Eliciting Medical Maximizing-Minimizing Preferences with a Single Question: Development and Validation of the MM1

Laura D. Scherer and Brian J. Zikmund-Fisher
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Laura D. Scherer: Division of Cardiology, University of Colorado School of Medicine, Aurora, CO, USA
Brian J. Zikmund-Fisher: Department of Health Behavior and Health Education, University of Michigan, Ann Arbor, MI, USA

Medical Decision Making, 2020, vol. 40, issue 4, 545-550

Abstract: The 10-item validated Medical Maximizer-Minimizer Scale (MMS-10) assesses patients’ preferences for aggressive v. more passive approaches to health care. However, because many research or clinical situations do not allow for use of a 10-item scale, we developed a single-item maximizer-minimizer elicitation question (the MM1) based on our experiences describing the construct to patient groups, clinical researchers, and the public. In 2 large samples of US adults ( N = 368 and N = 814), the correlation between MMS-10 scores and the MM1 was .52 and .60, respectively. Both measures were robust predictors of medical preferences in a set of 12 hypothetical scenarios, and both had strong (and roughly equivalent) associations with 7 self-report measures of health care utilization. Our results demonstrate that the MM1 is a valid, brief elicitation of maximizing-minimizing preferences that can be used in clinical or research contexts where the 10-item scale is infeasible.

Keywords: healthcare utilization; medical maximizing and minimizing; patient preferences (search for similar items in EconPapers)
Date: 2020
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Persistent link: https://EconPapers.repec.org/RePEc:sae:medema:v:40:y:2020:i:4:p:545-550

DOI: 10.1177/0272989X20927700

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