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Feasibility of Using Modified Adaptive Conjoint Analysis Importance Questions.
1Clinical Epidemiology Research Center, VA CT Healthcare System, West Haven, CT.
The Patient
|October 9, 2010
Summary
A modified version of the American College of Rheumatology (ACR) importance questions improved patient understanding and accuracy in decision support tools for knee pain surveys. This revised approach enhances data collection for clinical practice.
Area of Science:
- Health Services Research
- Patient-Reported Outcomes
- Clinical Decision Support
Background:
- Patient comprehension of importance questions in surveys, such as those by the American College of Rheumatology (ACR), can be challenging.
- This difficulty can impact the reliability of data collected for clinical decision support tools.
Purpose of the Study:
- To develop and evaluate a modified version of the ACR's importance questions.
- To improve the clarity and accuracy of patient responses regarding attribute importance in surveys.
Main Methods:
- A pilot study was conducted with knee pain patients at a hospital-based Bone and Joint Clinic.
- Patients were randomized to complete either the original or a modified ACR survey, differing only in the importance questions.
- The modified questions involved a two-task approach: identifying the most important attribute and rating the relative importance of others.
Main Results:
- The modified ACR importance questions demonstrated improved accuracy in identifying the most important attribute (48% vs. 29%) and predicting treatment choice (80% vs. 75%) compared to the original version.
- Patients using the modified version rated attribute importance with greater granularity (3.4 vs. 2.7 points).
- Subjects perceived bar graphs illustrating relative importances as more accurate with the modified version.
Conclusions:
- The modified ACR importance questions perform comparably or better than the original version.
- This simplified set of questions offers a viable alternative for researchers utilizing the ACR as a clinical decision support tool.
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