassessment-to-postassessment comparison methods to evaluate self-reported function after a conservative intervention for those with CAI. However, this should not be assumed for all treatment courses among patients with CAI.…”

Section: Discussionsupporting

confidence: 69%

“…Traditionally, RS has been observed in individuals with chronic, life-threatening conditions whose physical health deteriorates but whose self-reported HRQOL remains stable. 10 More recently, RS has gained attention as a possible phenomenon 11 after rotator cuff repair, 12 autologous chondrocyte implantation, 13 total knee arthroplasty, [14][15][16] knee microfracture, 17 lumbar spinal decompression surgery, 18 and unspecified rehabilitation for chronic low back pain, 19 all treatments for chronic musculoskeletal conditions. Response shifts in these populations can potentially affect the evaluation of the rehabilitation process and clinical decision making and lead to the underestimation or overestimation of patient change after treatment.…”

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confidence: 99%

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Response Shift After a 4-Week Multimodal Intervention for Chronic Ankle Instability

Powden

Hoch

Jamali

2019

Journal of Athletic Training

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Context The accurate evaluation of self-reported changes in function throughout the rehabilitation process is important for determining patient progression. Currently, how a response shift (RS) may affect the accuracy of self-reported functional assessment in a population with chronic ankle instability (CAI) is unknown. Objective To examine the RS in individuals with CAI after a 4-week multimodal rehabilitation program. Design Controlled laboratory study. Setting Laboratory. Patients or Other Participants Twenty adults (5 men, 15 women; age = 24.35 ± 6.95 years, height = 169.29 ± 10.10 cm, mass = 70.58 ± 12.90 kg) with self-reported CAI participated. Inclusion criteria were at least 1 previous ankle sprain, at least 2 episodes of the ankle “giving way” in the 3 months before the study, and a score ≤24 on the Cumberland Ankle Instability Tool. Intervention(s) Individuals participated in 12 intervention sessions over 4 weeks and daily home ankle strengthening and stretching. Main Outcome Measure(s) Patient-reported outcomes (PROs) were assessed at 4 times (baseline, preintervention, postintervention, and 2-week follow-up). At the postintervention and 2-week follow-up, participants completed then-test assessments to measure RS. Then-test assessments are retrospective evaluations of perceived baseline function completed after an intervention. The PROs consisted of the Foot and Ankle Ability Measure-Activities of Daily Living and Sport subscales, the modified Disablement in the Physically Active scale physical and mental summary components, and the Fear-Avoidance Beliefs Questionnaire Physical Activity and Work subscales. We used repeated-measures analyses of variance to compare preintervention with then-test measurements. Individual-level RSs were examined by determining the number of participants who experienced preintervention to then-test differences that exceeded the calculated minimal detectable change. Results We did not identify an RS for any PRO (F > 2.338, P > .12), indicating no group-level differences between the preintervention and retrospective then-test assessments. Individual-level RS was most prominent in the Foot and Ankle Ability Measure-Sport subscale (n = 6, 30%) and the Fear-Avoidance Beliefs Questionnaire Physical Activity subscale (n = 9, 45%). Conclusions No group-level RS was identified for any PRO after a 4-week multimodal rehabilitation program in individuals with CAI. This finding indicates that traditional assessment of self-reported function was accurate for evaluating the short-term effects of rehabilitation in those with CAI. Low levels of individual-level RS were identified.

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Section: Discussionsupporting

confidence: 69%

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confidence: 99%

Response Shift After a 4-Week Multimodal Intervention for Chronic Ankle Instability

Powden

Hoch

Jamali

2019

Journal of Athletic Training

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“…The acceptance of this methodology has been used in recent studies on RS applied to different clinical areas: oncology [ 23 , 28 ], orthopedic rehabilitation [ 29 ], pre-injury [ 30 ], as well as patient-reported outcomes (PRO) [ 31 ].…”

Section: Methodsmentioning

confidence: 99%

Detection of response shift in health-related quality of life studies: a systematic review

