TY - JOUR
T1 - How psychological distance of a study sample in discrete choice experiments affects preference measurement
T2 - A colorectal cancer screening case study
AU - Veldwijk, Jorien
AU - Groothuis-Oudshoorn, Catharina G.M.
AU - Kihlbom, Ulrik
AU - Langenskiöld, Sophie
AU - Dekker, Evelien
AU - Kallenberg, Frank G.J.
AU - De Wit, G. Ardine
AU - Lambooij, Mattijs S.
PY - 2019
Y1 - 2019
N2 - Purpose: The purpose of this study was to investigate to what extent the outcomes of a discrete choice experiment (DCE) differ based on respondents’ psychological distance to the decision at hand.Methods: A DCE questionnaire regarding individuals’ preferences for genetic screening for colorectal cancer (CRC) within the Dutch national CRC screening program was created. The DCE contained nine D-efficient designed choice tasks and was distributed among two populations that differ in their psychological distance to the decision at hand: 1) a representative sample of the Dutch general population aged 55-65 years, and 2) a sample of Dutch individuals who attended an information appointment regarding colonoscopies following the detection of blood in their stool sample in the CRC screening program. The DCE consisted of four attributes related to the decision whether to participate in genetic screening for CRC: 1) risk of being genetically predisposed, 2) risk of developing CRC, 3) frequency of follow-up colonoscopies, and 4) survival. Direct attribute ranking, dominant decision-making behavior, and relative importance scores (based on panel MIXL) were compared between the two populations. Attribute level estimates were compared with the Swait and Louviere test.Results: The proportion of respondents who both ranked survival as the most important attribute, and showed dominant decision-making behavior for this attribute, was significantly higher in the screened population compared to the general population. The relative importance scores of the attributes significantly differed between populations. Finally, the Swait and Louviere test also revealed significant differences in attribute level estimates in both the populations.Conclusion: The study outcomes differed between populations depending on their psychological distance to the decision. This study shows the importance of adequate sample selection; therefore, it is advocated to increase attention to study sample selection and reporting in DCE studies.
AB - Purpose: The purpose of this study was to investigate to what extent the outcomes of a discrete choice experiment (DCE) differ based on respondents’ psychological distance to the decision at hand.Methods: A DCE questionnaire regarding individuals’ preferences for genetic screening for colorectal cancer (CRC) within the Dutch national CRC screening program was created. The DCE contained nine D-efficient designed choice tasks and was distributed among two populations that differ in their psychological distance to the decision at hand: 1) a representative sample of the Dutch general population aged 55-65 years, and 2) a sample of Dutch individuals who attended an information appointment regarding colonoscopies following the detection of blood in their stool sample in the CRC screening program. The DCE consisted of four attributes related to the decision whether to participate in genetic screening for CRC: 1) risk of being genetically predisposed, 2) risk of developing CRC, 3) frequency of follow-up colonoscopies, and 4) survival. Direct attribute ranking, dominant decision-making behavior, and relative importance scores (based on panel MIXL) were compared between the two populations. Attribute level estimates were compared with the Swait and Louviere test.Results: The proportion of respondents who both ranked survival as the most important attribute, and showed dominant decision-making behavior for this attribute, was significantly higher in the screened population compared to the general population. The relative importance scores of the attributes significantly differed between populations. Finally, the Swait and Louviere test also revealed significant differences in attribute level estimates in both the populations.Conclusion: The study outcomes differed between populations depending on their psychological distance to the decision. This study shows the importance of adequate sample selection; therefore, it is advocated to increase attention to study sample selection and reporting in DCE studies.
KW - Discrete choice experiment
KW - Genetic screening
KW - Preferences
KW - Psychological distance
KW - Sample
KW - Stated preferences
UR - http://www.scopus.com/inward/record.url?scp=85072816163&partnerID=8YFLogxK
U2 - 10.2147/PPA.S180994
DO - 10.2147/PPA.S180994
M3 - Article
AN - SCOPUS:85072816163
SN - 1177-889X
VL - 13
SP - 273
EP - 282
JO - Patient Preference and Adherence
JF - Patient Preference and Adherence
ER -