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Personal importance of health status change
(Archived Project)
Investigator (PI): Holman, Halsted R
Performing Organization (PO): (Current): Stanford University
Supporting Agency (SA): Agency for Healthcare Research and Quality (AHRQ)
Initial Year: 1992
Final Year: 1993
Record Source/Award ID: CRISP/R01HS07313
Award Type: Fellowship
Abstract: Prevailing clinical Investigation methods rarely assess the patient's perception of the Importance of changes In health status. Knowledge of the patient's views Is particularly important for the management of chronic arthritis for which available treatments Infrequently cure and may have adverse affects. This study will devise a self-administered instrument which, when used with other health status instruments, will determine the patient's perceived Importance of the measured health status changes. Employing groups of patients (1) with active rheumatoid arthritis In clinical practices who are about to undergo a treatment change and (2) with chronic arthritis participating In the Arthritis Self-Management Program, the instrument will be tested, analyzed psychometrically, and used to assess the study hypothesis. That hypothesis, based on clinical experience and preliminary data, holds that patients' perceptions of the importance of health status change will correlate only weakly with changes In health status as measured by prevailing instruments. That is, the measured change and its perceived importance will often be discordant. The study will also explore determinants of patient perceptions, and will compare physician and patient perceptions of the magnitude and Importance of health status change. If, as postulated, patient perceptions of the importance of change emerge as a different and complementary dimension of health status, their inclusion in future clinical studies of arthritis and musculoskeletal diseases will Improve interpretation of results and will enhance design of effective clinical practices
MeSH Terms:
  • Arthritis, Rheumatoid
  • Attitude of Health Personnel
  • Chronic Disease
  • Health Status
  • Humans
  • Perception
  • Psychometrics
  • United States
Keywords:
  • health attitude
  • health survey
  • research support, U.S. Gov't, P.H.S.
  • rheumatoid arthritis
Country: United States
State: California
Zip Code: 94304
UI: 93206430
Project Status: Archived