Response shift and oral health quality of life in dentine hypersensitivity

Marta Krasuska*, Sarah R. Baker, Peter G. Robinson

*Corresponding author for this work

Research output: Chapter in Book/Report/Conference proceedingChapter in a book

1 Citation (Scopus)


Response shift refers to the change in the meaning of self-evaluation of one's quality of life as a result of recalibration, reprioritization, or reconceptualization. These changes to the meaning of self-evaluation can threaten the validity of assessments of quality of life over time. This chapter draws on two studies that indicated that response shift occurs as part of adaptation and influences assessments of the effects of treatment for people with dentine hypersensitivity. Response shift can occur at any point during a condition, and the way people experience it varies in terms of timing, magnitude, direction, the mechanisms and catalysts involved, and the wider context of peoples' lives. Two methods of measuring and accounting for response shift in clinical trials were evaluated. The THEN TEST might be subject to bias whereas IDEALS (the assessment of how a person wants things to be "ideally") is a new but promising method.

Original languageEnglish
Title of host publicationDentine Hypersensitivity: Developing a Person-centred Approach to Oral Health
PublisherJAI-Elsevier Science Inc
Number of pages14
ISBN (Print)9780128016589, 9780128016312
Publication statusPublished - 28 Aug 2014


  • Dentine hypersensitivity
  • Oral health quality of life
  • Response shift
  • Subjective outcomes


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