Assessing Preferences for a University-Based Smoking Cessation Program in Lebanon: A Discrete Choice Experiment

Salloum, Ramzi G.; Abbyad, Christine W.; Kohler, Racquel E.; Kratka, Allison; Oh, Leighanne; Wood, Kathryn A.

doi:10.1093/ntr/ntu188

Cited by 14 publications

(18 citation statements)

References 19 publications

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“…Only one [ 25 ] of the 12 studies selected was conducted in a developing country (Lebanon). This study elicited preferences for a university-based smoking-cessation program.…”

Section: Resultsmentioning

confidence: 99%

“…The method of defining attribute levels was relatively inconsistent. Studies using literature reviews to define attributes tended to use qualitative techniques such as interviews [ 29 ], expert consultation [ 19 , 26 , 30 ], focus group rankings and pilot tests [ 25 , 33 ]. Two studies [ 8 , 34 ] confirmed attribute levels using a pre-test technique only, and another study [ 27 ] did not report their method clearly.…”

Section: Resultsmentioning

confidence: 99%

“…Two studies [ 8 , 34 ] confirmed attribute levels using a pre-test technique only, and another study [ 27 ] did not report their method clearly. Half of the studies included five or more attributes, four studies [ 27 , 29 , 33 , 34 ] used three or fewer attributes and only two studies [ 25 , 30 ] included four attributes to define utility or preference (Fig. 2 ).…”

Section: Resultsmentioning

confidence: 99%

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Application of Discrete-Choice Experiment Methods in Tobacco Control: A Systematic Review

Regmi

Kaphle

Timilsina

et al. 2017

PharmacoEconomics Open

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BackgroundEconomic evidence relating to tobacco control is generally derived from the cost effectiveness of smoking-cessation programs or the economic impact of tobacco-induced disease, based on revealed-preference data. However, empirical estimates from stated-preference data on tobacco users’ preferences, smoking behaviour and smoking cessation aids using analytical techniques such as discrete-choice experiments (DCEs) could be important for policy decision making in tobacco control.ObjectivesOur objective was to review the practice and utility of DCE methodology across nicotine- and tobacco-related issues, particularly smoking and smoking-cessation behaviour, anti-smoking policies and preferences for smoking-cessation aids.MethodsWe searched the PubMed, MEDLINE and ECONLIT databases for full-text original research articles on tobacco-related issues published between January 2000 and April 2016 that used a DCE method. We summarised the evidence and methodological characteristics of DCEs according to Lancsar and Louviere, 2008.ResultsOur review of the 12 eligible studies showed that DCE methodology was used to elicit smoker preferences and to evaluate tobacco-control policies. The majority of the studies were published in the last 5 years. The areas of application were smoking cessation, smoking behaviour, electronic cigarette use, water-pipe smoking and tobacco packaging. Monetary attributes were the most influential attributes in all studies. The design of the DCEs varied.ConclusionDCE studies of tobacco-related issues were methodologically consistent with guidelines proposed for conducting health-related DCEs.Electronic supplementary materialThe online version of this article (doi:10.1007/s41669-017-0025-4) contains supplementary material, which is available to authorized users.

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“…Only one [ 25 ] of the 12 studies selected was conducted in a developing country (Lebanon). This study elicited preferences for a university-based smoking-cessation program.…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Application of Discrete-Choice Experiment Methods in Tobacco Control: A Systematic Review

Regmi

Kaphle

Timilsina

et al. 2017

PharmacoEconomics Open

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“…This methodology has recently been used by tobacco control researchers to assess patient preferences for competing smoking cessation strategies. 15 16 …”

