On the suitability of fast and frugal heuristics for designing values clarification methods in patient decision aids

A critical analysis

Dados Bibliográficos

ID19507553
AutoresArwen H Pieterse (0000-0001-6395-0052, Leiden University), Marieke De Vries (0000-0003-2845-8956, Leiden University)
Ano2013
Volume16
Fascículo3
Páginase73-9
Data de publicação2013-09-01
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoHealth Expectations (JOURNAL)
Identificadores do periódicoISSN: 1369-6513 • E-ISSN: 1369-7625
EditoraWiley (PUBLISHER • GB)
DOI10.1111/j.1369-7625.2011.00720.x
PMID21902770
OpenAlexW1596659197
IdiomaEN
Citações recebidas2
Referências citadas48

Background Increasingly, patient decision aids and values clarification methods (VCMs) are being developed to support patients in making preference‐sensitive health‐care decisions. Many VCMs encourage extensive deliberation about options, without solid theoretical or empirical evidence showing that deliberation is advantageous. Research suggests that simple, fast and frugal heuristic decision strategies sometimes result in better judgments and decisions. Durand et al. have developed two fast and frugal heuristic‐based VCMs. Objective To critically analyse the suitability of the ‘take the best’ (TTB) and ‘tallying’ fast and frugal heuristics in the context of patient decision making. Strategy Analysis of the structural similarities between the environments in which the TTB and tallying heuristics have been proven successful and the context of patient decision making and of the potential of these heuristic decision processes to support patient decision making. Conclusion The specific nature of patient preference‐sensitive decision making does not seem to resemble environments in which the TTB and tallying heuristics have proven successful. Encouraging patients to consider less rather than more relevant information potentially even deteriorates their values clarification process. Values clarification methods promoting the use of more intuitive decision strategies may sometimes be more effective. Nevertheless, we strongly recommend further theoretical thinking about the expected value of such heuristics and of other more intuitive decision strategies in this context, as well as empirical assessments of the mechanisms by which inducing such decision strategies may impact the quality and outcome of values clarification

Decision aids · Decision analysis · Decision support system · Deliberation · Economics · Heuristic · Heuristics · Management science · Preference · Computer Science · Health Systems, Economic Evaluations, Quality of Life · Healthcare Decision-Making and Restraints · Mathematics · Medicine · Patient-Provider Communication in Healthcare · Psychology · Artificial Intelligence