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Testing the construct validity of a health transition question using vignette-guided patient ratings of health

Overview of attention for article published in Health and Quality of Life Outcomes, January 2018
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About this Attention Score

  • In the top 25% of all research outputs scored by Altmetric
  • High Attention Score compared to outputs of the same age (80th percentile)
  • Above-average Attention Score compared to outputs of the same age and source (52nd percentile)

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1 blog
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1 X user
facebook
1 Facebook page
reddit
1 Redditor

Citations

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6 Dimensions

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28 Mendeley
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Title
Testing the construct validity of a health transition question using vignette-guided patient ratings of health
Published in
Health and Quality of Life Outcomes, January 2018
DOI 10.1186/s12955-017-0832-4
Pubmed ID
Authors

Michael M. Ward, Jinxiang Hu, Lori C. Guthrie, Maria Alba

Abstract

A single-item transition question is often used to assess improvement or worsening in health, but its validity has not been tested extensively. The purpose of this study was to test the construct validity of a transition question by relating it to qualitative changes in patient's self-rating of health guided by clinical vignettes. We studied 169 patients with active rheumatoid arthritis (RA) before and after treatment escalation. At both assessments, patients scored their current health on a rating scale after first rating three vignettes describing mild, moderate, or severe RA. We classified patients into one of these three RA categories using a nearest-neighbor match. We then related the change in these self-rated categories between visits to responses to a transition question on visit 2. Sixty patients improved their RA vignette category after treatment, 86 remained in the same vignette category, and 23 worsened categories. On the transition question, 101 patients reported improvement, 48 reported no change, and 20 reported worsening, representing a modest association with changes in RA vignette categories (polychoric correlation r = 0.19). The association was stronger if patients who were in the mild RA category at both visits were also classified as improved if their self-rating changed from below to above their mild vignette rating (r = 0.23) and when incorporating the importance of changes on the transition question (r = 0.26). Changes in health states, guided by clinical vignettes, support the construct validity of the transition question.

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The data shown below were collected from the profile of 1 X user who shared this research output. Click here to find out more about how the information was compiled.
Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 28 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 28 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 5 18%
Unspecified 3 11%
Student > Bachelor 3 11%
Researcher 3 11%
Student > Postgraduate 2 7%
Other 6 21%
Unknown 6 21%
Readers by discipline Count As %
Medicine and Dentistry 6 21%
Nursing and Health Professions 5 18%
Unspecified 3 11%
Psychology 2 7%
Agricultural and Biological Sciences 2 7%
Other 3 11%
Unknown 7 25%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 8. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 03 January 2018.
All research outputs
#3,964,125
of 23,015,156 outputs
Outputs from Health and Quality of Life Outcomes
#397
of 2,186 outputs
Outputs of similar age
#86,459
of 442,518 outputs
Outputs of similar age from Health and Quality of Life Outcomes
#16
of 63 outputs
Altmetric has tracked 23,015,156 research outputs across all sources so far. Compared to these this one has done well and is in the 82nd percentile: it's in the top 25% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 2,186 research outputs from this source. They typically receive a little more attention than average, with a mean Attention Score of 5.5. This one has done well, scoring higher than 77% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 442,518 tracked outputs that were published within six weeks on either side of this one in any source. This one has done well, scoring higher than 80% of its contemporaries.
We're also able to compare this research output to 63 others from the same source and published within six weeks on either side of this one. This one has gotten more attention than average, scoring higher than 52% of its contemporaries.