视觉化风险:风险图形对患者在离散选择实验中的理解和选择的影响
Stella M Marceta1, Esther W de Bekker-Grob1, Jorien Veldwijk1
1Erasmus School of Health Policy & Management, Erasmus University Rotterdam, Burgemeester Oudlaan 50, 3062 PA, Rotterdam, the Netherlands; Erasmus Choice Modelling Centre, Erasmus University Rotterdam, Rotterdam, Burgemeester Oudlaan 50, 3062 PA, Rotterdam, the Netherlands; Erasmus Centre for Health Economics Rotterdam, Erasmus University Rotterdam, Burgemeester Oudlaan 50, 3062 PA, Rotterdam, the Netherlands.
Social science & medicine (1982)
|August 31, 2025
概括
图标阵列和堆叠列图表在离散选择实验 (DCE) 中有效地传达健康风险. 这些图表提高了理解和可靠性,而不会显著改变患者的结果或预测准确性.
科学领域:
- 健康经济学
- 风险沟通
- 患者偏好研究
背景情况:
- 引起风险偏好在健康研究中至关重要,特别是对于像离散选择实验 (DCE) 这样的陈述偏好研究.
- 不同风险图形类型在支持受访者在DCE中的理解方面有效性的经验证据有限.
- 了解图形表示如何影响风险感知和决策对于改善健康研究方法至关重要.
研究的目的:
- 确定使用离散选择实验 (DCE) 的患者偏好研究最合适的风险图形.
- 评估各种图形类型对受访者的理解,有效性,可靠性和与健康有关的决策结果的影响.
- 为了比较不同风险图表的表现,在预测准确度方面,声明和显示的偏好.
主要方法:
- 采用了混合方法的方法,包括文献研究,结构化认知访谈和两个随机控制的DCE,研究组数量各不相同.
- 通过一家供应商公司和全科医生招募参与者.
- 该研究评估了不同图形类型 (图标数组,列图,堆叠列图,条图,风险梯子) 对理解,有效性,可靠性,选择结果,预测准确性和启发式使用的影响.
主要成果:
- 认知面试显示,图标阵列 (100 个图标),列图表和堆叠列图表比其他测试图表更好地理解.
- 随机控制的DCE发现表明图标阵列和堆叠列图表与列图表相比具有更高的理解力,有效性和可靠性.
- 尽管在理解方面存在差异,但在图标阵列和堆叠列图表之间没有观察到临床相关的结果或预测准确性 (声明与显示的偏好).
结论:
- 图标数组和堆叠列图表在离散选择实验 (DCE) 中表现相似,并产生类似的结果.
- 这些图形类型建议在未来的DCE中使用,以提高风险沟通和改善患者偏好.
- 通过提供基于证据的风险图表选择建议,这些发现有助于优化健康偏好研究的设计.
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