Dataset Information

Comparing the health state preferences of older persons, informal caregivers and healthcare professionals: a vignette study.

ABSTRACT:

Background

The Older Persons and Informal Caregivers Survey-Minimum Dataset (TOPICS-MDS) collects uniform information from research projects funded under the Dutch National Care for the Elderly Programme. To compare the effectiveness of these projects a preference-weighted outcome measure that combined multidimensional TOPICS-MDS outcomes into a composite endpoint (TOPICS-CEP) was developed based on the health state preferences of older persons and informal caregivers.

Objectives

To derive preference weights for TOPICS-CEP's components based on health state preferences of healthcare professionals and to investigate whether these weights differ between disciplines and differ from those of older persons and informal caregivers.

Materials and methods

Vignette studies were conducted. Participants assessed the general wellbeing of older persons described in vignettes on a scale (0-10). Mixed linear analyses were used to obtain and compare the preference weights of the eight TOPICS-CEP components: morbidities, functional limitations, emotional wellbeing, pain experience, cognitive problems, social functioning, self-perceived health, and self-perceived quality of life (QOL).

Results

Overall, 330 healthcare professionals, 124 older persons and 76 informal caregivers participated. The preference weights were not significantly different between disciplines. However, the professionals' preference weights differed significantly from those of older persons and informal caregivers. Morbidities and functional limitations were given more weight by older persons and informal caregivers than by healthcare professionals [difference between preference weights: 0.12 and 0.07] while the opposite was true for pain experience, social functioning, and self-perceived QOL [difference between preference weights: 0.13, 0.15 and 0.26].

Conclusion

It is important to recognize the discrepancies between the health state preferences of various stakeholders to (1) correctly interpret results when studying the effectiveness of interventions in elderly care and (2) establish appropriate healthcare policies. Furthermore, we should strive to include older persons in our decision making process through a shared decision making approach.

SUBMITTER: Hofman CS

PROVIDER: S-EPMC4349801 | biostudies-literature | 2015

REPOSITORIES: biostudies-literature

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Publications

Comparing the health state preferences of older persons, informal caregivers and healthcare professionals: a vignette study.

Hofman Cynthia S CS Makai Peter P Blom Jeanet W JW Boter Han H Buurman Bianca M BM Olde Rikkert Marcel G M MG Donders Rogier R Melis René J F RJ

PloS one 20150304 3

<h4>Background</h4>The Older Persons and Informal Caregivers Survey-Minimum Dataset (TOPICS-MDS) collects uniform information from research projects funded under the Dutch National Care for the Elderly Programme. To compare the effectiveness of these projects a preference-weighted outcome measure that combined multidimensional TOPICS-MDS outcomes into a composite endpoint (TOPICS-CEP) was developed based on the health state preferences of older persons and informal caregivers.<h4>Objectives</h4> ...[more]

PMID: 25739034

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Dataset Information

Comparing the health state preferences of older persons, informal caregivers and healthcare professionals: a vignette study.

Background

Objectives

Materials and methods

Results

Conclusion

Publications

Comparing the health state preferences of older persons, informal caregivers and healthcare professionals: a vignette study.

Similar Datasets

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