A taxonomy for responsiveness

被引：385

作者：

Beaton, DE

Bombardier, C

Katz, JN

Wright, JG

机构：

[1] Inst Work & Hlth, Toronto, ON M4W 1E6, Canada

[2] Univ Toronto, Dept Occupat Therapy, Toronto, ON, Canada

[3] Univ Toronto, Inst Med Sci, Toronto, ON M5S 1A1, Canada

[4] Univ Toronto, Clin Epidemiol Hlth Serv Res Program, Toronto, ON, Canada

[5] Univ Toronto, Dept Med, Toronto, ON, Canada

[6] Univ Toronto, Dept Surg, Toronto, ON, Canada

[7] Univ Toronto, Dept Publ Hlth Sci, Toronto, ON, Canada

[8] Brigham & Womens Hosp, Boston, MA 02115 USA

[9] Harvard Univ, Sch Med, Boston, MA 02115 USA

[10] Robert Brigham Multipurpose Arthritis & Musculosk, Boston, MA USA

[11] Hosp Sick Children, Toronto, ON M5G 1X8, Canada

[12] St Michaels Hosp, Toronto, ON M5B 1W8, Canada

[13] Mt Sinai Hosp, Toronto, ON M5G 1X5, Canada

[14] Univ Toronto, Hlth Network, Toronto Gen Hosp, Toronto, ON, Canada

来源：

JOURNAL OF CLINICAL EPIDEMIOLOGY | 2001年 / 54卷 / 12期

基金：

英国医学研究理事会; 美国国家卫生研究院;

关键词：

responsiveness; effect size statistic; treatment effectiveness;

D O I：

10.1016/S0895-4356(01)00407-3

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Responsiveness is quickly becoming a critical criterion for the selection of outcomes measures in studies of treatment effectiveness, economic appraisals, and other program evaluations. Statistical characteristics, specifically "large effect sizes," are often felt to indicate the relative worth of one instrument over another. However, debates about their meaning led the present authors to propose a taxonomy for responsiveness based on the context of the study concerned. The three axes, underlying the classification system relate to: who is this being analyzed for (individuals or groups); which scores are being contrasted (over time/at one point in time); and the type of change being quantified (for example, observed change or important change). It is concluded that responsiveness should be considered a highly contextualized attribute of an instrument, rather than a static property and should be described only in that way. A questionnaire could thus be described as being "responsive to" a given category in the new taxonomy. (C) 2001 Elsevier Science Inc. All rights reserved.

引用

页码：1204 / 1217

页数：14

共 117 条

[1]

Altman DG, 1991, Practical Statistics for Medical Research, DOI DOI 10.1002/SIM.4780101015

[2]

ANDERSON JJ, 1993, J RHEUMATOL, V20, P535

[3]

Barber Katherine., 1998, CANADIAN OXFORD DICT

[4] Assessing the reliability and responsiveness of 5 shoulder questionnaires [J].