Evidence map›Paper›PMID 27965851›Full record

ArticlePilot and feasibility studies2016

Prioritising wheelchair services for children: a pilot discrete choice experiment to understand how child wheelchair users and their parents prioritise different attributes of wheelchair services.

Nathan Bray, Seow Tien Yeo, Jane Noyes, Nigel Harris, Rhiannon Tudor Edwards

Open access · goldAbstract read
In one paragraph

Article in Pilot and feasibility studies, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
3.2field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 11 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Nathan BrayCentre for Health Economics and Medicines Evaluation, Bangor University, Ardudwy, Normal Site, Bangor, Gwynedd LL57 2PZ UK.
Seow Tien YeoCentre for Health Economics and Medicines Evaluation, Bangor University, Ardudwy, Normal Site, Bangor, Gwynedd LL57 2PZ UK.
Jane NoyesSchool of Social Sciences, Bangor University, Neuadd Ogwen, Bangor, Gwynedd LL57 2DG UK.
Nigel HarrisDesignAbility, Bath Institute of Medical Engineering, The Wolfson Centre, Royal United Hospital, Bath, BA1 3NG UK.
Rhiannon Tudor EdwardsCentre for Health Economics and Medicines Evaluation, Bangor University, Ardudwy, Normal Site, Bangor, Gwynedd LL57 2PZ UK.
Bangor University · GBDesignability · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundApproximately 95 million children worldwide are disabled; 10 % use a wheelchair. In the UK, an estimated 770,000 children are disabled. National Health Service Wheelchair Services are the largest provider of wheelchairs in the UK; however, recent reports have highlighted issues with these services. This study explores the use of discrete choice experiment methods to inform wheelchair service provision for disabled children based on service user preferences. The aim was to explore how disabled children and their parents prioritise different attributes of wheelchair services. The secondary aims were to compare priorities between parents and disabled children and to explore marginal rate of substitution for incremental changes in attributes.

methodsDiscrete choice experiments are a method of attribute-based stated preference valuation used by health economists to understand how individuals prioritise different attributes of healthcare services and treatments. We conducted the first pilot discrete choice experiment to explore how disabled children (aged 11 to 18) and their parents prioritise different attributes of hypothetical wheelchair services. Eleven disabled children (aged 11 to 18) and 30 parents of disabled children completed eight pairwise choice tasks based on five service attributes: wheelchair assessment, cost contribution, training, delivery time and frequency of review. Data were analysed using conditional logistic regression. For each pairwise choice, the participants were asked to choose which service scenario (A or B) they preferred.

resultsComprehensiveness of wheelchair assessment and wheelchair delivery time significantly (

conclusionsBoth samples placed the greatest importance on holistic wheelchair assessments encompassing more than health. The National Health Service should consider using discrete choice experiment methods to examine wheelchair service preferences of disabled children (aged 11 and over) and their parents on a wider scale; however, care must be taken to ensure that this method is used appropriately.

Indexed as

Assistive technologyChildhood disabilityConjoint analysisDiscrete choice experimentHealth economicsWheelchair

Identifiers

PMID27965851
PMCPMC5154007
OpenAlexW2470682094

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.