ArticleArchives of public health = Archives belges de sante publique2019
The development of an Android platform to undertake a discrete choice experiment in a low resource setting.
Article in Archives of public health = Archives belges de sante publique, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Barriers and facilitators for the use of telehealth by healthcare providers in India-A systematic review.PLOS digital health · 2024Article
- Pretesting Discrete-Choice Experiments: A Guide for Researchers.The patient · 2024Article
- Understanding community health worker employment preferences in Malang district, Indonesia, using a discrete choice experiment.BMJ global health · 2022Article
- Article
- What do community health workers want? Findings of a discrete choice experiment among Accredited Social Health Activists (ASHAs) in India.BMJ global health · 2019Article
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDiscrete choice experiment (DCE) is a quantitative technique which helps determine preferences from a definite set of choices. DCEs have been widely used to inform health services in high-income country settings and is gradually being used in low and middle-income countries (LMICs). There are challenges in deploying this method in LMIC settings due to the contextual, cultural and language related barriers. Most DCEs are conducted using paper-based tools. With mobile technology readily accessible across LMICs, we developed an Android-based platform to conduct a DCE among community health workers (CHWs) in rural India.
methodsThis paper describes the development of a DCE for low-literacy community health workers (CHWs) in low-resourced setting on an Android platform. We illustrate the process of identifying realistic and locally relevant attributes, finalising the tool and cognitively testing it among respondents with an average of 10 years of education using 'think aloud' and 'verbal probing' techniques. The Android application was tested in two rounds, first by the research team and second, by the CHWs. The 'think aloud' and 'verbal probing' techniques were essential in assessing the comprehension of the CHWs to the DCE choices.
resultsThe CHWs did not take much time to familiarize themselves with the Android application. Compared to the paper based DCE, the time required for data collection using the Android application was reduced by 50%. We found the Android-based app to be more efficient and time saving as it reduced errors in data collection, eliminated the process of data entry and presented the data for analysis in real time.
conclusionElectronic administration of DCE on Android computer tablets to CHWs with basic education is more efficient, time-saving than paper-based survey designs once the application is provided. It is feasible to use technology to develop and implement DCEs among participants with basic education in resource poor settings.
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