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dc.contributor.authorRapkin, Bruce D.
dc.contributor.authorSchwartz, Carolyn E.
dc.date2022-08-11T08:09:40.000
dc.date.accessioned2022-08-23T16:39:31Z
dc.date.available2022-08-23T16:39:31Z
dc.date.issued2004-03-15
dc.date.submitted2012-03-22
dc.identifier.citationHealth Qual Life Outcomes. 2004 Mar 15;2:14. <a href="http://dx.doi.org/10.1186/1477-7525-2-14">Link to article on publisher's site</a>
dc.identifier.issn1477-7525 (Linking)
dc.identifier.doi10.1186/1477-7525-2-14
dc.identifier.pmid15023229
dc.identifier.pmid15023229
dc.identifier.urihttp://hdl.handle.net/20.500.14038/39489
dc.description.abstractMounting evidence for response shifts in quality of life (QOL) appraisal indicates the need to include direct measurement of the appraisal process itself as a necessary part of QOL assessment. We propose that directly assessing QOL appraisal processes will not only improve our ability to interpret QOL scores in the traditional sense, but will also yield a deeper understanding of the appraisal process in the attribution of and divergence in meaning. The published evidence for response shift is reviewed, and an assessment paradigm is proposed that includes the explicit measurement of QOL appraisal process parameters: 1) induction of a frame of reference; 2) recall and sampling of salient experiences; 3) standards of comparison used to appraise experiences; and 4) subjective algorithm used to prioritize and combine appraisals to arrive at a QOL rating. A QOL Appraisal Profile, which measures key appraisal processes, is introduced as an adjunct to existing QOL scales. The proposed theoretical model, building on the Sprangers and Schwartz (1999) model and highlighting appraisal processes, provides a fully testable theoretical treatment of QOL and change in QOL, suggesting hypothesized causal relationships and explanatory pathways for both cross-sectional and longitudinal QOL research.
dc.language.isoen_US
dc.relation<a href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&list_uids=15023229&dopt=Abstract">Link to Article in PubMed</a>
dc.relation.urlhttp://dx.doi.org/10.1186/1477-7525-2-14
dc.rights<p>© 2004 Rapkin and Schwartz; licensee BioMed Central Ltd. This is an Open Access article: verbatim copying and redistribution of this article are permitted in all media for any purpose, provided this notice is preserved along with the article's original URL.</p>
dc.subjectAdaptation, Psychological
dc.subjectAlgorithms
dc.subjectDecision Making
dc.subjectGoals
dc.subjectHealth Status
dc.subjectHumans
dc.subject*Models, Psychological
dc.subject*Quality of Life
dc.subjectSelf-Assessment
dc.subject*Sickness Impact Profile
dc.subjectTreatment Outcome
dc.subjectHealth Services Research
dc.subjectLife Sciences
dc.subjectMedicine and Health Sciences
dc.titleToward a Theoretical Model of Quality-of-life Appraisal: Implications of Findings From Studies of Response Shift
dc.typeJournal Article
dc.source.journaltitleHealth and quality of life outcomes
dc.source.volume2
dc.identifier.legacyfulltexthttps://escholarship.umassmed.edu/cgi/viewcontent.cgi?article=3284&amp;context=oapubs&amp;unstamped=1
dc.identifier.legacycoverpagehttps://escholarship.umassmed.edu/oapubs/2285
dc.identifier.contextkey2691126
refterms.dateFOA2022-08-23T16:39:31Z
html.description.abstract<p>Mounting evidence for response shifts in quality of life (QOL) appraisal indicates the need to include direct measurement of the appraisal process itself as a necessary part of QOL assessment. We propose that directly assessing QOL appraisal processes will not only improve our ability to interpret QOL scores in the traditional sense, but will also yield a deeper understanding of the appraisal process in the attribution of and divergence in meaning. The published evidence for response shift is reviewed, and an assessment paradigm is proposed that includes the explicit measurement of QOL appraisal process parameters: 1) induction of a frame of reference; 2) recall and sampling of salient experiences; 3) standards of comparison used to appraise experiences; and 4) subjective algorithm used to prioritize and combine appraisals to arrive at a QOL rating. A QOL Appraisal Profile, which measures key appraisal processes, is introduced as an adjunct to existing QOL scales. The proposed theoretical model, building on the Sprangers and Schwartz (1999) model and highlighting appraisal processes, provides a fully testable theoretical treatment of QOL and change in QOL, suggesting hypothesized causal relationships and explanatory pathways for both cross-sectional and longitudinal QOL research.</p>
dc.identifier.submissionpathoapubs/2285
dc.contributor.departmentDepartment of Medicine, Division of Preventive and Behavioral Medicine
dc.source.pages14


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