IDEAS home Printed from https://ideas.repec.org/p/hal/journl/halshs-00435090.html
   My bibliography  Save this paper

Framing effects of risk communication in health-related decision making. Learning from a discrete choice experiment

Author

Listed:
  • Florence Nguyen

    (GATE - Groupe d'analyse et de théorie économique - UL2 - Université Lumière - Lyon 2 - Ecole Normale Supérieure Lettres et Sciences Humaines - CNRS - Centre National de la Recherche Scientifique, Centre Léon Bérard [Lyon])

  • Marie-Odile Carrère

    (GATE - Groupe d'analyse et de théorie économique - UL2 - Université Lumière - Lyon 2 - Ecole Normale Supérieure Lettres et Sciences Humaines - CNRS - Centre National de la Recherche Scientifique, Centre Léon Bérard [Lyon])

  • Nora Moumjid

    (GATE - Groupe d'analyse et de théorie économique - UL2 - Université Lumière - Lyon 2 - Ecole Normale Supérieure Lettres et Sciences Humaines - CNRS - Centre National de la Recherche Scientifique, Centre Léon Bérard [Lyon])

Abstract

Background How to communicate uncertainty is a major concern in medicine and in health economics. We aimed at studying the framing effects of risk communication on stated preferences in a discrete choice experiment (DCE) performed to elicit women's preferences for Hormone Replacement Therapy. Methods Two versions of the questionnaire were randomly administered to respondents. Multiple risks were expressed as natural frequencies using either a constant reference class (Design 1) or variable reference classes (Design 2). We first tested whether Design 1 would impose a lower cognitive burden than Design 2. We then examined whether the two designs resulted in different utility model estimates. Results Design 1 improved consistency (monotonicity and stability). However, rates of dominance or intransitive responses did not differ across designs. Design 1 decreased women's sensitivity to the risk of fractures and increased their sensitivity to the risk of breast cancer as compared to all other attributes. Discussion Framing effects of risk communication on stated preferences may be a major problem in the design of DCEs. More research is needed to determine whether our findings are replicable and to further investigate the normative question of how to improve risk communication in health-related decision-making.

Suggested Citation

  • Florence Nguyen & Marie-Odile Carrère & Nora Moumjid, 2009. "Framing effects of risk communication in health-related decision making. Learning from a discrete choice experiment," Post-Print halshs-00435090, HAL.
  • Handle: RePEc:hal:journl:halshs-00435090
    Note: View the original document on HAL open archive server: https://halshs.archives-ouvertes.fr/halshs-00435090
    as

    Download full text from publisher

    File URL: https://halshs.archives-ouvertes.fr/halshs-00435090/document
    Download Restriction: no

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Kolasa, Katarzyna & Dohnalik, Jacek & Borek, Ewa & Siemiątkowski, Marek & Ścibiorski, Cezary, 2014. "The paradox of public participation in the healthcare in Poland – What citizens want, and what they think," Health Policy, Elsevier, vol. 118(2), pages 159-165.

    More about this item

    Keywords

    Framing effects; Risk communication; Discrete choice experiment;

    NEP fields

    This paper has been announced in the following NEP Reports:

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:hal:journl:halshs-00435090. See general information about how to correct material in RePEc.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: (CCSD). General contact details of provider: https://hal.archives-ouvertes.fr/ .

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    We have no references for this item. You can help adding them by using this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service hosted by the Research Division of the Federal Reserve Bank of St. Louis . RePEc uses bibliographic data supplied by the respective publishers.