Quotation Nguyen, Lien, Jokimäki, Hanna, Linnosmaa, Ismo, Saloniki, Eirini-Christina, Batchelder, Laurie, Malley, Juliette, Lu, Hui, Burge, Peter, Trukeschitz, Birgit, Forder, Julien. 2021. Valuing informal carers’ quality of life using best–worst scaling: Finnish preference weights for the Adult Social Care Outcomes Toolkit for carers (ASCOT-Carer). European Journal of Health Economics.


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Abstract

This study developed Finnish preference weights for the seven-attribute Adult Social Care Outcomes Toolkit for carers (ASCOT-Carer) and investigated survey fatigue and learning in best-worst scaling (BWS) experiments. An online survey that included a BWS experiment using the ASCOT-Carer was completed by a sample from the general population in Finland. A block of eight BWS profiles describing different states from the ASCOT-Carer were randomly assigned to each respondent, who consecutively made four choices (best, worst, second best and second worst) per profile. The analysis panel data had 32,160 choices made by 1005 respondents. A scale multinomial logit (S-MNL) model was used to estimate preference weights for 28 ASCOT-Carer attribute levels. Fatigue and learning effects were examined as scale heterogeneity. Several specifications of the generalised MNL model were employed to ensure the stability of the preference estimates. The most and least-valued states were the top and bottom levels of the control over daily life attribute. The preference weights were not on a cardinal scale. We observed the position effect of the attributes on preferences associated with the best or second-best choices. A learning effect was found. The established preference weights can be used in evaluations of the effects of long-term care services and interventions on the quality of life of service users and caregivers. The learning effect implies a need to develop study designs that ensure equal consideration to all profiles (choice tasks) in a sequential choice experiment.

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Publication's profile

Status of publication Published
Affiliation WU
Type of publication Journal article
Journal European Journal of Health Economics
Citation Index SSCI
WU Journalrating 2009 A
WU-Journal-Rating new FIN-A, STRAT-B, VW-C, WH-B
Language English
Title Valuing informal carers’ quality of life using best–worst scaling: Finnish preference weights for the Adult Social Care Outcomes Toolkit for carers (ASCOT-Carer)
Year 2021
DOI https://doi.org/10.1007/s10198-021-01356-3
Open Access Y
Open Access Link https://link.springer.com/content/pdf/10.1007/s10198-021-01356-3.pdf

Associations

Projects
EXCELC - Exploring Comparative Effectiveness and Efficiency in Long-term Care
People
Trukeschitz, Birgit (Details)
External
Batchelder, Laurie (Personal Social Services Research Unit (PSSRU), University of Kent, United Kingdom)
Burge, Peter (RAND Europe, Cambridge, United Kingdom)
Forder, Julien (Personal Social Services Research Unit (PSSRU), University of Kent, United Kingdom)
Jokimäki, Hanna (Finnish Institute for Health and Welfare (THL), Helsinki, Finland)
Linnosmaa, Ismo (Finnish Institute for Health and Welfare (THL), Helsinki & Department of Health and Social Management, University of Eastern Finland, Kuopio, Finland)
Lu, Hui (RAND Europe, Cambridge, United Kingdom)
Malley, Juliette (Care Policy and Evaluation Centre, London School of Economics and Political Science, London, United Kingdom)
Nguyen, Lien (Finnish Institute for Health and Welfare, Finland)
Saloniki, Eirini-Christina (Centre for Health Services Studies (CHSS), University of Kent, United Kingdom)
Organization
Research Institute for Economics of Aging FI (Details)
Research areas (ÖSTAT Classification 'Statistik Austria')
5334 Political economic policy (Details)
5405 Empirical social research (Details)
5421 Aging research (Details)
5911 Social policy (Details)
5933 Aging research (Details)
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