Pre-test of questions on health-related resource use and expenditure, using behaviour coding and cognitive interviewing techniques

ObjectiveTo assess associations of health-related quality of life (HRQoL) with patient profile, resource use, cardiovascular (CV) events and mortality in stable patients post-myocardial infarction (MI).MethodsThe global, prospective, observational TIGRIS Study enrolled 9126 patients 1–3 years post-MI. HRQoL was assessed at enrolment and 6-month intervals using the patient-reported EuroQol-5 dimension (EQ-5D) questionnaire, with scores anchored at 0 (worst possible) and 1 (perfect health). Resource use, CV events and mortality were recorded during 2-years’ follow-up. Regression models estimated the associations of index score at enrolment with patient characteristics, resource use, CV events and mortality over 2-years’ follow-up.ResultsAmong 8978 patients who completed the EQ-5D questionnaire, 52% reported ‘some’ or ‘severe’ problems on one or more health dimensions. Factors associated with a lower index score were: female sex, older age, obesity, smoking, higher heart rate, less formal education, presence of comorbidity (eg, angina, stroke), emergency room visit in the previous 6 months and non-ST-elevation MI as the index event. Compared with an index score of 1 at enrolment, a lower index score was associated with higher risk of all-cause death, with an adjusted rate ratio of 3.09 (95% CI 2.20 to 4.31), and of a CV event, with a rate ratio of 2.31 (95% CI 1.76 to 3.03). Patients with lower index score at enrolment had almost two times as many hospitalisations over 2-years’ follow-up.ConclusionsClinicians managing patients post-acute coronary syndrome should recognise that a poorer HRQoL is clearly linked to risk of hospitalisations, major CV events and death.Trial registration numberClinicalTrials.gov Registry (NCT01866904) (https://clinicaltrials.gov).

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Open-ended versus Closed Probes: Assessing Different Formats of Web Probing

Sociological Methods & Research ◽

10.1177/00491241211031271 ◽

2021 ◽

pp. 004912412110312

Author(s):

Cornelia E. Neuert ◽

Katharina Meitinger ◽

Dorothée Behr

Keyword(s):

Cognitive Processes ◽

Educational Level ◽

Cognitive Interviewing ◽

Cognitive Interviews ◽

Web Surveys ◽

Time Efficiency ◽

Survey Questions ◽

Item Functioning ◽

Reduced Costs ◽

Interviewing Techniques

The method of web probing integrates cognitive interviewing techniques into web surveys and is increasingly used to evaluate survey questions. In a usual web probing scenario, probes are administered immediately after the question to be tested (concurrent probing), typically as open-ended questions. A second possibility of administering probes is in a closed format, whereby the response categories for the closed probes are developed during previously conducted qualitative cognitive interviews. Using closed probes has several benefits, such as reduced costs and time efficiency, because this method does not require manual coding of open-ended responses. In this article, we investigate whether the insights gained into item functioning when implementing closed probes are comparable to the insights gained when asking open-ended probes and whether closed probes are equally suitable to capture the cognitive processes for which traditionally open-ended probes are intended. The findings reveal statistically significant differences with regard to the variety of themes, the patterns of interpretation, the number of themes per respondent, and nonresponse. No differences in number of themes across formats by sex and educational level were found.

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