Quantitative assessment of changes in patients' constructs of quality of life: An application of multilevel models

@article{Lowy2004QuantitativeAO,
  title={Quantitative assessment of changes in patients' constructs of quality of life: An application of multilevel models},
  author={Adam Lowy and Juerg Bernhard},
  journal={Quality of Life Research},
  year={2004},
  volume={13},
  pages={1177-1185}
}
It has often been proposed that quality of life (QL) instruments should account for potentially changing conceptualisations of QL as patients adapt to disease (response-shift). Most instruments do not do this, and some that do are relatively complicated and burdensome for patients. The extent to which patients reconceptualise QL is unknown, and it is unclear whether this additional complication is necessary. This paper reviews existing methods for assessing response-shift and introduces an… CONTINUE READING

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