Discrete Choice Experiment in Evaluating Preferences for Physical Activity: A Mixed-Methods Study of Attributes and Their Levels

离散选择实验在评估身体活动偏好中的应用:一项关于属性及其水平的混合方法研究

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Abstract

BACKGROUND: Discrete choice experiment (DCE) has become a leading method for evaluating health sector preferences. Despite its common use in evaluating physical activity (PA) preference, there is a lack of consensus on the optimal attribute and level, and this step often lacks rigorous documentation. This study aimed to identify suitable attributes and levels for a PA program for future application in DCE studies. METHODS: This study used a mixed-method approach. Initially, a rapid review was performed using databases and search engines. The findings were then used for a 2-stage semi-structured interview for attribute addition and scoring. Finally, top-scoring attributes were selected, and a small expert panel determined their associated levels. RESULTS: In our rapid review, from 8144 titles according to search strategy, 10 were selected for data extraction. After content analysis and integration of similar attributes, 12 were identified and 4 more were added from interviews. Using the opinions of the expert panel, the top 5 attributes were selected and a total of 22 levels were determined for these 5 attributes. The selected attributes included monthly cost, companions, distance, PA time, and PA type, with total scores of 150, 149, 147, 144, and 123, respectively. CONCLUSION: Our study identified 5 attributes and 22 corresponding levels as effective tools for measuring PA preferences using a DCE approach. As this is a pioneering study, further comprehensive research is recommended for improved outcomes.

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