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Effect of Reflection and Deliberation on Health State Values: A Mixed-Methods Study
Milad Karimi1, John Brazier2, Suzy Paisley2
1Health Economics and Decision Science, School of Health and Related Research, University of Sheffield, Sheffield, England, UK; Erasmus School of Health Policy & Management, Rotterdam, the Netherlands.
Reflection and deliberation did not significantly alter aggregate health state values, suggesting current methods may not fully inform preferences. Further research is needed to understand how individuals construct health state values.
Area of Science:
- Health Economics
- Decision Science
- Psychology
Background:
- Health economists elicit public preferences for health states.
- Individuals often construct preferences during valuation tasks.
- Conventional methods lack participant reflection and deliberation time.
Purpose of the Study:
- Investigate the impact of reflection and deliberation on health state preferences.
- Utilize the EQ-5D questionnaire and time trade-off valuation.
- Employ a concurrent explanatory mixed-methods design.
Main Methods:
- 57 UK participants valued health states pre- and post-deliberation.
- Group-based deliberation exercise facilitated preference exchange.
- Mixed-methods approach explained quantitative findings.
Main Results:
- Individual health state values changed significantly, but aggregate values remained stable.
- Deliberation focused on subjective beliefs, not new information or reduced inconsistency.
- Participants accepted but did not adopt differing opinions, retaining uncertainty.
Conclusions:
- Reflection and deliberation, as studied, unlikely to cause large systematic changes in health state values.
- Participant uncertainty highlights need to explore preference formation and information's role.
- Mixed-methods design effectively elucidates reasons behind quantitative results.
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