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Associations between self-rated health and the assessments of anchoring vignettes in cardiovascular patients.

Abstract：

Background/Objective:Assessments of health can be biased by response shift effects. One method for detecting such effects is the use of anchoring vignettes. The aim of this study was to analyze the relationship between participants' self-assessed health state and their assessments of these vignettes. Method:A total of 342 cardiovascular patients assessed their own state of health on a 0-100 visual analogue scale. The patients additionally assessed two vignettes featuring fictional persons suffering from specific complaints. A sample of the general population (N = 1,236) served as controls. Results:The participants rated the health state of the vignette character featuring physical problems as being significantly better than the general population did (effect size: d = 0.53). The group difference in the assessment of the vignette featuring primarily mental health problems was lower (d = -0.17). Participants' assessments of the vignettes were positively correlated with their assessments of their own health state (r = .26 and r = .10) and with several quality of life variables. Conclusions:Anchoring vignettes are a useful tool for detecting response shift effects. Antecedentes/Objetivo:Las evaluaciones de la salud pueden estar sesgadas por efectos de cambio en la respuesta. Un método para detectar ese tipo de efectos es el uso de viñetas de caso. El objetivo de este estudio fue analizar la relación entre el estado autoinformado de salud y la evaluación de estas viñetas. Método:Un total de 342 pacientes cardiovasculares evaluaron su estado de salud personal en una escala analógica-visual de 0-100. Adicionalmente, debían evaluar dos viñetas describiendo personas ficticias que sufrían de algunas condiciones de salud. Una muestra de la población general (N = 1.236) sirvió como grupo control. Resultados:Los participantes evaluaron el estado de salud de los protagonistas de las viñetas como significativamente mejor que la población general (tamaño del efecto d = 0,53). La diferencia entre grupos de la evaluación de la viñeta con problemas primariamente de salud mental fue más baja (d = -0,17). La evaluación de la salud de las viñetas muestra una correlación positiva con la evaluación del propio estado de salud (r = 0,26 y r = 0,10) y con varias variables de calidad de vida. Conclusiones:Las viñetas de caso son una herramienta útil para detectar efectos de cambio en la respuesta.

journal_name

Int J Clin Health Psychol

journal_title

International journal of clinical and health psychology : IJCHP

authors

Hinz A,Karoff J,Kittel J,Brähler E,Zenger M,Schmalbach B,Kocalevent RD

doi

10.1016/j.ijchp.2020.04.001

keywords:

["Anchoring vignettes","Descriptive survey study","Health","Quality of life","Response shift"]

subject

Has Abstract

pub_date

2020-05-01 00:00:00

pages

100-107

issue

2

eissn

1697-2600

issn

2174-0852

pii

S1697-2600(20)30018-1

journal_volume

20

pub_type

杂志文章

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