Section: Introductionmentioning

confidence: 99%

Eliciting preferences for waterpipe tobacco smoking using a discrete choice experiment: implications for product regulation

et al. 2015

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ObjectivesWaterpipe smoking is highly prevalent among university students, and has been increasing in popularity despite mounting evidence showing it is harmful to health. The aim of this study was to measure preferences for waterpipe smoking and determine which product characteristics are most important to smokers.SettingA large university in the Southeastern USA.ParticipantsAdult waterpipe smokers attending the university (N=367).DesignParticipants completed an Internet-based discrete choice experiment to reveal their preferences for, and trade-offs between, the attributes of hypothetical waterpipe smoking sessions. Participants were presented with waterpipe lounge menus, each with three fruit-flavoured options and one tobacco flavoured option, in addition to an opt out option. Nicotine content and price were provided for each choice. Participants were randomised to either receive menus with a text-only health-warning message or no message.Outcome measuresMultinomial and nested logit models were used to estimate the impact on consumer choice of attributes and between-subject assignment of health warnings respectively.ResultsOn average, participants preferred fruit-flavoured varieties to tobacco flavour. They were averse to options labelled with higher nicotine content. Females and non-smokers of cigarettes were more likely than their counterparts to prefer flavoured and nicotine-free varieties. Participants exposed to a health warning were more likely to opt out.ConclusionsFruit-flavoured tobacco and lower nicotine content labels, two strategies widely used by the industry, increase the demand for waterpipe smoking among young adults. Waterpipe-specific regulation should limit the availability of flavoured waterpipe tobacco and require accurate labelling of constituents. Waterpipe-specific tobacco control regulation, along with research to inform policy, is required to curb this emerging public health threat.

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“…Preference measurement approaches, such as DCEs, are effective instruments for understanding stakeholders’ decision-making. DCEs have been used to engage patients prior to the implementation of cancer screening and tobacco cessation programs [ 93 , 94 ]. In such studies, researchers were able to gain valuable information about the demand for healthcare services prior to their provision and implementation.…”

Section: Discussionmentioning

confidence: 99%

Application of discrete choice experiments to enhance stakeholder engagement as a strategy for advancing implementation: a systematic review

et al. 2017

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BackgroundOne of the key strategies to successful implementation of effective health-related interventions is targeting improvements in stakeholder engagement. The discrete choice experiment (DCE) is a stated preference technique for eliciting individual preferences over hypothetical alternative scenarios that is increasingly being used in health-related applications. DCEs are a dynamic approach to systematically measure health preferences which can be applied in enhancing stakeholder engagement. However, a knowledge gap exists in characterizing the extent to which DCEs are used in implementation science.MethodsWe conducted a systematic literature search (up to December 2016) of the English literature to identify and describe the use of DCEs in engaging stakeholders as an implementation strategy. We searched the following electronic databases: MEDLINE, Econlit, PsychINFO, and the CINAHL using mesh terms. Studies were categorized according to application type, stakeholder(s), healthcare setting, and implementation outcome.ResultsSeventy-five publications were selected for analysis in this systematic review. Studies were categorized by application type: (1) characterizing demand for therapies and treatment technologies (n = 32), (2) comparing implementation strategies (n = 22), (3) incentivizing workforce participation (n = 11), and (4) prioritizing interventions (n = 10). Stakeholders included providers (n = 27), patients (n = 25), caregivers (n = 5), and administrators (n = 2). The remaining studies (n = 16) engaged multiple stakeholders (i.e., combination of patients, caregivers, providers, and/or administrators). The following implementation outcomes were discussed: acceptability (n = 75), appropriateness (n = 34), adoption (n = 19), feasibility (n = 16), and fidelity (n = 3).ConclusionsThe number of DCE studies engaging stakeholders as an implementation strategy has been increasing over the past decade. As DCEs are more widely used as a healthcare assessment tool, there is a wide range of applications for them in stakeholder engagement. The DCE approach could serve as a tool for engaging stakeholders in implementation science.Electronic supplementary materialThe online version of this article (10.1186/s13012-017-0675-8) contains supplementary material, which is available to authorized users.

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Assessing Preferences for a University-Based Smoking Cessation Program in Lebanon: A Discrete Choice Experiment

Cited by 14 publications

References 19 publications

Application of Discrete-Choice Experiment Methods in Tobacco Control: A Systematic Review

Application of Discrete-Choice Experiment Methods in Tobacco Control: A Systematic Review

Eliciting preferences for waterpipe tobacco smoking using a discrete choice experiment: implications for product regulation

Application of discrete choice experiments to enhance stakeholder engagement as a strategy for advancing implementation: a systematic review

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