Women’s preference to apply shared decision-making in breast cancer screening: a discrete choice experiment

ObjectiveTo analyse women's stated preferences for establishing the relative importance of each attribute of shared decision-making (SDM) and their willingness to pay (WTP) for more participatory care in breast cancer screening programmes (BCSP). DesignA discrete choice experiment was designed...

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Autores: Hernández Leal, María José, Pérez Lacasta, María José, Cardona Cardona, Angels, Codern Bové, Núria, Vidal Lancis, Carmen, Rue, Montserrat, Forné, Carles, Carles Lavila, Misericòrdia
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2022
País:España
Institución:Universidad de Barcelona
Repositorio:Dipòsit Digital de la UB
OAI Identifier:oai:diposit.ub.edu:2445/196108
Acceso en línea:https://hdl.handle.net/2445/196108
Access Level:acceso abierto
Palabra clave:Càncer de mama
Cribratge
Cooperació dels malalts
Breast cancer
Medical screening
Patient compliance
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spelling Women’s preference to apply shared decision-making in breast cancer screening: a discrete choice experimentHernández Leal, María JoséPérez Lacasta, María JoséCardona Cardona, AngelsCodern Bové, NúriaVidal Lancis, CarmenRue, MontserratForné, CarlesCarles Lavila, MisericòrdiaCàncer de mamaCribratgeCooperació dels malaltsBreast cancerMedical screeningPatient complianceObjectiveTo analyse women's stated preferences for establishing the relative importance of each attribute of shared decision-making (SDM) and their willingness to pay (WTP) for more participatory care in breast cancer screening programmes (BCSP). DesignA discrete choice experiment was designed with 12 questions (choice tasks). It included three attributes: 'How the information is obtained', regarding benefits and harms; whether there is a 'Dialogue for scheduled mammography' between the healthcare professional and the woman; and, 'Who makes the decision', regarding participation in BCSP. Data were obtained using a survey that included 12 choice tasks, 1 question on WTP and 7 socioeconomic-related questions. The analysis was performed using conditional mixed-effect logit regression and stratification according to WTP. SettingData collection related to BCSP was conducted between June and November 2021 in Catalonia, Spain. ParticipantsSixty-five women aged between 50 and 60. Main outcome measuresWomen's perceived utility of each attribute, trade-off on these attributes and WTP for SDM in BCSP. ResultThe only significant attribute was 'Who makes the decision'. The decision made alone (coefficient=2.879; 95% CI=2.297 to 3.461) and the decision made together with a healthcare professional (2.375; 95% CI=1.573 to 3.177) were the options preferred by women. The former contributes 21% more utility than the latter. Moreover, 52.3% of the women stated a WTP of Euro10 or more for SDM. Women's preferences regarding attributes did not influence their WTP.ConclusionsThe participant women refused a current paternalistic model and preferred either SDM or informed decision-making in BCSP.BMJ2022info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://hdl.handle.net/2445/196108Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL))reponame:Dipòsit Digital de la UBinstname:Universidad de BarcelonaInglésReproducció del document publicat a: https://doi.org/10.1136/bmjopen-2022-064488BMJ Open, 2022, vol. 12, num. 11, p. e064488https://doi.org/10.1136/bmjopen-2022-064488cc by (c) Hernández Leal, María José et al., 2022http://creativecommons.org/licenses/by/3.0/es/info:eu-repo/semantics/openAccessoai:diposit.ub.edu:2445/1961082026-05-27T06:46:51Z
dc.title.none.fl_str_mv Women’s preference to apply shared decision-making in breast cancer screening: a discrete choice experiment
title Women’s preference to apply shared decision-making in breast cancer screening: a discrete choice experiment
spellingShingle Women’s preference to apply shared decision-making in breast cancer screening: a discrete choice experiment
Hernández Leal, María José
Càncer de mama
Cribratge
Cooperació dels malalts
Breast cancer
Medical screening
Patient compliance
