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

Author

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

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

Suggested Citation

  • Yvette Edelaar-Peeters & Hein Putter & Govert J. Snoek & Tebbe A. R. Sluis & Christof A. J. Smit & Marcel W. M. Post & Anne M. Stiggelbout, 2012. "The Influence of Time and Adaptation on Health State Valuations in Patients With Spinal Cord Injury," Medical Decision Making, , vol. 32(6), pages 805-814, November.
    • Handle: RePEc:sae:medema:v:32:y:2012:i:6:p:805-814
    DOI: 10.1177/0272989X12447238
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    References listed on IDEAS

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    1. Robinson, Angela & Dolan, Paul & Williams, Alan, 1997. "Valuing health status using VAS and TTO: What lies behind the numbers?," Social Science & Medicine, Elsevier, vol. 45(8), pages 1289-1297, October.
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