Table 1.

Operationalization of response shift for DH in the CRT model

Response shift	Operationalization	Qualitative indicator	Interpretation
Recalibration	Changes in subscale scores over time	↓DHEQ scores with worse DH	Downward shift At follow up individuals experience clinical signs of DH but DHEQ total score is lower than at screening
		↑ DHEQ scores with less DH	Upwards shift At follow up individuals experience no clinical signs of DH but DHEQ total score is higher than at screening
		↑ DHEQ scores with worse DH	No recalibration At follow up individuals experience clinical signs of DH and DHEQ total score is higher than at screening
Reprioritization	Changes in the relative importance of each subscale to the model over time