Development of a practical outcome measure to account for individual differences in quality-of-life appraisal: the Brief Appraisal Inventory

Bruce D. Rapkin; Iliana Garcia; Wesley MichaelJie ZhangCarolyn E. Schwartz

首页> 外文期刊>Quality of life research: An international journal of quality of life aspects of treatment, care and rehabilitation >Development of a practical outcome measure to account for individual differences in quality-of-life appraisal: the Brief Appraisal Inventory

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Development of a practical outcome measure to account for individual differences in quality-of-life appraisal: the Brief Appraisal Inventory

机译：Development of a practical outcome measure to account for individual differences in quality-of-life appraisal: the Brief Appraisal Inventory

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Abstract Background The present study evaluated the distributional and structural characteristics and explanatory power of the 23-item Brief Appraisal Inventory (BAI), a more practical appraisal measure for use in clinical research and practice. Methods A heterogeneous, online cohort of chronic disease patients and caregivers completed the BAI, along with demographics, comorbidities, PROMIS-10, and the Brief NEO Personality Inventory. Principal components, bivariate, and linear and logistic regression analyses addressed BAI item distributions, structure, and construct validity. Results The study sample ( n ?=?592) had a mean age of 43.8 (SD?=?18.5), and was 79% female. The BAI items exhibited good distributions, and principal component analysis yielded five composite scores: (1) Health Worries; (2) Interpersonal and Independence concerns; (3) Accomplishing Goals and Problem-Solving; (4) Calm, Peaceful, and Active; (5) Spiritual Growth and Altruism. The construct validity of appraisal factors is supported by their zero-order correlations with demographic, health, personality, and health-related QOL measures. Comparisons of appraisal-correlates among comorbidity-burden subgroups shed light on the mediating role that appraisal may play in adapting to chronic illness. Appraisal moderated the influence of comorbidities on emotional but not physical functioning. The performance of the BAI in explaining unique variance in physical and emotional functioning is comparable to results obtained with earlier measures. Conclusions The BAI provides a practical, short tool for evaluating appraisal in a wide range of assessment situations. Future research might utilize the BAI in longitudinal research aimed at detecting response-shift effects over time, and in clinical settings to improve patient-provider communication about concerns related to health, health care, or QOL.

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《Quality of life research: An international journal of quality of life aspects of treatment, care and rehabilitation》 |2018年第3期|823-833|共11页
作者
Bruce D. Rapkin; Iliana Garcia; Wesley MichaelJie ZhangCarolyn E. Schwartz;
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作者单位

Division of Community Collaboration and Implementation Science, Department of Epidemiology and;

Rare Patient Voice, LLC;

DeltaQuest Foundation, Inc.;

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原文格式 PDF
正文语种英语
中图分类医药、卫生;
关键词
Appraisal; Cognitive processes; Quality of life; Patient-reported outcomes; Response shift; Rare disease; Chronic disease;

Development of a practical outcome measure to account for individual differences in quality-of-life appraisal: the Brief Appraisal Inventory

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