Document Type

Article

Publication Date

4-24-2018

Publication Title

Applied Research in Quality of Life

Volume

Online First

Pages

16

Abstract

Self-rated health (SRH) is widely used to study health across a range of disciplines. However, relatively little research examines how features of its measurement in surveys influence respondents’ answers and the overall quality of the resulting measurement. Manipulations of response option order and scale orientation are particularly relevant to assess for SRH given the increasing prominence of web-based survey data collection and since these factors are often outside of the control of the researcher who is analyzing data collected by other investigators. We examine how the interplay of two features of SRH influence respondents’ answers in a 2-by-3 factorial experiment that varies (1) the order in which the response options are presented (“excellent” to “poor” or “poor” to “excellent”) and (2) the orientation of the response option scale (vertical, horizontal, or banked). The experiment was conducted online using workers from Amazon Mechanical Turk (N = 2945). We find no main effects of response scale orientation and no interaction between response option order and scale orientation. However, we find main effects of response option order: mean SRH and the proportion in “excellent” or “very good” health are higher (better) and the proportion in “fair” or “poor” health lower when the response options are ordered from “excellent” to “poor” compared to “poor” to “excellent.” We also see heterogeneous treatment effects of response option ordering across respondents’ characteristics associated with ability. Overall, the implications for the validity and cross-survey comparability of SRH are likely considerable for response option ordering and minimal for scale orientation.

Identifier

1871-2576

Comments

Author Posting. © Springer 2018. This article is posted here by permission of Springer for personal use, not for redistribution. The article was published in Applied Research in Quality of Life, 2018, https://doi.org/10.1007/s11482-018-9628-x

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Creative Commons License
This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 3.0 License.

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