HSRProj will be retired on September 14, 2021, no updates will be made to HSRProj after this date.
Detailed information about this transition can be found on the
June 3, 2021 Technical Bulletin post.
If you have questions or suggestions, please contact
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Information about ongoing health services research and public health projects
| 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 |
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| Country: | United States |
| State: | California |
| Zip Code: | 94304 |
| UI: | 93206430 |
| Project Status: | Archived |