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探索使用离散选择实验(DCE)来引出儿童和青少年偏好的可行性:一项收敛平行混合方法研究的方案

Exploring the feasibility of using discrete choice experiment (DCE) to elicit preferences among children and adolescents: protocol for a convergent parallel mixed methods study.

作者信息

Humphries Brittany, Pullenayegum Eleanor, Ohinmaa Arto, Jack Susan M, Xie Feng

机构信息

Department of Health Research Methods, Evidence and Impact, McMaster University, Hamilton, Ontario, Canada.

Hospital for Sick Children, University of Toronto, Toronto, Ontario, Canada.

出版信息

BMJ Open. 2025 Apr 8;15(4):e097598. doi: 10.1136/bmjopen-2024-097598.


DOI:10.1136/bmjopen-2024-097598
PMID:40204324
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11979510/
Abstract

INTRODUCTION: Discrete choice experiments (DCEs) are increasingly used to elicit value sets for paediatric health-related quality of life instruments, including the EQ-5D-Y. In a multinational pilot study that compared EQ-5D-Y-5L health state preferences among children, adolescents and adults, more inconsistencies in DCE responses were observed among children and adolescents than adults. Possible explanations for inconsistencies could be youths' limited understanding of health state preferences or lack of engagement with the online survey. This protocol describes the methods of a study that explores the feasibility of eliciting health state preferences for the EQ-5D-Y-5L from Canadian children and adolescents using DCE. METHODS AND ANALYSIS: A convergent parallel mixed methods study will be conducted with a purposive, stratified sample of 36 Canadian children and adolescents (13-18 years). In the quantitative study component, participants will complete an online questionnaire with EQ-5D-Y-5L and DCE exercises. The quantitative data on participants' sociodemographic characteristics, EQ-5D-Y-5L, and feasibility indicators of DCE (ie, incompletion, speeding, flatlining, violation of dominant choice task) will be analysed using descriptive statistics. The second component will be a qualitative focus group discussion to understand their experiences of completing the DCE tasks. Six focus groups (with six participants per group) will be conducted. The qualitative data will be analysed using content analysis. The findings from both components will then be integrated using narrative synthesis. ETHICS AND DISSEMINATION: Ethics approval was obtained from the Hamilton Integrated Research Ethics Board (#17034). We will publish findings in peer-reviewed journals and present at key conferences. We will also disseminate results within the EuroQol community as the study findings are part of a methodological research programme aimed at informing the design of an EQ-5D-Y-5L valuation study in Canada.

摘要

引言:离散选择实验(DCEs)越来越多地用于获取与儿科健康相关的生活质量工具(包括EQ-5D-Y)的价值集。在一项比较儿童、青少年和成人对EQ-5D-Y-5L健康状态偏好的跨国试点研究中,观察到儿童和青少年的DCE反应比成人存在更多不一致之处。不一致的可能原因可能是年轻人对健康状态偏好的理解有限或缺乏对在线调查的参与度。本方案描述了一项研究的方法,该研究探讨了使用DCE从加拿大儿童和青少年中获取EQ-5D-Y-5L健康状态偏好的可行性。 方法与分析:将对36名加拿大儿童和青少年(13 - 18岁)进行有目的、分层抽样的收敛平行混合方法研究。在定量研究部分,参与者将完成一份包含EQ-5D-Y-5L和DCE练习的在线问卷。将使用描述性统计分析参与者的社会人口学特征、EQ-5D-Y-5L以及DCE的可行性指标(即未完成、快速作答、反应平缓、违反主导选择任务)的定量数据。第二部分将是定性焦点小组讨论,以了解他们完成DCE任务的经历。将进行六个焦点小组(每组六名参与者)。将使用内容分析对定性数据进行分析。然后将使用叙述性综合法整合两部分的研究结果。 伦理与传播:已获得汉密尔顿综合研究伦理委员会(#17034)的伦理批准。我们将在同行评审期刊上发表研究结果,并在重要会议上展示。我们还将在欧洲生活质量小组社区内传播研究结果,因为该研究结果是旨在为加拿大EQ-5D-Y-5L估值研究设计提供信息的方法学研究计划的一部分。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/642b/11979510/89d67192cacb/bmjopen-15-4-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/642b/11979510/23ec1c9ec0bf/bmjopen-15-4-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/642b/11979510/f38a7b672746/bmjopen-15-4-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/642b/11979510/7b73dd110212/bmjopen-15-4-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/642b/11979510/89d67192cacb/bmjopen-15-4-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/642b/11979510/23ec1c9ec0bf/bmjopen-15-4-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/642b/11979510/f38a7b672746/bmjopen-15-4-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/642b/11979510/7b73dd110212/bmjopen-15-4-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/642b/11979510/89d67192cacb/bmjopen-15-4-g004.jpg

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引用本文的文献

[1]
Eliciting and Anchoring Health State Preferences Using Discrete Choice Experiments Among Adults, Adolescents, and Children.

Pharmacoeconomics. 2025-8-19

本文引用的文献

[1]
A New and Improved Experimental Design for the Discrete Choice Experiment Module of the EuroQol Valuation Technology Protocol.

Value Health. 2024-10

[2]
Understanding Canadian stakeholders' views on measuring and valuing health for children and adolescents: a qualitative study.

Qual Life Res. 2024-5

[3]
Comparing heuristic valuation processes between health state valuation from child and adult perspectives.

Eur J Health Econ. 2024-11

[4]
Decision Analysis in SHared decision making for Thromboprophylaxis during Pregnancy (DASH-TOP): a sequential explanatory mixed-methods pilot study.

BMJ Evid Based Med. 2023-10

[5]
Findings from a Roundtable Discussion with US Stakeholders on Valuation of the EQ-5D-Y-3L.

Pharmacoeconomics. 2022-12

[6]
A Value Set for the EQ-5D-Y-3L in the Netherlands.

Pharmacoeconomics. 2022-12

[7]
A qualitative study of adolescents and young adults' experience and perceived needs during the first wave of the COVID-19 pandemic.

Arch Pediatr. 2022-5

[8]
Valuing EQ-5D-Y-3L Health States Using a Discrete Choice Experiment: Do Adult and Adolescent Preferences Differ?

Med Decis Making. 2021-7

[9]
Measuring health-related quality of life in elementary and secondary school students using the Chinese version of the EQ-5D-Y in rural China.

BMC Public Health. 2020-6-22

[10]
An exploration of methods for obtaining 0 = dead anchors for latent scale EQ-5D-Y values.

Eur J Health Econ. 2020-9

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