Automated computer interviews to elicit utilities: potential applications in the treatment of deep venous thrombosis.
Objective: To assess the practicality of an automated computer interview as a method to assess preferences for use in decision making. To assess preferences for outcomes of deep vein thrombosis (DVT) and its treatment.Study Design: A multimedia program was developed to train subjects in the use of d...
| Publicado en: | Journal of the American Medical Informatics Association Vol. 4; no. 1; pp. 49 - 57 |
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| Autores principales: | , , , |
| Formato: | pictorial research tables/charts Journal Article |
| Publicado: |
Oxford University Press / USA
Jan1997
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107316227&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 107316227 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10675027 FZ9 jtl: Journal of the American Medical Informatics Association issn: 10675027 maglogo: N pubinfo: dt: Jan1997 vid: 4 iid: 1 pid: 622 pub: Oxford University Press / USA artinfo: ui: 107316227 107316227 NLM8988474 1997009917 10.1136/jamia.1997.0040049 NLM8988474 PMC61198 107316227 ppf: 49 ppct: 8 formats: tig: atl: Automated computer interviews to elicit utilities: potential applications in the treatment of deep venous thrombosis. aug: au: Lenert LA Soetikno RM Lenert, L A Soetikno, R M affil: Department of Medicine, Stanford University School of Medicine, CA, USA sug: subj: Thrombophlebitis Therapy Decision Making, Computer Assisted Decision Making, Patient Multimedia Quality of Life Funding Source Visual Analog Scaling Summated Rating Scaling Surveys Software Data Analysis Software Chi Square Test Comparative Studies Multiple Regression Human ab: Objective: To assess the practicality of an automated computer interview as a method to assess preferences for use in decision making. To assess preferences for outcomes of deep vein thrombosis (DVT) and its treatment.Study Design: A multimedia program was developed to train subjects in the use of different preference assessment methods, presented descriptions of mild post-thrombotic syndrome (PTS), severe PTS and stroke and elicited subject preferences for these health states. This instrument was used to measure preferences in 30 community volunteers and 30 internal medicine physicians. We then assessed the validity of subject responses and calculated the number of quality-adjusted life years (QALYs) for each individual for each alternative.Results: All subjects completed the computerized survey instrument without assistance. Subjects generally responded positively to the program, with volunteers and physicians reporting similar preferences. Approximately 26.5% of volunteers and physicians had preferences that would be consistent with the use of thrombolysis. Individualization of therapy would lead to the most QALYs.Conclusions: Utilization of computerized survey instruments to elicit patient preferences appears to be a practical and valid approach to individualize therapy. Application of this method suggests that there may be many patients with DVT for whom treatment with a thrombolytic drug would be optimal. pubtype: Academic Journal doctype: pictorial research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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