Eliciting Medical Maximizing-Minimizing Preferences with a Single Question: Development and Validation of the MM1

2020 ◽  
Vol 40 (4) ◽  
pp. 545-550 ◽  
Author(s):  
Laura D. Scherer ◽  
Brian J. Zikmund-Fisher
Keyword(s):  
Health Care ◽  
Self Report ◽  
Care Utilization ◽  
Single Item ◽  
The Public ◽  
Patient Groups ◽  
Development And Validation ◽  
Question Development ◽  
Single Question ◽  
Item Scale

The 10-item validated Medical Maximizer-Minimizer Scale (MMS-10) assesses patients’ preferences for aggressive v. more passive approaches to health care. However, because many research or clinical situations do not allow for use of a 10-item scale, we developed a single-item maximizer-minimizer elicitation question (the MM1) based on our experiences describing the construct to patient groups, clinical researchers, and the public. In 2 large samples of US adults ( N = 368 and N = 814), the correlation between MMS-10 scores and the MM1 was .52 and .60, respectively. Both measures were robust predictors of medical preferences in a set of 12 hypothetical scenarios, and both had strong (and roughly equivalent) associations with 7 self-report measures of health care utilization. Our results demonstrate that the MM1 is a valid, brief elicitation of maximizing-minimizing preferences that can be used in clinical or research contexts where the 10-item scale is infeasible.

Speed vs. comfort: Testing the efficacy of a single question for predicting transit users’ route choices

2019 ◽  
Author(s):  
Joseph John Pyne Simons ◽  
Ilya Farber
Keyword(s):  
Data Collection ◽  
Efficient Method ◽  
Choice Task ◽  
The Self ◽  
Self Report ◽  
Model Parameters ◽  
Single Item ◽  
Alternative Approach ◽  
Single Question ◽  
Insight Into

Not all transit users have the same preferences when making route decisions. Understanding the factors driving this heterogeneity enables better tailoring of policies, interventions, and messaging. However, existing methods for assessing these factors require extensive data collection. Here we present an alternative approach - an easily-administered single item measure of overall preference for speed versus comfort. Scores on the self-report item predict decisions in a choice task and account for a proportion of the differences in model parameters between people (n=298). This single item can easily be included on existing travel surveys, and provides an efficient method to both anticipate the choices of users and gain more general insight into their preferences.

scholarly journals PMC7 SELF-REPORT VERSUS CAREGIVER REPORT OF HEALTH CARE UTILIZATION: IMPACT ON COST AND COST-EFFECTIVENESS

2008 ◽  
Vol 11 (6) ◽  
pp. A561
Author(s):  
M Hoogendoorn ◽  
CR vanWetering ◽  
AM Schols ◽  
MP Rutten-van Mölken
Keyword(s):  
Health Care ◽  
Cost Effectiveness ◽  
Health Care Utilization ◽  
Self Report ◽  
Care Utilization ◽  
Caregiver Report

Patients who somatize in primary care: a longitudinal study of cognitive and social characteristics

1996 ◽  
Vol 26 (5) ◽  
pp. 937-951 ◽  
Author(s):  
Laurence J. Kirmayer ◽  
James M. Robbins
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Health Care ◽  
Mental Health Care ◽  
Depressive Symptomatology ◽  
Emotional Problem ◽  
Somatic Symptoms ◽  
Self Report ◽  
Care Utilization ◽  
Sociodemographic Characteristics

SynopsisWe examined the cognitive and sociodemographic characteristics of patients making somatic presentations of depression and anxiety in primary care. Only 15% of patients with depressive symptomatology on self-report, and only 21 % of patients with current major depression or anxiety disorders on diagnostic interview, presented psychosocial symptoms to their GP. The remainder of patients with psychiatric distress presented exclusively somatic symptoms and were divided into three groups - initial, facultative and true somatizers - based on their willingness to offer or endorse a psychosocial cause for their symptoms. Somatizers did not differ markedly from psychologizers in sociodemographic characteristics except for a greater proportion of men among the true somatizers. Compared to psychologizers, somatizers reported lower levels of psychological distress, less introspectiveness and less worry about having an emotional problem. Somatizers were also less likely to attribute common somatic symptoms to psychological causes and more likely to endorse normalizing causes. In the 12 months following their initial visit, somatizers made less use of speciality mental health care and were less likely to present emotional problems to their GP. Somatizers were markedly less likely to talk about personal problems to their GP and reported themselves less likely to seek help for anxiety or sadness. Somatization represents a persistent pattern of illness behaviour in which mental health care is not sought despite easily elicited evidence of emotional distress. Somatization is not, however, associated with higher levels of medical health care utilization than that found among patients with frank depression or anxiety.

