Focusing illusion, adaptation and EQ‐5D health state descriptions: the difference between patients and public

Abstract

Background Patients tend to assign higher utilities to health states compared with the general public. Several explanations have been given for this difference including focusing illusion -, caused in part by the sparseness of a health state description such as the EQ-5D -, and adaptation.

Valuation of depression co‐occurring with a somatic condition: feasibility of the time trade‐off task

“…Our study adds to previous findings regarding the possible role of religion and beliefs about life and marital status, by highlighting the important role of significant others, that is, how living with depression and/or deciding to trade years would affect one's children and partners. In addition to previous results concerning effect of personal experience on valuations, we pointed out the role of experience via other persons and that of perceived susceptibility for depression on valuations of depression, which have not been previously studied. The identification of such factors that may influence valuations allows us to gain more insight into the reasons why depression might be perceived as more or less burdensome by different individuals, which appears valuable also from a clinical perspective.…”

Time trade-off: one methodology, different methods

“…This avoids the need to describe health, since the person experiencing the health problem is also the one valuing it [59]. However, health state valuations of the own health are difficult to interpret because of the lack of clarity about the health problem, e.g., respondents tend to value their whole life including minor positive [62] and minor negative events [63]. Direct health state valuations of the own health are preferred when researchers want to incorporate the effect of adaptation, for instance, cost-effectiveness analyses of psychological interventions.…”

Difference in quality of life, fatigue and societal participation between living and deceased donor kidney transplant recipients

“…Time since transplantation is expected to be an important factor for HRQoL. Patients are known to adapt to their illness , but possibly to a different extent in LD and DD recipients. The adaptation may for instance depend on the kidney function, which may differ between the two groups, or on other medical factors.…”

“…The present study thus aimed to assess whether LD recipients and DD recipients differ in HRQoL, fatigue and societal participation after transplantation, taking into account differences in demographic and clinical variables. We also investigated whether time since transplantation influenced the difference between groups, as patients are known to adapt to their illness , and explored possible determinants.…”