scholarly journals A discrete choice task to measure preferences for harsh discipline among parents of young children

2017 ◽  
Author(s):  
Eric Green ◽  
Rhea Chase ◽  
John Zayzay ◽  
Amy Finnegan ◽  
Eve Puffer
Keyword(s):  
Discrete Choice Experiment ◽  
Response Bias ◽  
Discrete Choice ◽  
Choice Experiment ◽  
Controlled Trial ◽  
Choice Task ◽  
Self Report ◽  
Harsh Discipline ◽  
Increased Risk ◽  
Parent Preferences

Maltreatment in early childhood is difficult to measure. Self-report surveys of parents and guardians are the most common method used, but in many settings social desirabil- ity may lead to underestimates of prevalence. There is also reason to be concerned about response bias in the context of intervention trials. To diversify the tools available to in- tervention researchers, we created and tested a discrete choice experiment to elicit parent preferences for harsh discipline. This study was conducted in Liberia as part of a random- ized controlled trial of a positive parenting program. Baseline data were collected from 609 parents and guardians living in Monrovia and caring for a child age 3 or 4. Participants completed a discrete choice experiment that consisted of 12 parenting vignettes, in addition to a survey of parenting attitudes and behaviors. The vignettes were presented to parents as digital comic strips. Each scene could vary on four attributes: child gender; child offense; setting; number of adults present. For each scene, participants selected 1 of 5 discipline strategies that they would in that situation. The visual discrete choice task was easy to implement, well understood by participants, and has evidence of construct validity as a measure of parent preferences for harsh discipline. Tools like this expand the options for researchers studying the maltreatment of pre-school age children, particularly in the con- text of program evaluations where post-intervention observations may be at increased risk of response bias. It may also be useful in a clinical context.

scholarly journals The Influence of Choice Task Layout on the Outcomes of a Discrete Choice Experiment

2013 ◽  
Vol 16 (7) ◽  
pp. A603
Author(s):  
J. Veldwijk ◽  
M.S. Lambooij ◽  
J.A. van Til ◽  
H.A. Smit ◽  
G.A. de Wit
Keyword(s):  
Discrete Choice Experiment ◽  
Discrete Choice ◽  
Choice Experiment ◽  
Choice Task

What matters most to patients when choosing treatment for mild–moderate asthma? Results from a discrete choice experiment

Thorax ◽  
2020 ◽  
Vol 75 (10) ◽  
pp. 842-848
Author(s):  
Christina Baggott ◽  
Paul Hansen ◽  
Robert J Hancox ◽  
Jo Katherine Hardy ◽  
Jenny Sparks ◽  
...  
Keyword(s):  
Treatment Regimen ◽  
Discrete Choice Experiment ◽  
Discrete Choice ◽  
Choice Experiment ◽  
Controlled Trial ◽  
Final Analysis ◽  
Mild Asthma ◽  
Relative Importance ◽  
Shortness Of Breath ◽  
Moderate Asthma

BackgroundAn as-needed combination preventer and reliever regimen was recently introduced as an alternative to conventional daily preventer treatment for mild asthma. In a subgroup analysis of the PRACTICAL study, a pragmatic randomised controlled trial of budesonide–formoterol reliever therapy versus maintenance budesonide plus terbutaline reliever therapy in adults with mild asthma, we recently reported that about two-thirds preferred as-needed combination preventer and reliever therapy. The aim of this study was to determine the relative importance of attributes associated with these two asthma therapies in this subgroup of participants who indicated their preferred treatment in the PRACTICAL study.MethodsAt their final study visit, a subgroup of participants indicated their preferred treatment and completed a discrete choice experiment using the Potentially All Pairwise RanKings of all possible Alternatives method and 1000minds software. Treatment attributes and their levels were selected from measurable study outcomes, and included: treatment regimen, shortness of breath, steroid dose and likelihood of asthma flare-up.ResultsThe final analysis dataset included 288 participants, 64% of whom preferred as-needed combination preventer and reliever. Of the attributes, no shortness of breath and lowest risk of asthma flare-up were ranked highest and second highest, respectively. However, the relative importance of the other two attributes varied by preferred therapy: treatment regimen was ranked higher by participants who preferred as-needed treatment than by participants who preferred maintenance treatment.ConclusionsKnowledge of patient preferences for treatment attributes together with regimen characteristics can be used in shared decision-making regarding choice of treatment for patients with mild–moderate asthma.Trial registration numberACTRN12616000377437.

scholarly journals Development of a Discrete-Choice Experiment (DCE) to Elicit Adolescent and Parent Preferences for Hypodontia Treatment

2018 ◽  
Vol 12 (1) ◽  
pp. 137-148 ◽  
Author(s):  
Sophy Barber ◽  
Hilary Bekker ◽  
Joachim Marti ◽  
Sue Pavitt ◽  
Balvinder Khambay ◽  
...  
Keyword(s):  
Discrete Choice Experiment ◽  
Discrete Choice ◽  
Choice Experiment ◽  
Parent Preferences

scholarly journals Preferences of people with type 2 diabetes for telemedical lifestyle programmes in Germany: protocol of a discrete choice experiment

BMJ Open ◽  
2020 ◽  
Vol 10 (9) ◽  
pp. e036995 ◽  
Author(s):  
Jana Sommer ◽  
Jan Dyczmons ◽  
Sandra Grobosch ◽  
Veronika Gontscharuk ◽  
Markus Vomhof ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Lifestyle Intervention ◽  
Discrete Choice Experiment ◽  
Discrete Choice ◽  
Choice Experiment ◽  
Latent Class ◽  
Controlled Trial ◽  
Intervention Programme ◽  
Registration Number

