Investigating the Heterogeneity in Women's Preferences for Breast Screening: Does the Communication of Risk Matter?

Value in Health : the Journal of the International Society for Pharmacoeconomics and Outcomes Research
Caroline M VassKatherine Payne

Abstract

The relative benefits and risks of screening programs for breast cancer have been extensively debated. To quantify and investigate heterogeneity in women's preferences for the benefits and risks of a national breast screening program (NBSP) and to understand the effect of risk communication format on these preferences. An online discrete choice experiment survey was designed to elicit preferences from female members of the public for an NBSP described by three attributes (probability of detecting a cancer, risk of unnecessary follow-up, and out-of-pocket screening costs). Survey respondents were randomized to one of two surveys, presenting risk either as percentages only or as icon arrays and percentages. Respondents were required to choose between two hypothetical NBSPs or no screening in 11 choice sets generated using a Bayesian D-efficient design. The trade-offs women made were analyzed using heteroskedastic conditional logit and scale-adjusted latent class models. A total of 1018 women completed the discrete choice experiment (percentages-only version = 507; icon arrays and percentages version = 511). The results of the heteroskedastic conditional logit model suggested that, on average, women were willing-to-accept 1.72 (co...Continue Reading

Citations

Oct 17, 2017·The Patient·Caroline M VassKatherine Payne
Feb 28, 2019·Psycho-oncology·Alexander G MathioudakisPablo Alonso-Coello
Aug 4, 2018·Medical Decision Making : an International Journal of the Society for Medical Decision Making·Caroline VassKatherine Payne
Mar 12, 2021·Medical Decision Making : an International Journal of the Society for Medical Decision Making·Suzana KarimStephen Poteet

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