Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.
ADVANCED SEARCH
Log in
Top
BMC Medical Research Methodology
Published in: BMC Medical Research Methodology 1/2015

Open Access 01-12-2015 | Research article

Consistency between stated and revealed preferences: a discrete choice experiment and a behavioural experiment on vaccination behaviour compared

Authors: Mattijs S Lambooij, Irene A Harmsen, Jorien Veldwijk, Hester de Melker, Liesbeth Mollema, Yolanda WM van Weert, G Ardine de Wit

Published in: BMC Medical Research Methodology | Issue 1/2015

Login to get access

Abstract

Background

Discrete Choice Experiments (DCEs) are increasingly used in studies in healthcare research but there is still little empirical evidence for the predictive value of these hypothetical situations in similar real life circumstances. The aim of this paper is to compare the stated preferences in a DCE and the accompanying questionnaire with the revealed preferences of young parents who have to decide whether to vaccinate their new born child against hepatitis B.

Methods

A DCE asking parents to decide in which scenario they would be more inclined to vaccinate their child against hepatitis B. The stated preference was estimated by comparing the per respondent utility of the most realistic scenario in which parents could choose to vaccinate their child against hepatitis B, with the utility of the opt-out, based on the mixed logit model from the DCE. This stated preference was compared with the actual behaviour of the parents concerning the vaccination of their new born child.

Results

In 80% of the respondents the stated and revealed preferences corresponded. The positive predictive value is 85% but the negative predictive value is 26%.