Development and Validation of the Avoidance of Environmental Tobacco Smoke Scale

1998 ◽  
Vol 6 (1) ◽  
pp. 75-86 ◽  
Author(s):  
Angela M. Martinelli
Keyword(s):  
Undergraduate Students ◽  
Internal Consistency ◽  
Environmental Tobacco Smoke ◽  
Tobacco Smoke ◽  
Internal Consistency Reliability ◽  
Self Report ◽  
Psychometric Analysis ◽  
Development And Validation ◽  
Item Scale ◽  
Report Measure

The Avoidance of Environmental Tobacco Smoke (ETS) scale is a self-report measure of the avoidance of ETS by young adults. Initial use of the scale with 30 undergraduate students showed an internal consistency of .84 across 40 items and .90 in a refined 28-item instrument. In a sample of 241 students, a 20-item scale had an internal consistency reliability of .94 and a refined 10-item scale had an internal consistency of .86. In a sample of 95 mothers with a mean age of 36, the 10-item scale had an internal consistency of .81. In three distinct samples, significant known groups’ discrimination was found between smokers and nonsmokers. Psychometric analysis indicates that the scale merits further testing using a more heterogeneous sample from community and clinical populations to ensure its usefulness by clinicians and researchers interested in explaining, predicting, and preventing exposure to ETS.

T1165 Hearsay: Is Patient Self-Report of Health Care Utilization Accurate?

2008 ◽  
Vol 134 (4) ◽  
pp. A-498 ◽  
Author(s):  
Teresa Longobardi ◽  
Charles N. Bernstein
Keyword(s):  
Health Care ◽  
Health Care Utilization ◽  
Self Report ◽  
Care Utilization

251 PREDICTING MORTALITY AND HEALTH CARE UTILIZATION WITH A SINGLE QUESTION.

2004 ◽  
Vol 52 (Suppl 1) ◽  
pp. S301.5-S302
Author(s):  
K B DeSalvo ◽  
V S Fan ◽  
M McDonell ◽  
S D Fihn
Keyword(s):  
Health Care ◽  
Health Care Utilization ◽  
Care Utilization ◽  
Single Question

scholarly journals Building Better Caregivers: A Pragmatic 12-Month Trial of a Community-Based Workshop for Caregivers of Cognitively Impaired Adults

2017 ◽  
Vol 38 (9) ◽  
pp. 1228-1252 ◽  
Author(s):  
Kate Lorig ◽  
Philip L. Ritter ◽  
Diana D. Laurent ◽  
Veronica Yank
Keyword(s):  
Health Care ◽  
Health Care Utilization ◽  
Self Efficacy ◽  
Linear Models ◽  
Self Report ◽  
Caregiver Strain ◽  
Care Utilization ◽  
Caregiver Health ◽  
Secondary Outcomes ◽  
Self Report Data

Building Better Caregivers (BBC), a community 6-week, peer-led intervention, targets family caregivers of those with cognitive impairments. BBC was implemented in four geographically scattered areas. Self-report data were collected at baseline, 6 months, and 1 year. Primary outcome were caregiver strain and depression. Secondary outcomes included caregiver burden, stress, fatigue, pain, sleep, self-rated health, exercise, self-efficacy, and caregiver and care partner health care utilization. Paired t tests examined 6 month and 1-year improvements. General linear models examined associations between baseline and 6-month changes in self-efficacy and 12-month primary outcomes. Eighty-three participants (75% of eligible) completed 12-month data. Caregiver strain and depression improved significantly (Effect Sizes = .30 and .41). All secondary outcomes except exercise and caregiver health care utilization improved significantly. Baseline and 6-month improvements in self-efficacy were associated with improvements in caregiver strain and depression. In this pilot pragmatic study, BBC appears to assist caregivers while reducing care partner health care utilization. Self-efficacy appears to moderate these outcomes.

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