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If a significant proportion of people have scores at the bottom (floor) or top (ceiling) of the range of possible scores, then the potential responsiveness of tool will be impaired as it will not necessarily measure change.
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Determining the responsiveness of tools used to measure functional status in older adults is important because small scale changes may represent very large, clinically relevant, changes in quality of life.
However, further research is needed to determine of the responsiveness of the tool to measure change.
The responsiveness of the tool was also demonstrated on the pooled population.
Moreover, we were able to corroborate the validity and responsiveness of this tool using statistical methods.
Therefore, we were unable to test the responsiveness of the tool.
The responsiveness of the tool was measured by the effect size [ 36, 37], for reported changes in symptoms between the first and second mailings.
We have previously shown that the PGI can be used in older people with heart failure, although the responsiveness of the tool was poor in this population.
The pursuit of individualised quality of life information remains a worthy goal however and future work should focus on ways of improving the responsiveness of the tool, whilst ensuring that it does not increase further in complexity.
Our study findings highlight the ongoing need to engage practitioners in the design and implementation phases of the HRA to enhance providers' buy-in as well as the responsiveness of the tool for complex health issues.
Longer-term follow-up data is also needed to evaluate the responsiveness of these tools at more than 12 weeks post intervention.
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CEO of Professional Science Editing for Scientists @ prosciediting.com