Conclusions

The predictive value of the DCE in this study is satisfactory for predicting the positive choice but not for predicting the negative choice. However, the behaviour in this study is exceptional in the sense that most people chose to vaccinate. Future studies should focus on behaviours with a larger variance in the population.
Appendix
Available only for authorised users
Literature
1.
De Bekker-Grob, E.W., M. Ryan, and K. Gerard, Discrete choice experiments in health economics: A review of the literature. Health Economics. 2010
2.
Cheng J, Pullenayegum E, Marshall DA, Marshall JK, Thabane L. An empirical comparison of methods for analyzing correlated data from a discrete choice survey to elicit patient preference for colorectal cancer screening. BMC Med Res Methodol. 2012;12(15). doi:10.1186/1471-2288-12-15
3.
Kruijshaar ME, Essink-Bot ML, Donkers B, Looman CWN, Siersema PD, Steyerberg EW. A labelled discrete choice experiment adds realism to the choices presented: preferences for surveillance tests for Barrett esophagus. BMC Med Res Methodol. 2009;9(31). doi:10.1186/1471-2288-9-31
4.
De Bekker-Grob EW, Hofman R, Donkers B, van Ballegooijen M, Helmerhorst TJM, Raat H, et al. Girls’ preferences for HPV vaccination: A discrete choice experiment. Vaccine. 2010;28:6692–7.CrossRefPubMed
5.
Brown DS, Johnson FR, Poulosa C, Messonnier ML. Mothers’ preferences and willingness to pay for vaccinating daughters against human papillomavirus. Vaccine. 2010;28:1702–8.CrossRefPubMed
6.
Johnson FR, Mohamed AF, Özdemira S, Marshall DA, Phillipse KA. How does cost matter in health-care discrete-choice experiments? Health Economics. 2011;20:323–30. doi:10.1002/hec.1591.CrossRefPubMedPubMedCentral
7.
Cascetta E. Random Utility Theory. In: Cascetta E, editor. Transportation Systems Analysis: models and applications. New York: Springer; 2009. p. 89–167.CrossRef
8.
Louviere JJ, Hensher DA, Swait JD. Stated choice methods, Analysis and application. Cambridge: Cambridge University Press; 2000.CrossRef
9.
Ryan M. A comparison of stated preferencemethods for estimating monetary values. Health Econ. 2004;13:291–6.CrossRefPubMed
10.
Ding M. An incentive-aligned mechanism for conjoint analysis. J Mark Res. 2007;XLIV:214–23.CrossRef
11.
Hensher DA. Hypothetical bias, choice experiments and willingness to pay. Transportation Res B. 2009;44:735–52.CrossRef
12.
Blumenschein K, Joannesson M, Yokoyama K, Freeman P. Hypothetical versus real willingness to pay in the health care sector. J Health Econ. 2001;20:441–57.CrossRefPubMed
13.
Clarke PM. Testing the convergent validity of the contingent valuation and travel cost methods in valuing the benefits of health care. Health Econ. 2001;11(2):117–27.CrossRef
14.
Bults M, Beaujean DJ, de Zwart O, Kok G, van Empelen P, van Steenbergen JE et al. Perceived risk, anxiety, and behavioural responses of the general public during the early phase of the Influenza A (H1N1) pandemic in the Netherlands: results of three consecutive online surveys. BMC Public Health. 2011;11(e2). doi:10.1186/1471-2458-11-2
15.
Sodoyer SC, Paulussen TGW, Smit H, Mollema L, Oomen P, Hoving C, et al. Acceptability of universal infant hepatitis B vaccination among parents in the Netherlands. In: Poster on European Society for Paediatric Infectious Diseases conference (Vol. 727). The Hague, The Netherlands: National Institution for Public Health and the Environment; 2011.
16.
Hontelez JA, Hahné SJ, Oomen P, de Melker H. Parental attitude towards childhood HBV vaccination in The Netherlands. Vaccine. 2010;28(4):1015–20.CrossRefPubMed
17.
Psyma. Survey regarding the Perception of Vaccines and Vaccinations. International Summary Report. Rückersdorf/Nürnberg (Germany): Psyma International Medical Marketing Research; 2004.
18.
Paulussen TGW, Hoekstra F, Lanting CI, Buijs GB, Hirasing RA. Determinants of Dutch parents’ decisions to vaccinate their child. Vaccine. 2006;24:644–51.CrossRefPubMed
19.
Rondy M, van Lier A, van de Kasteele J, de Melker H. Determinants for HPV vaccine uptake in the Netherlands: A multilevel study. Vaccine. 2009;28:2070–5.CrossRefPubMed
20.
Van Keulen HM, Fekkes M, Otten W, Van der Pal S, Kocken P, Ruiter R, et al. Onderzoek naar de HPV-vaccinatiebereidheid bij moeders en dochters naar aanleiding van de inhaalcampagne in Nederland. Leiden: TNO, Netherlands Organisation for Applied Scientific Research; 2010.
21.
Sturm LA, Mays RM, Zimet GD. Parental beliefs and decision making about child and adolescent immunization: from polio to sexually transmitted infections. Dev Behav Pediatr. 2005;26(6):441–52.CrossRef
22.
Harmsen IA, Lambooij MS, Ruiter RA, Mollema L, Veldwijk J, van Weert YJ, et al. Psychosocial determinants of parents’ intention to vaccinate their newborn child against hepatitis B. Vaccine. 2012;30(32):4771–7.CrossRefPubMed
23.
Ryan M, Gerard K, Amaya-Amaya M. Using Discrete Choice Experiments to Value Health and Health Care. In: Bateman IJ, editor. The Economics of Non-Market Goods and Resources. Dordrecht: Springer; 2008.
24.
Akobeng AK. Understanding diagnostic tests 1: sensitivity, specificity and predictive values. Acta Paediatr. 2006;96:338–41.CrossRef
25.
Ruijs WLM, Hautvast JLA, van der Velden K, de Vos S, Knippenberg H, Hulscher MELJ. Religious subgroups influencing vaccination coverage in the Dutch Bible belt: an ecological study. BMC Public Health. 2011;11(102). doi:10.1186/1471-2458-11-102.
26.
Ruijs WLM, Hautvast JLA, van IJzendoorn G, van Ansem WJC, van der Velden K, Hulscher MEJL. How orthodox protestant parents decide on the vaccination of their children: a qualitative study. BMC Public Health. 2012;12(408). doi:10.1186/1471-2458-12-408
27.
Woonink F. Objections against vaccination, The perspective of those who refuse. Bilthoven, the Netherlands: National Institute of Public Health and Environment; 2009.
28.
Feinstein AR, Cicchetti DV. High agreement but low kappa. I. The problems of two paradoxes. J Clin Epidemiol. 1990;43:543–9.CrossRefPubMed
29.
Feinstein AR, Cicchetti DV. High agreement but low kappa. II. Resolving the paradoxes. J Clin Epidemiol. 1990;43:551–8.CrossRefPubMed
30.
de Bekker-Grob EW, Ryan M, Gerard K. Discrete choice experiments in health economics: a review of the literature. Health Econ. 2012;21:145–72.CrossRefPubMed
31.
Ryan M, Watson V. Comparing welfare estimates from payment card contingent valuation and discrete choice experiments. Health Econ. 2009;18:389–401.CrossRefPubMed
32.
Brazell JD, Diener CG, Karniouchina E, William L, Moore WL, Severin V, et al. The no-choice option and dual response choice designs. Mark Lett. 2006;17:255–68. doi:10.1007/s11002-006-7943-8.CrossRef
33.
National Institute of Public Health and the Environment. Helft 12-jarige meisjes haalt HPV-vaccinatie (Half of 12 year old girls get HPV vaccination). Bilthoven: National Institute of Health and the Environment; 2012.
Metadata
Title
Consistency between stated and revealed preferences: a discrete choice experiment and a behavioural experiment on vaccination behaviour compared
Authors
Mattijs S Lambooij
Irene A Harmsen
Jorien Veldwijk
Hester de Melker
Liesbeth Mollema
Yolanda WM van Weert
G Ardine de Wit
Publication date
01-12-2015
Publisher
BioMed Central
Published in
BMC Medical Research Methodology / Issue 1/2015
Electronic ISSN: 1471-2288
DOI
https://doi.org/10.1186/s12874-015-0010-5

Other articles of this Issue 1/2015

BMC Medical Research Methodology 1/2015 Go to the issue

Research article

Impact of preconception enrollment on birth enrollment and timing of exposure assessment in the initial vanguard cohort of the U.S. National Children’s Study

Research article

Bayesian estimation of associations between identified longitudinal hormone subgroups and age at final menstrual period

Research article

Assessing the validity of the Global Activity Limitation Indicator in fourteen European countries

Research article

Improving participation rates by providing choice of participation mode: two randomized controlled trials

Research article

The impact of standardizing the definition of visits on the consistency of multi-database observational health research

Research article

Using the scenario method in the context of health and health care – a scoping review