Ortega-Gómez

Vicente‐Galindo

Rodero

et al. 2022

Health Qual Life Outcomes

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Background Response Shift (RS) refers to the idea that an individual may undergo changes in its health-related quality of life (HRQOL). If internal standard, values, or reconceptualization of HRQOL change over time, then answer to the same items by the same individuals may not be comparable over time. Traditional measures to evaluate RS is prone to bias and strong methodologies to study the existence of this phenomenon is required. The objective is to systematically identify, analyze, and synthesize the existing and recent evidence of statistical methods used for RS detection in HRQOL studies. Methods The analysis of selected studies between January 2010 and July 2020 was performed through a systematic review in MEDLINE/PubMed, Scopus, Web of Science, PsycINFO and Google Scholar databases. The search strategy used the terms “Health-Related Quality of Life” and “Response Shift” using the filters “Humans”, “Journal Article”, “English” and “2010/01/01–2020/07/31”. The search was made in August 2020. Results After considering the inclusion and exclusion criteria, from the total selected articles (675), 107 (15.9%) of the publications were included in the analysis. From these, 79 (71.0%) detected the existence of RS and 86 (80.4%) only used one detection method. The most used methods were Then Test (n = 41) and Oort’s Structural Equation Models (SEM) (n = 35). Other method used were Multiple Lineal Regression (n = 7), Mixed-Effect Regression (n = 6), Latent Trajectory Analysis (n = 6), Item Response Theory (n = 6), Logistics Regression (n = 5), Regression and Classification Trees (n = 4) and Relative Importance Method (n = 4). Most of these detected recalibration, including Then Test (n = 27), followed by Oort’s SEM that detected the higher combination of RS types: recalibration (n = 24), reprioritization (n = 13) and reconceptualization (n = 7). Conclusions There is a continuous interest of studying RS detection. Oort’s SEM becomes the most versatile method in its capability for detecting RS in all different types. Despite results from previous systematic reviews, same methods have been used during the last years. We observed the need to explore other alternative methods allowing same detection capacity with robust and highly precise methodology. The investigation on RS detection and types requires more study, therefore new opportunity grows to continue attending this phenomenon through a multidisciplinary perspective.

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“…To our knowledge, there are only six systematic reviews on the study of RS, the topics of which include RS among cancer patients, RS after rehabilitation for orthopedic disorders, the clinical signi cance of RS, and RS detection methods, while none of them concerned patients with ESRD. [13][14][19][20][21][22]. This study is the rst and aimed to review the evidence, study design, detection methods, participants' characteristics, primary results, and conclusions of RS among ESRD patients.…”

Section: Introductionmentioning

confidence: 99%

The Response Shift in Quality of Life Assessment among Patients with End-Stage Renal Disease: A Systematic Review

Yang¹,

Yang²,

Lin³

et al. 2021

Preprint

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Purpose The remarkable impact of response shift on quality of life (QoL) assessment among patients has been cited. There is an increased emphasis on distinguishing the real change of QOL and the self-regulation of individuals. This study aims to review the evidence of the response shift among patients with end-stage renal disease (ESRD). Methods We conducted searches of five electronic databases, including PubMed, EMBASE, EBSCO host, Web of Science, Cochrane Library, manual review. Articles published up to 13 May 2020 were selected. Studies meeting the eligibility criteria were reviewed according to Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guidelines. The quality of included articles was assessed using the National Institutes of Health Quality Assessment Tool for Observational Cohort and Cross-Sectional Studies. Results The search of databases yielded 121 articles and articles were included in this review. of them were quantitative prospective cohort studies and one was a qualitative perspective cross-sectional study. The QoL measurements included visual analog scale, time trade-off, standard gamble, individual interviews, the Schedule for Evaluation of Individual Quality of Life-Direct Weighting (SEIQoL-DW) and the ideal scale. A total of individuals was included, and the most common participants enrolled in these studies were patients with dialysis (studies). All of the eligible studies reported the use of then-test methods and of them used individualized measures including interviews, SEIQol-DW and ideal scale to examine response shifts. The existence of response shift was reported in each study and the most common type of response shifts detected was recalibration. The disease trajectory and have-want discrepancy of individuals were revealed as important factors of response shifts. Conclusions Our systematic review indicated that the response shift in QoL assessment among patients with ESRD was proved to exist and need more attention. What’s more, making use of response shifts to modify interventions may promote recovery and help patients adapt to illness better. Present studies were limited by the sample size, research design and response shift detection methods. Further work on advanced research design and RS detection methods is needed in the context of ESRD.

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Examination of Response Shift After Rehabilitation for Orthopedic Conditions: A Systematic Review

Cited by 9 publications

References 31 publications

Response Shift After a 4-Week Multimodal Intervention for Chronic Ankle Instability

Response Shift After a 4-Week Multimodal Intervention for Chronic Ankle Instability

Detection of response shift in health-related quality of life studies: a systematic review

The Response Shift in Quality of Life Assessment among Patients with End-Stage Renal Disease: A Systematic Review

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