title_short Women’s preference to apply shared decision-making in breast cancer screening: a discrete choice experiment
title_full Women’s preference to apply shared decision-making in breast cancer screening: a discrete choice experiment
title_fullStr Women’s preference to apply shared decision-making in breast cancer screening: a discrete choice experiment
title_full_unstemmed Women’s preference to apply shared decision-making in breast cancer screening: a discrete choice experiment
title_sort Women’s preference to apply shared decision-making in breast cancer screening: a discrete choice experiment
dc.creator.none.fl_str_mv Hernández Leal, María José
Pérez Lacasta, María José
Cardona Cardona, Angels
Codern Bové, Núria
Vidal Lancis, Carmen
Rue, Montserrat
Forné, Carles
Carles Lavila, Misericòrdia
author Hernández Leal, María José
author_facet Hernández Leal, María José
Pérez Lacasta, María José
Cardona Cardona, Angels
Codern Bové, Núria
Vidal Lancis, Carmen
Rue, Montserrat
Forné, Carles
Carles Lavila, Misericòrdia
author_role author
author2 Pérez Lacasta, María José
Cardona Cardona, Angels
Codern Bové, Núria
Vidal Lancis, Carmen
Rue, Montserrat
Forné, Carles
Carles Lavila, Misericòrdia
author2_role author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Càncer de mama
Cribratge
Cooperació dels malalts
Breast cancer
Medical screening
Patient compliance
topic Càncer de mama
Cribratge
Cooperació dels malalts
Breast cancer
Medical screening
Patient compliance
description ObjectiveTo analyse women's stated preferences for establishing the relative importance of each attribute of shared decision-making (SDM) and their willingness to pay (WTP) for more participatory care in breast cancer screening programmes (BCSP). DesignA discrete choice experiment was designed with 12 questions (choice tasks). It included three attributes: 'How the information is obtained', regarding benefits and harms; whether there is a 'Dialogue for scheduled mammography' between the healthcare professional and the woman; and, 'Who makes the decision', regarding participation in BCSP. Data were obtained using a survey that included 12 choice tasks, 1 question on WTP and 7 socioeconomic-related questions. The analysis was performed using conditional mixed-effect logit regression and stratification according to WTP. SettingData collection related to BCSP was conducted between June and November 2021 in Catalonia, Spain. ParticipantsSixty-five women aged between 50 and 60. Main outcome measuresWomen's perceived utility of each attribute, trade-off on these attributes and WTP for SDM in BCSP. ResultThe only significant attribute was 'Who makes the decision'. The decision made alone (coefficient=2.879; 95% CI=2.297 to 3.461) and the decision made together with a healthcare professional (2.375; 95% CI=1.573 to 3.177) were the options preferred by women. The former contributes 21% more utility than the latter. Moreover, 52.3% of the women stated a WTP of Euro10 or more for SDM. Women's preferences regarding attributes did not influence their WTP.ConclusionsThe participant women refused a current paternalistic model and preferred either SDM or informed decision-making in BCSP.
publishDate 2022
dc.date.none.fl_str_mv 2022
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/2445/196108
url https://hdl.handle.net/2445/196108
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Reproducció del document publicat a: https://doi.org/10.1136/bmjopen-2022-064488
BMJ Open, 2022, vol. 12, num. 11, p. e064488
https://doi.org/10.1136/bmjopen-2022-064488
dc.rights.none.fl_str_mv cc by (c) Hernández Leal, María José et al., 2022
http://creativecommons.org/licenses/by/3.0/es/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv cc by (c) Hernández Leal, María José et al., 2022
http://creativecommons.org/licenses/by/3.0/es/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv BMJ
publisher.none.fl_str_mv BMJ
dc.source.none.fl_str_mv Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL))
reponame:Dipòsit Digital de la UB
instname:Universidad de Barcelona
instname_str Universidad de Barcelona
reponame_str Dipòsit Digital de la UB
collection Dipòsit Digital de la UB
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15,300719

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