Smith Dylan M, Schwarz Norbert, Roberts Todd R, Ubel Peter A
VA Health Services Research and Development Center of Excellence, VA Ann Arbor Health Care System, Ann Arbor, MI, USA.
Qual Life Res. 2006 May;15(4):621-30. doi: 10.1007/s11136-005-4529-5.
Research on survey methodology has demonstrated that seemingly innocuous aspects of a survey's design, such as the order of questions, can produce biased results. The current investigation extends this work by testing whether standard survey introductions alter the observed associations between variables.
In two experimental studies, we invited Parkinson's disease (PD) patients to participate in a telephone survey of (a) Parkinson's patients, conducted by a regional medical center, or (b) the general population, conducted by a regional university. The survey in Study 1 (n = 156) first assessed life-satisfaction, and subsequently health satisfaction. In Study 2 (n = 99), we reversed the order of the two questions, asking the health questions first.
When the introduction focused on Parkinson's disease, we observed an increased correlation between life-satisfaction and a later question about health satisfaction (r = 0.34 vs. 0.63 after general population versus Parkinson's introduction, respectively; Study 1). In Study 2, asking the health questions first resulted in high correlations regardless of the introduction; in addition, judgments of life-satisfaction were lower after the Parkinson's-focused introduction.
When participants were informed prior to the survey that its purpose was to examine well-being in PD, health satisfaction was a much more important component of life-satisfaction, accounting for three times as much variation. We hypothesize that the survey introduction primed participants' health status, resulting in an artificially large correlation with life-satisfaction.
调查方法的研究表明,调查设计中一些看似无害的方面,如问题的顺序,可能会产生有偏差的结果。当前的调查通过测试标准的调查引言是否会改变变量之间观察到的关联来扩展这项工作。
在两项实验研究中,我们邀请帕金森病(PD)患者参与一项电话调查,该调查内容为:(a)由一家地区医疗中心进行的帕金森病患者调查,或(b)由一所地区大学进行的普通人群调查。研究1(n = 156)中的调查首先评估生活满意度,随后评估健康满意度。在研究2(n = 99)中,我们颠倒了两个问题的顺序,先问健康问题。
当引言聚焦于帕金森病时,我们观察到生活满意度与随后一个关于健康满意度的问题之间的相关性增加(分别在普通人群引言与帕金森病引言后,r = 0.34对0.63;研究1)。在研究2中,无论引言如何,先问健康问题都会导致高相关性;此外,在聚焦于帕金森病的引言后,生活满意度的判断更低。
当在调查前告知参与者其目的是检查帕金森病患者的幸福感时,健康满意度是生活满意度中一个重要得多的组成部分,解释的变异量是原来的三倍。我们假设调查引言启动了参与者的健康状态,导致与生活满意度之间人为地产生了很大的相关性。