"Naming and Framing": The Impact of Labeling on Health State Values for Multiple Sclerosis

Medical Decision Making : an International Journal of the Society for Medical Decision Making
Colin GreenAnnie Hawton

Abstract

Health state valuation is a key input in many economic evaluations that inform resource allocation across competing healthcare interventions. Empirical evidence has shown that, in preference elicitation surveys, respondents may value a health state differently if they are aware of the condition causing it ('labeling effects'). This study investigates the impact of including a multiple sclerosis (MS) label for valuation of MS health states. Health state values for MS were elicited using two internet-based surveys in representative samples of the UK population ( n = 1702; n = 1788). In one survey respondents were not informed that health states were caused by MS. The second survey included a condition label for MS. Surveys were identical in all other ways. Health states were described using a MS-specific eight-dimensional classification system (MSIS-8D), and the time trade-off valuation technique was used. Differences between values for labeled and unlabeled states were assessed using descriptive statistics and multivariate regression methods. Adding a MS condition label had a statistically significant effect on mean health state values, resulting in lower values for labeled MS states v. unlabeled states. The data suggest that th...Continue Reading

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Citations

Sep 5, 2019·Health Economics·Richard NormanUNKNOWN European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life Group and the MAUCa Consortium

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