Exploring how individuals complete the choice tasks in a discrete choice experiment: an interview study

Jorien Veldwijk, Domino Determann, Mattijs S. Lambooij, Janine Astrid van Til, Ida J. Korfage, Esther W. de Bekker-Grob, G. Ardine de Wit

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Abstract

Background To be able to make valid inferences on stated preference data from a Discrete Choice Experiment (DCE) it is essential that researchers know if participants were actively involved, understood and interpreted the provided information correctly and whether they used complex decision strategies to make their choices and thereby acted in accordance with the continuity axiom. Methods During structured interviews, we explored how 70 participants evaluated and completed four discrete choice tasks aloud. Hereafter, additional questions were asked to further explore if participants understood the information that was provided to them and whether they used complex decision strategies (continuity axiom) when making their choices. Two existing DCE questionnaires on rotavirus vaccination and prostate cancer-screening served as case studies. Results A large proportion of the participants was not able to repeat the exact definition of the risk attributes as explained to them in the introduction of the questionnaire. The majority of the participants preferred more optimal over less optimal risk attribute levels. Most participants (66 %) mentioned three or more attributes when motivating their decisions, thereby acting in accordance with the continuity axiom. However, 16 out of 70 participants continuously mentioned less than three attributes when motivating their decision. Lower educated and less literate participants tended to mention less than three attributes when motivating their decision and used trading off between attributes less often as a decision-making strategy. Conclusion The majority of the participants seemed to have understood the provided information about the choice tasks, the attributes, and the levels. They used complex decision strategies (continuity axiom) and are therefore capable to adequately complete a DCE. However, based on the participants’ age, educational level and health literacy additional, actions should be undertaken to ensure that participants understand the choice tasks and complete the DCE as presumed
Original languageEnglish
Article number140
Pages (from-to)140-
JournalBMC medical research methodology
Volume16
Issue number1
DOIs
Publication statusPublished - 2016

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Interviews
Health Literacy
Rotavirus
Early Detection of Cancer
Health Status
Prostatic Neoplasms
Decision Making
Vaccination
Research Personnel
Surveys and Questionnaires

Keywords

  • METIS-316646
  • IR-100389

Cite this

Veldwijk, J., Determann, D., Lambooij, M. S., van Til, J. A., Korfage, I. J., de Bekker-Grob, E. W., & de Wit, G. A. (2016). Exploring how individuals complete the choice tasks in a discrete choice experiment: an interview study. BMC medical research methodology, 16(1), 140-. [140]. https://doi.org/10.1186/s12874-016-0140-4
Veldwijk, Jorien ; Determann, Domino ; Lambooij, Mattijs S. ; van Til, Janine Astrid ; Korfage, Ida J. ; de Bekker-Grob, Esther W. ; de Wit, G. Ardine. / Exploring how individuals complete the choice tasks in a discrete choice experiment: an interview study. In: BMC medical research methodology. 2016 ; Vol. 16, No. 1. pp. 140-.
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abstract = "Background To be able to make valid inferences on stated preference data from a Discrete Choice Experiment (DCE) it is essential that researchers know if participants were actively involved, understood and interpreted the provided information correctly and whether they used complex decision strategies to make their choices and thereby acted in accordance with the continuity axiom. Methods During structured interviews, we explored how 70 participants evaluated and completed four discrete choice tasks aloud. Hereafter, additional questions were asked to further explore if participants understood the information that was provided to them and whether they used complex decision strategies (continuity axiom) when making their choices. Two existing DCE questionnaires on rotavirus vaccination and prostate cancer-screening served as case studies. Results A large proportion of the participants was not able to repeat the exact definition of the risk attributes as explained to them in the introduction of the questionnaire. The majority of the participants preferred more optimal over less optimal risk attribute levels. Most participants (66 {\%}) mentioned three or more attributes when motivating their decisions, thereby acting in accordance with the continuity axiom. However, 16 out of 70 participants continuously mentioned less than three attributes when motivating their decision. Lower educated and less literate participants tended to mention less than three attributes when motivating their decision and used trading off between attributes less often as a decision-making strategy. Conclusion The majority of the participants seemed to have understood the provided information about the choice tasks, the attributes, and the levels. They used complex decision strategies (continuity axiom) and are therefore capable to adequately complete a DCE. However, based on the participants’ age, educational level and health literacy additional, actions should be undertaken to ensure that participants understand the choice tasks and complete the DCE as presumed",
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Veldwijk, J, Determann, D, Lambooij, MS, van Til, JA, Korfage, IJ, de Bekker-Grob, EW & de Wit, GA 2016, 'Exploring how individuals complete the choice tasks in a discrete choice experiment: an interview study', BMC medical research methodology, vol. 16, no. 1, 140, pp. 140-. https://doi.org/10.1186/s12874-016-0140-4

