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04:43

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Published on: April 24, 2017

Considering adaptation in preference elicitations.

Laura J Damschroder1, Brian J Zikmund-Fisher, Peter A Ubel

  • 1Department of Veterans Affairs, HSR&D Ann Arbor Center of Excellence, MI 48105, USA. laura.damschroder@va.gov

Health Psychology : Official Journal of the Division of Health Psychology, American Psychological Association
|July 16, 2008
PubMed
Summary
This summary is machine-generated.

Encouraging people to consider adaptation to chronic health conditions did not change their willingness to avoid them. However, perceived emotional adaptation influenced how people valued living with these conditions.

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Area of Science:

  • Health Economics
  • Psychology
  • Decision Science

Background:

  • Patients with chronic conditions often value them more than the general public.
  • This discrepancy may stem from healthy individuals overlooking their capacity for emotional adaptation.

Purpose of the Study:

  • To investigate if prompting individuals to consider their adaptive capacity influences their utility ratings for chronic health conditions.
  • To explore the relationship between perceived emotional adaptation and the valuation of chronic illnesses.

Main Methods:

  • A randomized experimental study involving 1,117 U.S. Internet panel respondents.
  • Participants rated the utility of four chronic health condition scenarios.
  • An adaptation exercise was administered before utility ratings.

Main Results:

  • The adaptation exercise did not significantly alter respondents' utility valuations.
  • Utility values for conditions improved as participants rated them as less upsetting over time.
  • A negative correlation was observed between perceived upset and utility ratings.

Conclusions:

  • While considering adaptation may change perceived feelings about chronic illness, it does not alter the willingness to trade off to avoid it.
  • The study highlights a potential disconnect between emotional valuation and economic valuation in health states.