3 research outputs found
Anticipated adaptation or scale recalibration?
Analysis and support of clinical decision makin
Psychological factors and mental health in persons with SCI: an exploration of change or stability
OBJECTIVES: To examine the course of mental health and psychological factors over time in persons with a recent spinal cord injury and to determine whether change in psychological factors is associated with change in mental health. DESIGN: Prospective cohort study in the Netherlands with 3 measurement time-points. SUBJECTS: A total of 60 persons with recently acquired spinal cord injury. METHODS: Standardized validated measurement instruments were used to assess mental health, self-efficacy, mastery, optimism, illness cognitions, purpose in life, and social compa-rison. Descriptive statistics and multilevel analysis were used. RESULTS: Multilevel regression analyses showed that neither mental health nor psychological factors, except for social comparison-upward identification, showed statistically significant change over time. However, increasing scores for self-efficacy, mastery, acceptance cognitions, and purpose in life were significantly associated with increasing mental health. In contrast, increasing scores for optimism, social comparison, helplessness cognitions, and disease benefits cognitions were not significantly associated with increasing mental health in persons with spinal cord injury. CONCLUSION: Most psychological factors showed stability up to 6 months post-discharge. Purpose in life, acceptance cognitions, self-efficacy, and mastery showed more variability and seem to be most promising as targets for interventions, which may lead to an improvement in mental health in persons with spinal cord injury
Time trade-off: one methodology, different methods
Abstract There is no scientific consensus on the optimal
specification of the time trade-off (TTO) task. As a consequence,
studies using TTO to value health states may
share the core element of trading length of life for quality
of life, but can differ considerably on many other elements.
While this pluriformity in specifications advances the
understanding of TTO from a methodological point of
view, it also results in incomparable health state values.
Health state values are applied in health technology
assessments, and in that context comparability of information
is desired. In this article, we discuss several alternative
specifications of TTO presented in the literature.
The defining elements of these specifications are identified
as being either methodological, procedural or analytical in
nature. Where possible, it is indicated how these elements
affect health state values (i.e., upward or downward).
Finally, a checklist for TTO studies is presented, which
incorporates a list of choices to be made by researchers
who wish to perform a TTO task. Such a checklist enables
other researchers to align methodologies in order to
enhance the comparability of health state values