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    Rights statement: This is the author’s version of a work that was accepted for publication in Social Science & Medicine. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in Social Science & Medicine, 190, 2017 DOI: 10.1016/j.socscimed.2017.08.033

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Differential item functioning in quality of life measurement: an analysis using anchoring vignettes

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Differential item functioning in quality of life measurement: an analysis using anchoring vignettes. / Knott, Rachel J.; Lorgelly, Paula K.; Black, Nicole et al.
In: Social Science and Medicine, Vol. 190, 10.2017, p. 247-255.

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Knott RJ, Lorgelly PK, Black N, Hollingsworth B. Differential item functioning in quality of life measurement: an analysis using anchoring vignettes. Social Science and Medicine. 2017 Oct;190:247-255. Epub 2017 Aug 26. doi: 10.1016/j.socscimed.2017.08.033

Author

Knott, Rachel J. ; Lorgelly, Paula K. ; Black, Nicole et al. / Differential item functioning in quality of life measurement : an analysis using anchoring vignettes. In: Social Science and Medicine. 2017 ; Vol. 190. pp. 247-255.

Bibtex

@article{5fc110f41a5c4c8e9b4e3e60f2b04d2e,
title = "Differential item functioning in quality of life measurement: an analysis using anchoring vignettes",
abstract = "Systematic differences in the ways that people use and interpret response categories (differential item functioning, DIF) can introduce bias when using self-assessments to compare health or quality of life across heterogeneous groups. This paper reports on an exploratory analysis involving the use of anchoring vignettes to identify differential item functioning (DIF) in a commonly used measure for assessing health-related quality of life - namely the EQ-5D. Using data from a bespoke (i.e. custom) survey that recruited a representative sample of 4300 respondents from the general Australian population in 2014 and 2015, we find that the assumptions of response consistency (RC) and vignette equivalence (VE) hold in a sub-sample of respondents aged 55–65 years (n = 914), which demonstrates that vignettes can appropriately identify DIF in EQ-5D reporting for this age group. We find that the EQ-5D is indeed subject to DIF, and that failure to account for DIF can lead to conclusions that are misleading when using the instrument to compare health or quality of life across heterogeneous groups. We also provide several important insights in terms of the identifying assumptions of RC and VE. We conclude that the implications of DIF could be of considerable importance, not only for outcomes research, but for funding decisions in healthcare more broadly given the strong reliance on patient-reported outcome measures in economic evaluations for health technology assessment.",
keywords = "Australia, Differential item functioning, Anchoring vignettes, EQ-5D, Response consistency, Vignette equivalence",
author = "Knott, {Rachel J.} and Lorgelly, {Paula K.} and Nicole Black and Bruce Hollingsworth",
note = "This is the author{\textquoteright}s version of a work that was accepted for publication in Social Science & Medicine. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in Social Science & Medicine, 190, 2017 DOI: 10.1016/j.socscimed.2017.08.033",
year = "2017",
month = oct,
doi = "10.1016/j.socscimed.2017.08.033",
language = "English",
volume = "190",
pages = "247--255",
journal = "Social Science and Medicine",
issn = "0277-9536",
publisher = "Elsevier Limited",

}

RIS

TY - JOUR

T1 - Differential item functioning in quality of life measurement

T2 - an analysis using anchoring vignettes

AU - Knott, Rachel J.

AU - Lorgelly, Paula K.

AU - Black, Nicole

AU - Hollingsworth, Bruce

N1 - This is the author’s version of a work that was accepted for publication in Social Science & Medicine. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in Social Science & Medicine, 190, 2017 DOI: 10.1016/j.socscimed.2017.08.033

PY - 2017/10

Y1 - 2017/10

N2 - Systematic differences in the ways that people use and interpret response categories (differential item functioning, DIF) can introduce bias when using self-assessments to compare health or quality of life across heterogeneous groups. This paper reports on an exploratory analysis involving the use of anchoring vignettes to identify differential item functioning (DIF) in a commonly used measure for assessing health-related quality of life - namely the EQ-5D. Using data from a bespoke (i.e. custom) survey that recruited a representative sample of 4300 respondents from the general Australian population in 2014 and 2015, we find that the assumptions of response consistency (RC) and vignette equivalence (VE) hold in a sub-sample of respondents aged 55–65 years (n = 914), which demonstrates that vignettes can appropriately identify DIF in EQ-5D reporting for this age group. We find that the EQ-5D is indeed subject to DIF, and that failure to account for DIF can lead to conclusions that are misleading when using the instrument to compare health or quality of life across heterogeneous groups. We also provide several important insights in terms of the identifying assumptions of RC and VE. We conclude that the implications of DIF could be of considerable importance, not only for outcomes research, but for funding decisions in healthcare more broadly given the strong reliance on patient-reported outcome measures in economic evaluations for health technology assessment.

AB - Systematic differences in the ways that people use and interpret response categories (differential item functioning, DIF) can introduce bias when using self-assessments to compare health or quality of life across heterogeneous groups. This paper reports on an exploratory analysis involving the use of anchoring vignettes to identify differential item functioning (DIF) in a commonly used measure for assessing health-related quality of life - namely the EQ-5D. Using data from a bespoke (i.e. custom) survey that recruited a representative sample of 4300 respondents from the general Australian population in 2014 and 2015, we find that the assumptions of response consistency (RC) and vignette equivalence (VE) hold in a sub-sample of respondents aged 55–65 years (n = 914), which demonstrates that vignettes can appropriately identify DIF in EQ-5D reporting for this age group. We find that the EQ-5D is indeed subject to DIF, and that failure to account for DIF can lead to conclusions that are misleading when using the instrument to compare health or quality of life across heterogeneous groups. We also provide several important insights in terms of the identifying assumptions of RC and VE. We conclude that the implications of DIF could be of considerable importance, not only for outcomes research, but for funding decisions in healthcare more broadly given the strong reliance on patient-reported outcome measures in economic evaluations for health technology assessment.

KW - Australia

KW - Differential item functioning

KW - Anchoring vignettes

KW - EQ-5D

KW - Response consistency

KW - Vignette equivalence

U2 - 10.1016/j.socscimed.2017.08.033

DO - 10.1016/j.socscimed.2017.08.033

M3 - Journal article

VL - 190

SP - 247

EP - 255

JO - Social Science and Medicine

JF - Social Science and Medicine

SN - 0277-9536

ER -