Jorien Veldwijk|Brigitte Essers|Mattijs Lambooij|Carmen D. Dirksen|Henriëtte A. Smit|G. Ardine de Wit
Survival or Mortality: Does Risk Attribute Framing Influence Decision-Making Behavior in a Discrete Choice Experiment?
National Institute for Public Health and the Environment|University Medical Center Utrecht|Maastricht University Medical Centre|Maastricht University|National Institute for Public Health and the Environment|Maastricht University Medical Centre|Maastricht University|University Medical Center Utrecht|National Institute for Public Health and the Environment|University Medical Center Utrecht
objectiveto test attribute framing discrete choice experiment dce affects respondents decisionmaking behavior preferencesmethodstwo versions dce questionnaire containing nine choice tasks distributed among representative sample dutch population aged 55 65 years dce consisted four attributes related decision regarding participation genetic screening colorectal cancer crc risk attribute included framed positively probability surviving crc negatively probability dying crc panel mixedlogit models used estimate relative importance attributes data positively negatively framed dce compared basis direct attribute ranking dominant decisionmaking behavior preferences importance scoresresultsthe majority 56 respondents ranked survival important attribute positively framed dce whereas minority 8 respondents ranked mortality important attribute negatively framed dce respondents made dominant choices based survival significantly often based mortality framing risk attribute significantly influenced attributelevel estimates resulted different preference structures among respondents positively negatively framed data setconclusionsrisk framing affects respondents value presented risk positive risk framing led increased dominant decisionmaking behavior whereas negative risk framing led riskseeking behavior attribute framing prominent part expert focus group interviews different types framing used pilot version dces well actual dces estimate magnitude effect choosing different types framing