Does changing the way a discrete choice experiment (DCE) is presented to respondents affect results? An investigation in the context of health using between-subject designs

Yu, Wen Shi (Alice)

Does changing the way a discrete choice experiment (DCE) is presented to respondents affect results? An investigation in the context of health using between-subject designs

Yu, Wen Shi (Alice)

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Publication Type:: Thesis
Issue Date:: 2021

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Field	Value	Language
dc.contributor.author	Yu, Wen Shi (Alice)
dc.date.accessioned	2022-12-19T23:53:23Z
dc.date.available	2022-12-19T23:53:23Z
dc.date.issued	2021
dc.identifier.uri	http://hdl.handle.net/10453/164488
dc.description	University of Technology Sydney. Faculty of Business.	en_US.UTF-8
dc.description.abstract	Discrete choice experiments (DCEs) are a popular stated preference technique used in health. A major challenge in health related DCEs is that they often involve terminology and concepts that may be unfamiliar to respondent. Therefore, it is important for DCEs to include explanations of the concepts and terminology used where needed. This raises questions about the different ways information in a DCE is presented to respondents. This thesis included a scoping review and three empirical studies that add to the literature. The scoping review summarised DCE studies that investigated the impact of either the amount of information or the presentation style of the DCE or both on the choices of respondents. The review showed that the impact of presentation differences on DCE findings was not consistent across studies and this begs the question of whether it is possible to design DCEs with conclusions that are robust to how the DCE is presented to respondents. The first empirical study investigated patient preferences for features of an assessment tool for peripheral neuropathy, a possible side effect of cancer treatment. The second study investigated the same topic but this time in a general population sample. The aim was to investigate the differences in preferences between the two samples. Another aim was to understand whether increasing the level of information provided to the general population sample had an impact on results. The study found that providing extra information and the use of different presentation formats did not lead to significant preference differences between the two general population arms. The patient and general population were found to have similar preferences. Although differences were noted in terms of scale. The third empirical study investigated different anchoring methods and its impact on the valuation of the EQ-5D-5L, a widely used quality of life measurement instrument. Respondents were shown choice sets that included three options; two health states and a third option which was immediate death or full health i.e. the anchoring option. The study found that health state utilities were sensitive to the wording used in the third option of the choice sets; in particular, choice sets with immediate death as the third option consistently produced a narrower range of utilities than did those with full health as the third option. Evidence from this thesis demonstrates that information in a DCE may impact the resulting preferences, but that the extent of this impact varies by context.	en_US.UTF-8
dc.format	Thesis (PhD)
dc.language.iso	en_US	en_US.UTF-8
dc.relation	https://opus.lib.uts.edu.au/bitstream/10453/164488/2/02whole.pdf
dc.rights	The author owns the copyright in this thesis including all reproduction and reuse rights for the work. The work may not be altered without the permission of the copyright owner. Attribution is essential when quoting or paraphrasing from this thesis.
dc.rights	au.edu.uts.lib/ppc
dc.rights	info:eu-repo/semantics/openAccess
dc.title	Does changing the way a discrete choice experiment (DCE) is presented to respondents affect results? An investigation in the context of health using between-subject designs	en_US.UTF-8
dc.type	Thesis
utslib.copyright.status	open_access	*

Abstract:

Discrete choice experiments (DCEs) are a popular stated preference technique used in health. A major challenge in health related DCEs is that they often involve terminology and concepts that may be unfamiliar to respondent. Therefore, it is important for DCEs to include explanations of the concepts and terminology used where needed. This raises questions about the different ways information in a DCE is presented to respondents. This thesis included a scoping review and three empirical studies that add to the literature. The scoping review summarised DCE studies that investigated the impact of either the amount of information or the presentation style of the DCE or both on the choices of respondents. The review showed that the impact of presentation differences on DCE findings was not consistent across studies and this begs the question of whether it is possible to design DCEs with conclusions that are robust to how the DCE is presented to respondents. The first empirical study investigated patient preferences for features of an assessment tool for peripheral neuropathy, a possible side effect of cancer treatment. The second study investigated the same topic but this time in a general population sample. The aim was to investigate the differences in preferences between the two samples. Another aim was to understand whether increasing the level of information provided to the general population sample had an impact on results. The study found that providing extra information and the use of different presentation formats did not lead to significant preference differences between the two general population arms. The patient and general population were found to have similar preferences. Although differences were noted in terms of scale. The third empirical study investigated different anchoring methods and its impact on the valuation of the EQ-5D-5L, a widely used quality of life measurement instrument. Respondents were shown choice sets that included three options; two health states and a third option which was immediate death or full health i.e. the anchoring option. The study found that health state utilities were sensitive to the wording used in the third option of the choice sets; in particular, choice sets with immediate death as the third option consistently produced a narrower range of utilities than did those with full health as the third option. Evidence from this thesis demonstrates that information in a DCE may impact the resulting preferences, but that the extent of this impact varies by context.

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