Investigating Choice Experiments for Preferences of Older People (ICEPOP) View Homepage


Ontology type: schema:MonetaryGrant     


Grant Info

YEARS

2004-2007

FUNDING AMOUNT

94766 GBP

ABSTRACT

This programme aims to provide numerical estimates of peoples preferences for a variety of issues that are important in making policy decisions about care for older people. These issues include quality of life, care at the end of life, the funding of long term care, the use of informal carers, rationing and some work on specific conditions including prostate cancer. ||The methodological work of the programme is about making sure that these numerical estimates are based on peoples own views about what is important to them (rather than the views of experts) and that the numerical estimates obtained are accurate representations of peoples views. Technical Summary Across the world, the proportions of older people and the very old, (aged 85 and over), in the population are rising. These very old, particularly, are likely to have greater health problems and to receive more health and social services. Resource allocation decisions in the UK are focused on the use of the quality-adjusted life-year (QALY) at national level (and are still largely historically based at local level), but QALYs are problematic for making resource allocation decisions about care for older people because they are entirely health focused (where older people often require a combination of health and social care), they are concerned only with quality of life (where quality of death and dying may also be important); and they are unable to inform organisational issues (including provision of long-term care and informal care). Stated Preference Discrete Choice Modelling potentially offers a means of providing information about preferences with respect to these wider issues.||The focus of this programme is twofold - comprising a topic focus on decisions about care for older people and a methodological focus on the use of Stated Preference Discrete Choice Modelling (SPDCM). The two aspects of the programme move forward in tandem, with individual studies informing SPDCM methodology for future studies, and the particular SPDCM experiments providing information for policy decisions about care for older people. ||Specific topics included within the programme are: developing utility values for quality of life measurement, advancing the area by use of Sens capability theory; estimating preferences for informal care; determining preferences for death, dying and end of life care; assessing choices for funding of long-term care; estimating preferences for priority setting for care for older people; and work around conditions affecting older people including prostate cancer.||The innovative methodological focus of this programme is the use and development of best-worst scaling as a means of discrete choice modelling. Work is focused on a number of areas: study design and analysis using best-worst scaling; the development of attributes using rigorous methods (including in-depth interviews, meta-ethnography); optimising response (by a series of nested RCTs); determining appropriate sample sizes (using simulations to develop guidance); individual level preferences (combining complex statistical techniques and qualitative work); ordering effects (using nested RCTs); and data synthesis issues (using simulation and think aloud techniques to determine whether information from best-worst scaling can be combined with traditional SPDCM techniques). More... »

URL

http://gtr.rcuk.ac.uk/project/C88FD9D2-17EC-4381-8327-A3FE2F1E91E1

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