Exploring Decisional Conflict With Measures of Numeracy and Optimism in a Stated Preference Survey

Objectives Low optimism and low numeracy are associated with difficulty or lack of participation in making treatment-related health care decisions. We investigated whether low optimism and low self-reported numeracy scores could help uncover evidence of decisional conflict in a discrete-choice exper...

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Autores principales:	Jessie Sutphin, Rachael L. DiSantostefano, Colton Leach, Brett Hauber, Carol Mansfield
Formato:	article
Lenguaje:	EN
Publicado:	SAGE Publishing 2021
Materias:	Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/3446c10d7c424089965b26291eef2a01
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spelling	oai:doaj.org-article:3446c10d7c424089965b26291eef2a012021-11-15T04:03:27ZExploring Decisional Conflict With Measures of Numeracy and Optimism in a Stated Preference Survey2381-468310.1177/23814683211058663https://doaj.org/article/3446c10d7c424089965b26291eef2a012021-11-01T00:00:00Zhttps://doi.org/10.1177/23814683211058663https://doaj.org/toc/2381-4683Objectives Low optimism and low numeracy are associated with difficulty or lack of participation in making treatment-related health care decisions. We investigated whether low optimism and low self-reported numeracy scores could help uncover evidence of decisional conflict in a discrete-choice experiment (DCE). Methods Preferences for a treatment to delay type 1 diabetes were elicited using a DCE among 1501 parents in the United States. Respondents chose between two hypothetical treatments or they could choose no treatment (opt out) in a series of choice questions. The survey included a measure of optimism and a measure of subjective numeracy. We used latent class analyses where membership probability was predicted by optimism and numeracy scores. Results Respondents with lower optimism scores had a higher probability of membership in a class with disordered preferences ( P value for optimism coefficient = 0.032). Those with lower self-reported numeracy scores were more likely to be in a class with a strong preference for opting out and disordered preferences ( P = 0.000) or a class with a preference for opting out and avoiding serious treatment-related risks ( P = 0.015). Conclusions If respondents with lower optimism and numeracy scores are more likely to choose to opt out or have disordered preferences in a DCE, it may indicate that they have difficulty completing choice tasks.Jessie SutphinRachael L. DiSantostefanoColton LeachBrett HauberCarol MansfieldSAGE PublishingarticleMedicine (General)R5-920ENMDM Policy & Practice, Vol 6 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine (General) R5-920
spellingShingle	Medicine (General) R5-920 Jessie Sutphin Rachael L. DiSantostefano Colton Leach Brett Hauber Carol Mansfield Exploring Decisional Conflict With Measures of Numeracy and Optimism in a Stated Preference Survey
description	Objectives Low optimism and low numeracy are associated with difficulty or lack of participation in making treatment-related health care decisions. We investigated whether low optimism and low self-reported numeracy scores could help uncover evidence of decisional conflict in a discrete-choice experiment (DCE). Methods Preferences for a treatment to delay type 1 diabetes were elicited using a DCE among 1501 parents in the United States. Respondents chose between two hypothetical treatments or they could choose no treatment (opt out) in a series of choice questions. The survey included a measure of optimism and a measure of subjective numeracy. We used latent class analyses where membership probability was predicted by optimism and numeracy scores. Results Respondents with lower optimism scores had a higher probability of membership in a class with disordered preferences ( P value for optimism coefficient = 0.032). Those with lower self-reported numeracy scores were more likely to be in a class with a strong preference for opting out and disordered preferences ( P = 0.000) or a class with a preference for opting out and avoiding serious treatment-related risks ( P = 0.015). Conclusions If respondents with lower optimism and numeracy scores are more likely to choose to opt out or have disordered preferences in a DCE, it may indicate that they have difficulty completing choice tasks.
format	article
author	Jessie Sutphin Rachael L. DiSantostefano Colton Leach Brett Hauber Carol Mansfield
author_facet	Jessie Sutphin Rachael L. DiSantostefano Colton Leach Brett Hauber Carol Mansfield
author_sort	Jessie Sutphin
title	Exploring Decisional Conflict With Measures of Numeracy and Optimism in a Stated Preference Survey
title_short	Exploring Decisional Conflict With Measures of Numeracy and Optimism in a Stated Preference Survey
title_full	Exploring Decisional Conflict With Measures of Numeracy and Optimism in a Stated Preference Survey
title_fullStr	Exploring Decisional Conflict With Measures of Numeracy and Optimism in a Stated Preference Survey
title_full_unstemmed	Exploring Decisional Conflict With Measures of Numeracy and Optimism in a Stated Preference Survey
title_sort	exploring decisional conflict with measures of numeracy and optimism in a stated preference survey
publisher	SAGE Publishing
publishDate	2021
url	https://doaj.org/article/3446c10d7c424089965b26291eef2a01
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Exploring Decisional Conflict With Measures of Numeracy and Optimism in a Stated Preference Survey

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