A novel design process for selection of attributes for inclusion in discrete choice experiments: case study exploring variation in clinical decision-making about thrombolysis in the treatment of acute ischaemic stroke
| العنوان: | A novel design process for selection of attributes for inclusion in discrete choice experiments: case study exploring variation in clinical decision-making about thrombolysis in the treatment of acute ischaemic stroke |
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| المؤلفون: | Matthew Rudd, Stephen Simpson, Aoife De Brún, Helen Rodgers, John Teah, Christopher Price, Laura Ternent, Emily Lancsar, Richard Thomson, Darren Flynn, Gary A. Ford |
| المصدر: | BMC Health Services Research, Vol 18, Iss 1, Pp 1-14 (2018) BMC Health Services Research |
| بيانات النشر: | BMC, 2018. |
| سنة النشر: | 2018 |
| مصطلحات موضوعية: | Male, Process management, Process (engineering), Context (language use), Choice Behavior, Health informatics, B700, Intravenous thrombolysis, 03 medical and health sciences, 0302 clinical medicine, Patient vignettes, Ischemia, Humans, Medicine, Design process, Thrombolytic Therapy, 030212 general & internal medicine, Think aloud protocol, Set (psychology), Exercise, Qualitative Research, business.industry, 030503 health policy & services, Health Policy, lcsh:Public aspects of medicine, Methodology, Patient Preference, lcsh:RA1-1270, A300, Stroke, Technical Advance, Vignette, Ranking, Discrete choice experiment, Acute ischaemic stroke, 0305 other medical science, business, Clinical decision-making |
| الوصف: | Background A discrete choice experiment (DCE) is a method used to elicit participants’ preferences and the relative importance of different attributes and levels within a decision-making process. DCEs have become popular in healthcare; however, approaches to identify the attributes/levels influencing a decision of interest and to selection methods for their inclusion in a DCE are under-reported. Our objectives were: to explore the development process used to select/present attributes/levels from the identified range that may be influential; to describe a systematic and rigorous development process for design of a DCE in the context of thrombolytic therapy for acute stroke; and, to discuss the advantages of our five-stage approach to enhance current guidance for developing DCEs. Methods A five-stage DCE development process was undertaken. Methods employed included literature review, qualitative analysis of interview and ethnographic data, expert panel discussions, a quantitative structured prioritisation (ranking) exercise and pilot testing of the DCE using a ‘think aloud’ approach. Results The five-stage process reported helped to reduce the list of 22 initial patient-related factors to a final set of nine variable factors and six fixed factors for inclusion in a testable DCE using a vignette model of presentation. Conclusions In order for the data and conclusions generated by DCEs to be deemed valid, it is crucial that the methods of design and development are documented and reported. This paper has detailed a rigorous and systematic approach to DCE development which may be useful to researchers seeking to establish methods for reducing and prioritising attributes for inclusion in future DCEs. Electronic supplementary material The online version of this article (10.1186/s12913-018-3305-5) contains supplementary material, which is available to authorized users. |
| وصف الملف: | application/pdf |
| اللغة: | English |
| تدمد: | 1472-6963 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::7c4bbce708fc5cb9e547b8cf4e38baef http://link.springer.com/article/10.1186/s12913-018-3305-5 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....7c4bbce708fc5cb9e547b8cf4e38baef |
| قاعدة البيانات: | OpenAIRE |
Find this article in full text from Springer Verlag. | تدمد: | 14726963 |
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