The Influence of Time and Adaptation on Health State Valuations in Patients With Spinal Cord Injury

Yvette Edelaar-Peeters, Hein Putter, Govert J. Snoek, Tebbe A. R. Sluis, Christof A. J. Smit, Marcel W. M. Post and Anne M. Stiggelbout

Medical Decision Making, 2012, vol. 32, issue 6, 805-814

Abstract: Objectives: One of the explanations for the difference between health state utilities elicited from patients and the public—often provided but seldom studied—is adaptation. The influence of adaptation on utilities was investigated in patients with spinal cord injury. Methods: Interviews were held at 3 time points (T1, after admission to the rehabilitation center; T2, during active rehabilitation; T3, at least half a year after discharge). At T1, 60 patients were interviewed; 10 patients withdrew at T2 and T3. At all time points, patients were asked to value their own health and a health state description of rheumatoid arthritis on a time trade-off and a visual analogue scale. The Barthel Index, a measure of independence from help in activities of daily living, and the adjustment ladder were filled out. Main analyses were performed using mixed linear models taking the time-dependent covariates (Barthel Index and adjustment ladder) into account. Results: Time trade-off valuations for patients’ own health changed over time, even after correction for gain in independence from help in activities of daily living, F (2, 59) = 8.86, P

Keywords: affect and emotion; heuristics and biases; utility assessment; utility measurement; Health-Related Quality of Life; cognitive psychology; EQ-5D; health state preferences; utilities; valuations; outcomes research (search for similar items in EconPapers)
Date: 2012
References: View references in EconPapers View complete reference list from CitEc
Citations:

Downloads: (external link)
https://journals.sagepub.com/doi/10.1177/0272989X12447238 (text/html)

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:sae:medema:v:32:y:2012:i:6:p:805-814

DOI: 10.1177/0272989X12447238

Access Statistics for this article

More articles in Medical Decision Making
Bibliographic data for series maintained by SAGE Publications ().