Ecological momentary assessment versus retrospective assessment for measuring change in health-related quality of life following cardiac intervention

Oreel, Tom H.; Delespaul, Philippe; Hartog, Iris D.; Henriques, José P. S.; Netjes, Justine E.; Vonk, Alexander B. A.; Lemkes, Jorrit; Scherer-Rath, Michael; van Laarhoven, Hanneke W. M.; Sprangers, Mirjam A. G.; Nieuwkerk, Pythia T.

doi:10.1186/s41687-020-00261-2

Journal of Patient-Reported Outcomes

Table 2 Associations between changes in momentary and retrospective items with the criterion measures of change (N = 26 at baseline and follow-up)

From: Ecological momentary assessment versus retrospective assessment for measuring change in health-related quality of life following cardiac intervention

Momentary and retrospective items	Average change on momentary and retrospective items for different levels of change in corresponding criterion variables			Regression model			Hierarchical regression analysis
Momentary and retrospective items				β	SE	P value	∆F	P value
	SSQ mood
	Decline (N = 7)	Same (N = 10)	Improve (N = 9)
Cheerful							11.72	<.001*
Momentary	−0.22	− 0.01	0.98	0.80	0.16	<.001*
Retrospective	0.43	0.40	1.11	0.12	0.19	.557
Relaxed							2.33	.107
Momentary	0.24	0.20	0.89	0.42	0.26	.124
Retrospective	0.86	0.90	1.89	0.13	0.23	.583
Energetic							20.71	<.001*
Momentary	0.30	0.16	1.27	0.99	0.13	<.001*
Retrospective	0.57	−0.30	0.33	−0.45	0.13	.002*
Happy							5.01	.010*
Momentary	− 0.09	0.22	1.02	0.70	0.22	.005*
Retrospective	0.43	−0.60	−0.22	0.03	0.21	.902
Anxious							2.34	.534
Momentary	0.51	0.02	0.62	0.14	0.78	.859
Retrospective	−0.29	−0.60	0.22	−0.12	0.26	.645
Sad							2.10	.134
Momentary	0.23	−0.14	0.59	0.18	0.37	.625
Retrospective	1.71	−0.20	−1.22	− 0.32	0.24	.192
Irritated							0.82	.502
Momentary	−0.03	− 0.14	0.59	0.19	0.50	.640
Retrospective	−0.57	−0.50	− 0.89	− 0.01	0.23	.978
Worried							2.26	.114
Momentary	0.32	0.12	0.57	0.08	0.38	.839
Retrospective	1.43	−0.30	0.11	−0.19	0.25	.450
	NYHA change
	Decline (N = 3)	Same (N = 7)	Improve (N = 19)
Tired							2.47	.093
Momentary	−0.61	− 0.02	1.32	0.54	0.22	.027*
Retrospective	1.33	1.57	0.94	0.03	0.26	.923
Pain chest							4.43	.016*
Momentary	0.03	0.01	0.76	0.04	0.53	.946
Retrospective	−0.00	−0.57	0.38	0.15	0.26	.557
Shortness of breath							4.70	.013*
Momentary	−1.83	−0.19	1.50	0.73	0.22	.004*
Retrospective	1.00	1.43	0.31	−0.34	0.26	0.201
Tight feeling chest							1.70	.202
Momentary	−0.09	−0.12	1.04	0.44	0.37	.254
Retrospective	−1.33	−0.14	0.44	0.08	0.24	.739
Oppressive feeling chest							2.44	.096
Momentary	0.35	−0.29	1.04	0.05	0.29	.860
Retrospective	2.00	1.00	0.31	−0.20	0.22	.497
	SSQ Fatigue
	Decline (N = 8)	Same (N = 7)	Improve (N = 11)
Energetic							9.64	<.001*
Momentary	0.02	0.20	1.23	0.77	0.18	<.001*
Retrospective	−1.50	0.86	0.91	−0.11	0.19	.581
Tired							5.51	.007*
Momentary	0.07	0.61	1.31	0.50	0.19	.015*
Retrospective	2.00	1.29	0.45	−0.23	0.22	.220
	SSQ Pain
	Decline (N = 3)	Same (N = 9)	Improve (N = 14)
Pain chest							0.32	.813
Momentary	0.19	0.42	0.57	0.58	0.63	.373
Retrospective	−0.33	−0.00	0.21	−0.08	0.30	.790
Pain							0.09	.967
Momentary	−0.06	−0.08	−0.11	- < 0.01	0.42	.998
Retrospective	0.67	0.44	2.00	0.40	0.29	.118

Change scores of all negative items are reversed. A positive change score indicates an improvement in HRQOL, a negative change score indicates a decline in HRQoL. A positive β of the positive items = more positive mood associated with an improvement in mood. A positive β of the negative items = decline negative mood/symptomology associated with an improvement in health/mood. All regression models were adjusted for baseline momentary (mean) and retrospective scores
*P values < 0.05 were considered significant

Back to article page