Schwartz Carolyn E, Huang I-Chan, Rohde Gudrun, Skolasky Richard L
DeltaQuest Foundation, Inc, 31 Mitchell Road, Concord, MA, 01742, USA.
Departments of Medicine and Orthopaedic Surgery, Tufts University Medical School, Boston, MA, USA.
Qual Life Res. 2025 Jan;34(1):131-150. doi: 10.1007/s11136-024-03803-z. Epub 2024 Oct 29.
The role of qualitative research in response-shift research has not been well characterized. This scoping review summarizes the status of qualitative studies on response shift.
A scoping review of the medical literature was done using the keywords "response shift" and "qualitative" or "interview." After excluding ineligible works, each retained article was rated by two independent raters according to the modified Critical Appraisal Skill Program (CASP) criteria. A synthesis of adjudicated review results further characterized the articles.
The search yielded 50 unique articles published from 1991 to 2023, 39 of which were retained after applying exclusion criteria. Most (69%) had the highest possible CASP score. Studies involved a broad range of patients by diagnosis or therapeutic context, caregivers, and healthcare professionals. While studies were often purely descriptive, many addressed components of response-shift theory or assumptions of response-shift methods. Study goals varied by design, time-focus (i.e., retrospective, present-focus or prospective), and by whether response-shift hypotheses were planned or post-hoc. The theoretical value added by the qualitative process involved examining the cognitive/emotional processes underlying quality-of-life ratings and response shifts. The methodological value added by the qualitative process facilitates understanding measurement error and non-responsiveness, and whether the methods used reflect the researchers' presumptions.
The use of qualitative methods in response-shift research yields a nuanced understanding of what response-shift "looks like" in different patient populations, thereby helping to translate results more directly to clinical experience. Studies contributed to response-shift theory or methods in ways not easily captured by purely quantitative research.
定性研究在反应转移研究中的作用尚未得到充分描述。本范围综述总结了关于反应转移的定性研究现状。
使用关键词“反应转移”和“定性”或“访谈”对医学文献进行范围综述。排除不合格的作品后，由两名独立评估者根据修改后的批判性评估技能计划（CASP）标准对每篇保留的文章进行评分。对裁决后的综述结果进行综合分析，进一步描述这些文章的特征。
检索到1991年至2023年发表的50篇独特文章，应用排除标准后保留了39篇。大多数（69%）文章获得了可能的最高CASP分数。研究涉及诊断或治疗背景广泛的患者、护理人员和医疗保健专业人员。虽然研究通常只是描述性的，但许多研究涉及反应转移理论的组成部分或反应转移方法的假设。研究目标因设计、时间焦点（即回顾性、当前焦点或前瞻性）以及反应转移假设是预先计划还是事后分析而有所不同。定性过程增加的理论价值包括检查生活质量评分和反应转移背后的认知/情感过程。定性过程增加的方法学价值有助于理解测量误差和无反应性，以及所使用的方法是否反映了研究人员的假设。
在反应转移研究中使用定性方法能够对不同患者群体中反应转移“是什么样”有细致入微的理解，从而有助于将结果更直接地转化为临床经验。这些研究以纯粹定量研究不易捕捉的方式为反应转移理论或方法做出了贡献。