Exploring how individuals complete the choice tasks in a discrete choice experiment: an interview study. / Veldwijk, Jorien; Determann, Domino; Lambooij, Mattijs S.; van Til, Janine Astrid; Korfage, Ida J.; de Bekker-Grob, Esther W.; de Wit, G. Ardine.

In: BMC medical research methodology, Vol. 16, No. 1, 140, 2016, p. 140-.

Research output: Contribution to journalArticleAcademicpeer-review

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T1 - Exploring how individuals complete the choice tasks in a discrete choice experiment: an interview study

AU - Veldwijk, Jorien

AU - Determann, Domino

AU - Lambooij, Mattijs S.

AU - van Til, Janine Astrid

AU - Korfage, Ida J.

AU - de Bekker-Grob, Esther W.

AU - de Wit, G. Ardine

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N2 - Background To be able to make valid inferences on stated preference data from a Discrete Choice Experiment (DCE) it is essential that researchers know if participants were actively involved, understood and interpreted the provided information correctly and whether they used complex decision strategies to make their choices and thereby acted in accordance with the continuity axiom. Methods During structured interviews, we explored how 70 participants evaluated and completed four discrete choice tasks aloud. Hereafter, additional questions were asked to further explore if participants understood the information that was provided to them and whether they used complex decision strategies (continuity axiom) when making their choices. Two existing DCE questionnaires on rotavirus vaccination and prostate cancer-screening served as case studies. Results A large proportion of the participants was not able to repeat the exact definition of the risk attributes as explained to them in the introduction of the questionnaire. The majority of the participants preferred more optimal over less optimal risk attribute levels. Most participants (66 %) mentioned three or more attributes when motivating their decisions, thereby acting in accordance with the continuity axiom. However, 16 out of 70 participants continuously mentioned less than three attributes when motivating their decision. Lower educated and less literate participants tended to mention less than three attributes when motivating their decision and used trading off between attributes less often as a decision-making strategy. Conclusion The majority of the participants seemed to have understood the provided information about the choice tasks, the attributes, and the levels. They used complex decision strategies (continuity axiom) and are therefore capable to adequately complete a DCE. However, based on the participants’ age, educational level and health literacy additional, actions should be undertaken to ensure that participants understand the choice tasks and complete the DCE as presumed

AB - Background To be able to make valid inferences on stated preference data from a Discrete Choice Experiment (DCE) it is essential that researchers know if participants were actively involved, understood and interpreted the provided information correctly and whether they used complex decision strategies to make their choices and thereby acted in accordance with the continuity axiom. Methods During structured interviews, we explored how 70 participants evaluated and completed four discrete choice tasks aloud. Hereafter, additional questions were asked to further explore if participants understood the information that was provided to them and whether they used complex decision strategies (continuity axiom) when making their choices. Two existing DCE questionnaires on rotavirus vaccination and prostate cancer-screening served as case studies. Results A large proportion of the participants was not able to repeat the exact definition of the risk attributes as explained to them in the introduction of the questionnaire. The majority of the participants preferred more optimal over less optimal risk attribute levels. Most participants (66 %) mentioned three or more attributes when motivating their decisions, thereby acting in accordance with the continuity axiom. However, 16 out of 70 participants continuously mentioned less than three attributes when motivating their decision. Lower educated and less literate participants tended to mention less than three attributes when motivating their decision and used trading off between attributes less often as a decision-making strategy. Conclusion The majority of the participants seemed to have understood the provided information about the choice tasks, the attributes, and the levels. They used complex decision strategies (continuity axiom) and are therefore capable to adequately complete a DCE. However, based on the participants’ age, educational level and health literacy additional, actions should be undertaken to ensure that participants understand the choice tasks and complete the DCE as presumed

KW - METIS-316646

KW - IR-100389

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M3 - Article

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