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. 2022 Aug 24;22(1):1079.
doi: 10.1186/s12913-022-08464-7.

Methodology to derive preference for health screening programmes using discrete choice experiments: a scoping review

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Methodology to derive preference for health screening programmes using discrete choice experiments: a scoping review

David Brain et al. BMC Health Serv Res. .

Abstract

Background: While involving users in healthcare decision-making has become increasingly common and important, there is a lack of knowledge about how to best design community-based health screening programs. Reviews of methods that incorporate discrete choice experiments (DCEs) are scarce, particularly for non-cancer illnesses like cardiovascular disease, diabetes and liver disease. We provide an overview of currently available applications and methods available by using DCEs in health screening programs, for chronic conditions.

Methods: A scoping review was undertaken, where four electronic databases were searched for key terms to identify eligible DCE studies related to community health screening. We included studies that met a pre-determined criteria, including being published between 2011 and 2021, in English and reported findings on human participants. Data were systematically extracted, tabulated, and summarised in a narrative review.

Results: A total of 27 studies that used a DCE to elicit preferences for cancer (n = 26) and cardiovascular disease screening (n = 1) programmes were included in the final analysis. All studies were assessed for quality, against a list of 13 criteria, with the median score being 9/13 (range 5-12). Across the 27 studies, the majority (80%) had the same overall scores. Two-thirds of included studies reported a sample size calculation, approximately half (13/27) administered the survey completely online and over 75% used the general public as the participating population.

Conclusion: Our review has led to highlighting several areas of current practice that can be improved, particularly greater use of sample size calculations, increased use of qualitative methods, better explanation of the chosen experimental design including how choice sets are generated, and methods for analysis.

Keywords: Chronic disease; Community screening program; Discrete choice experiment; Preferences.

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Conflict of interest statement

The authors declare that they have no competing interests.

Figures

Fig. 1
Fig. 1
PRISMA flow diagram showing process of study selection for inclusion in review

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References

    1. Epstein RMMD, Street RLP. The Values and Value of Patient-Centered Care. Ann Fam Med. 2011;9(2):100–3. doi: 10.1370/afm.1239. - DOI - PMC - PubMed
    1. Ho MM, Saha ABSE, McCleary KKBA, Levitan BMDP, Christopher SMA, Zandlo KMBA, et al. A Framework for Incorporating Patient Preferences Regarding Benefits and Risks into Regulatory Assessment of Medical Technologies. Value Health. 2016;19(6):746–50. doi: 10.1016/j.jval.2016.02.019. - DOI - PubMed
    1. Lancsar E, Louviere J. Conducting discrete choice experiments to inform healthcare decision making. Pharmacoeconomics. 2008;26(8):661–77. doi: 10.2165/00019053-200826080-00004. - DOI - PubMed
    1. Soekhai V, Whichello C, Levitan B, Veldwijk J, Hammad T, Kihlbom U, et al. Compendium of methods for measuring patient preferences in medical treatment. Value Health. 2017;20(9):A684-A5. doi: 10.1016/j.jval.2017.08.1725. - DOI
    1. York Health Economics Consortium. Discrete Choice Experiment (DCE) 2016 [Available from: https://yhec.co.uk/glossary/discrete-choice-experiment-dce/.

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