The new COSMIN guidelines confront traditional concepts of responsiveness.

Abstract:

:The recently published "COSMIN" guidelines aim to rate properties of outcome instruments and state two issues with regard to responsiveness which is the instrument's ability to detect change over time. These issues are comparison of score changes with change of an external criterion using correlations and the judgement of traditional methods as inappropriate. The latter are the "transition" concept, a global rating of change, and parametric measures of responsiveness, for example, effect sizes. It can be shown that the methodology proposed by the guidelines has important weaknesses and that denunciation of traditional methods is not appropriate. Some claims of the guidelines about responsiveness do not match the demands of clinical reality and confront findings of numerous epidemiological studies.

journal_name

BMC Med Res Methodol

authors

Angst F

doi

10.1186/1471-2288-11-152

subject

Has Abstract

pub_date

2011-11-18 00:00:00

pages

152; author reply 152

issn

1471-2288

pii

1471-2288-11-152

journal_volume

11

pub_type

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