Maddala Tara, Phillips Kathryn A, Reed Johnson F
Clinimetrics Research Inc, San Jose, California, USA.
Health Econ. 2003 Dec;12(12):1035-47. doi: 10.1002/hec.798.
In conjoint analysis (CA) studies, choosing between scenarios with multiple health attributes may be demanding for respondents. This study examined whether simplifying the choice task in CA designs, by using a design with more overlap of attribute levels, provides advantages over standard minimal-overlap methods. Two experimental conditions, minimal and increased-overlap discrete choice CA designs, were administered to 353 respondents as part of a larger HIV testing preference survey. In the minimal-overlap survey, all six attribute levels were allowed to vary. In the increased-overlap survey, an average of two attribute levels were the same between each set of scenarios. We hypothesized that the increased-overlap design would reduce cognitive burden, while minimally impacting statistical efficiency. We did not find any significant improvement in consistency, willingness to trade, perceived difficulty, fatigue, or efficiency, although several results were in the expected direction. However, evidence suggested that there were differences in stated preferences. The results increase our understanding of how respondents answer CA questions and how to improve future surveys.
在联合分析(CA)研究中,让受访者在具有多个健康属性的情景之间进行选择可能颇具难度。本研究考察了在CA设计中,通过使用属性水平重叠度更高的设计来简化选择任务,是否比标准的最小重叠方法更具优势。作为一项规模更大的HIV检测偏好调查的一部分,对353名受访者采用了两种实验条件,即最小重叠和增加重叠的离散选择CA设计。在最小重叠调查中,所有六个属性水平都允许变化。在增加重叠调查中,每组情景之间平均有两个属性水平相同。我们假设增加重叠的设计会减轻认知负担,同时对统计效率的影响最小。尽管有几个结果符合预期方向,但我们并未发现一致性、交易意愿、感知难度、疲劳或效率有任何显著改善。然而,有证据表明在陈述偏好方面存在差异。这些结果增进了我们对受访者如何回答CA问题以及如何改进未来调查的理解。