Individual Value Clarification Methods Based on Conjoint Analysis: A Systematic Review of Common Practice in Task Design, Statistical Analysis, and Presentation of Results.

Background. There is an increased practice of using value clarification exercises in decision aids that aim to improve shared decision making. Our objective was to systematically review to which extent conjoint analysis (CA) is used to elicit individual preferences for clinical decision support. We...

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Publicado en:Medical Decision Making Vol. 38; no. 6; pp. 746 - 756
Autores principales: Weernink, Marieke G. M., van Til, Janine A., Witteman, Holly O., Fraenkel, Liana, IJzerman, Maarten J.
Formato: research systematic review tables/charts Journal Article
Publicado: Sage Publications Inc. Aug2018
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Aug2018
      vid: 38
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      pub: Sage Publications Inc.
      place: Thousand Oaks, California
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        atl: Individual Value Clarification Methods Based on Conjoint Analysis: A Systematic Review of Common Practice in Task Design, Statistical Analysis, and Presentation of Results.
      aug:
        au:
          Weernink, Marieke G. M.
          van Til, Janine A.
          Witteman, Holly O.
          Fraenkel, Liana
          IJzerman, Maarten J.
        affil: Department of Health Technology and Services Research, MIRA—Institute for Biomedical Technology and Technical Medicine, University of Twente, Enschede, the Netherlands
      sug:
        subj:
          Data Analysis, Statistical
          Decision Making, Clinical
          PubMed
          Psycinfo
          Focus Groups
          Systematic Review
          Human
      ab: Background. There is an increased practice of using value clarification exercises in decision aids that aim to improve shared decision making. Our objective was to systematically review to which extent conjoint analysis (CA) is used to elicit individual preferences for clinical decision support. We aimed to identify the common practices in the selection of attributes and levels, the design of choice tasks, and the instrument used to clarify values. Methods. We searched Scopus, PubMed, PsycINFO, and Web of Science to identify studies that developed a CA exercise to elicit individual patients’ preferences related to medical decisions. We extracted data on the above-mentioned items. Results. Eight studies were identified. Studies included a fixed set of 4–8 attributes, which were predetermined by interviews, focus groups, or literature review. All studies used adaptive conjoint analysis (ACA) for their choice task design. Furthermore, all studies provided patients with their preference results in real time, although the type of outcome that was presented to patients differed (attribute importance or treatment scores). Among studies, patients were positive about the ACA exercise, whereas time and effort needed from clinicians to facilitate the ACA exercise were identified as the main barriers to implementation. Discussion. There is only limited published use of CA exercises in shared decision making. Most studies resembled each other in design choices made, but patients received different feedback among studies. Further research should focus on the feedback patients want to receive and how the CA results fit within the patient–physician dialogue.
      pubtype: Academic Journal
      doctype:
        research
        systematic review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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