IntroductionTelemedical lifestyle programmes for people with type 2 diabetes mellitus (T2DM) provide an opportunity to develop a healthier lifestyle and consequently to improve health outcomes. When implementing new programmes into standard care, considering patients’ preferences may increase the success of the participants. This study aims to examine the preferences of people with T2DM with respect to telemedical lifestyle programmes, to analyse whether these preferences predict programme success and to explore the changes that may occur during a telemedical lifestyle intervention.Methods and analysisWe outline the protocol of the development and assessment of a discrete choice experiment (DCE) to examine patient preferences in a telemedical lifestyle programme with regard to the functions of the online portal, communication, responsibilities, group activities and time requirements. To develop the design of the DCE, we conducted pilot work involving healthcare experts and in particular people with T2DM using cognitive pretesting. The final DCE is being implemented within a randomised controlled trial for investigating whether participation in a telemedical lifestyle intervention programme sustainably improves the HbA1c values in 850 members of a large German statutory health insurance with T2DM. Preferences are being assessed before and after participants complete the programme. The DCE data will be analysed using regression and latent class analyses.Ethics and disseminationThe DCE study has been approved by the ethics committee of the medical faculty of the Heinrich Heine University Duesseldorf, registration number 2018-242-ProspDEuA, registered on 6 December 2018. The TeLIPro trial is registered at the US National Library of Medicine, registration number NCT03675919, registered on 15 September 2018. We aim to disseminate our results in peer-reviewed journals, at national and international conferences and among interested patient groups and the public.

scholarly journals Japanese Patients’ and Physicians’ Preferences for Anticoagulant Use in Atrial Fibrillation: Results from a Discrete-choice Experiment

10.36469/9904 ◽  
2015 ◽  
Vol 2 (2) ◽  
pp. 207-220 ◽  
Author(s):  
Ken Okumura ◽  
Hiroshi Inoue ◽  
Masahiro Yasaka ◽  
Juan Marcos Gonzalez ◽  
A. Brett Hauber ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Discrete Choice Experiment ◽  
Discrete Choice ◽  
Major Bleeding ◽  
Stroke Prevention ◽  
Choice Experiment ◽  
Clinical Decision Making ◽  
Japanese Patients ◽  
Risk Of Bleeding ◽  
Increased Risk

Background: Anticoagulants are recommended for stroke prevention in patients with atrial fibrillation (AF), but are associated with an increased risk of bleeding; therefore, physicians face benefit-risk tradeoffs when prescribing anticoagulants to AF patients. Although the unmet medical need for safer anticoagulants has been well-documented, there is limited information about the importance that patients and physicians place on cardiovascular events. Objectives: The aim of this study was to quantify patients’ and physicians’ willingness to accept tradeoffs between the benefits and risks of anticoagulants in order to 1) document the potential differences between patients’ and physicians’ perceptions of benefits and risks and 2) support physicians’ clinical decision making. Methods: Preferences from Japanese AF patients and board-eligible or board-certified physicians were elicited using a discrete-choice experiment. Random-parameters logit models were used to estimate importance weights for treatment-related changes in the annual risk of stroke, myocardial infarction, embolism, and bleeding. Results: Japanese patients (N=152) and physicians (N=164) showed different preferences. In particular, among non-fatal outcomes, patients considered disabling stroke to be 16 times more important than non-major clinically relevant bleeding and 2.6 times more important than extra-cranial major bleeding. In contrast, physicians considered the same stroke risk to be 2.7 times more important than non-major clinically relevant bleeding and equally important as major bleeding. Conclusions: Results suggest that Japanese patients are willing to tolerate a greater risk of bleeding in exchange for stroke prevention than are Japanese physicians. The findings demonstrate the importance of physician-patient communication in treatment decisions involving stroke preventative therapies.

Parent Preferences for Physical Activity in Before and After School Programs in Rural and Suburban Communities: A Discrete Choice Experiment

2021 ◽  
pp. 1-11
Author(s):  
Christopher D. Pfledderer ◽  
Ryan D. Burns ◽  
Wonwoo Byun ◽  
Russell L. Carson ◽  
Gregory J. Welk ◽  
...  
Keyword(s):  
Physical Activity ◽  
Discrete Choice Experiment ◽  
Discrete Choice ◽  
Choice Experiment ◽  
After School Programs ◽  
After School ◽  
School Programs ◽  
Parent Preferences ◽  
Before And After ◽  
Program Components

Background: The purpose of this study was to examine and compare parent preferences of before and after school physical activity program components in rural and suburban elementary schools. Methods: A discrete choice experiment was conducted to measure parent preferences for components of before/after school programs. A total of 183 parents (age = 37.2 [8.2] y, 155 females) sampled from 15 elementary schools (K–6 grades) in the Western United States took part in the study, half of which were from a rural community (n = 93, 50.8%). Results from the discrete choice experiment were analyzed using hierarchic Bayesian methodology, which estimated utility scores and was used to calculate important scores for program components. Results: The specific goal of the before/after school program was the strongest determinant of parents’ stated choice overall, followed by leaders, time of day, length, and main focus. Learning sports as the physical activity goal was the top-rated attribute. Subgroup analyses revealed discrepancies between suburban and rural parents and parents of boys and girls. Conclusion: This study extends the application of discrete choice experiments to school-based programming, providing a unique way to design empirically based, stakeholder informed school programs, specifically within before and after school settings.

scholarly journals The influence of choice task layout on the outcomes of a discrete choice experiment

2013 ◽  
Vol 16 (3) ◽  
pp. A46-A47
Author(s):  
J. Veldwijk ◽  
M.S. Lambooij ◽  
J.A. Van Til ◽  
J.M. van Den Broek ◽  
H.A. Smit ◽  
...  
Keyword(s):  
Discrete Choice Experiment ◽  
Discrete Choice ◽  
Choice Experiment ◽  
Choice Task
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