The mere-measurement effect of patient-reported outcomes: a systematic review and meta-analysis.

IF 3.3 3区医学 Q1 HEALTH CARE SCIENCES & SERVICES

Quality of Life Research Pub Date : 2025-05-01 Epub Date: 2025-02-05 DOI:10.1007/s11136-025-03909-y

Preston A Long, Anouk S Huberts, Anouk Neureiter di Torrero, Lisa R Otto, Alizé A Rogge, Valentin Ritschl, Tanja A Stamm

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引用次数: 0

Abstract

Purpose: The mere-measurement effect is the phenomenon in which subjects exposed to measurements have their perceptions and/or behaviors on the inquired topic affected simply through the act of responding. Patient-reported outcomes (PROs) are increasingly used to assess patient perspective and quality of life in clinical trials and different health care settings. This systematic literature review aims to assess what is currently known about the mere-measurement effect of PROs.

Methods: A systematic literature review and meta-analysis was conducted. We included studies that provided evidence on perceptual or behavioral changes in patients as a result of exposure to questionnaire items assessing PROs. All adult participants were included regardless of demographics. Any study design was considered eligible for inclusion. The databases MEDLINE [PubMed], CINAHL [Ebsco], Web of Science and ScienceDirect were searched.

Results: The search resulted in 636 articles which led to a final extraction of nine. Overall, seven of the nine articles reported a significant main effect, i.e. presence of the mere-measurement effect. For the meta-analysis, thirteen different interventions were included. There was a one-directional, positive and significant overall risk ratio of 1.17 [CI95% 1.04;1.30].

Conclusion: This systematic review found significant potential for the mere-measurement effect to shape respondents' behaviors or perceptions for the better, opening the door to the possibility of engineering PROs to serve as a subtle intervention. Future considerations and directions for research are discussed.

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患者报告结果的测量效应：一项系统回顾和荟萃分析。

目的：单纯测量效应是指被测者对被问及话题的感知和/或行为仅仅通过回应行为而受到影响的现象。在临床试验和不同的卫生保健环境中，越来越多地使用患者报告的结果（PROs）来评估患者的观点和生活质量。本系统的文献综述旨在评估目前所知的PROs的单测量效应。方法：采用系统文献综述和荟萃分析。我们纳入了一些研究，这些研究提供了证据，证明了由于暴露于评估PROs的问卷项目，患者的感知或行为发生了变化。所有的成年参与者都包括在内，无论其人口结构如何。任何研究设计都被认为符合纳入条件。检索了MEDLINE [PubMed]、CINAHL [Ebsco]、Web of Science和ScienceDirect数据库。结果：检索结果为636篇文章，最终提取出9篇。总体而言，九篇文章中有七篇报告了显著的主效应，即存在单纯测量效应。在荟萃分析中，包括13种不同的干预措施。单向、阳性、显著的总风险比为1.17 [CI95% 1.04;1.30]。结论：本系统综述发现，单纯的测量效应具有显著的潜力，可以更好地塑造受访者的行为或看法，为工程pro作为微妙干预的可能性打开了大门。讨论了今后的研究思路和方向。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Quality of Life Research 医学-公共卫生、环境卫生与职业卫生

CiteScore

6.50

自引率

8.60%

发文量

224

审稿时长

3-8 weeks

期刊介绍： Quality of Life Research is an international, multidisciplinary journal devoted to the rapid communication of original research, theoretical articles and methodological reports related to the field of quality of life, in all the health sciences. The journal also offers editorials, literature, book and software reviews, correspondence and abstracts of conferences. Quality of life has become a prominent issue in biometry, philosophy, social science, clinical medicine, health services and outcomes research. The journal''s scope reflects the wide application of quality of life assessment and research in the biological and social sciences. All original work is subject to peer review for originality, scientific quality and relevance to a broad readership. This is an official journal of the International Society of Quality of Life Research.