Acceptability of computerized visual analog scale, time trade-off and standard gamble rating methods in patients and the public

Proc AMIA Symp. 2001:364-8.

Abstract

One technique to enhance patient participation in clinical decision making is formal measurement of preferences and values. Three commonly applied methods are a visual analog scale(VAS), the standard gamble(SG), and the time trade-off(TTO). We studied participants subjective experience using computer implementations these methods using scale we call the VIBE (for Value Instrument Battery--Evaluation) that measures four aspects of user acceptance (clarity, difficulty, reasonableness, and comfort level) Studies were performed in two groups: patients with HIV infection (n=75) and a convenience sample of the general public(n=640). In the patient study, VIBE scores appeared reliable (Cronbach s alpha of 0.739, 0.826, and 0.716, for VAS, SG, and TTO ratings, respectively.) Patients acceptance of the VAS the highest, followed by the TTO and the SG method (p<0.05 for all comparisons). Despite significant enhancements in computer software for measuring SG preferences, observed differences in acceptance between SG and VAS methods were replicated in the general public study (p<0.0001 for differences). The results suggest developers of clinical decision support systems should use VAS and TTO rating methods where these methods are theoretically appropriate.

Publication types

  • Research Support, Non-U.S. Gov't
  • Validation Study

MeSH terms

  • Decision Making, Computer-Assisted*
  • Decision Support Techniques*
  • HIV Infections / therapy
  • Health Status
  • Humans
  • Patient Participation*
  • Psychometrics / methods*
  • Quality of Life
  • Schizophrenia / therapy
  • Surveys and Questionnaires
  • Time
  • Treatment Outcome