Evidence map›Paper›PMID 34455174›Full record

ArticleThe International journal on drug policy2021

Using conjoint analysis to study health policy changes: An example from a cohort of persons who use drugs.

Hannah K Knudsen, Jennifer R Havens

Open access · greenAbstract read
In one paragraph

Article in The International journal on drug policy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
1.2field-weighted citation impact, top 13% 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

1 citing paper in PubMed, 4 citations in OpenAlex.

  1. Article
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

2 authors at 1 institution in 1 country.

Hannah K KnudsenDepartment of Behavioral Science and Center on Drug and Alcohol Research, University of Kentucky, 845 Angliana Avenue, Room 204, Lexington, KY 40508, United States. Electronic address: hannah.knudsen@uky.edu.
Jennifer R HavensDepartment of Behavioral Science and Center on Drug and Alcohol Research, University of Kentucky, 845 Angliana Avenue, Room 201, Lexington, KY 40508, United States.
University of Kentucky · US

Funding

Examining the Impact of the Twin Epidemics of Methamphetamine and Opioid Use on Overdose, Risky Sex and Treatment Engagement among PWUD in Two Rural Appalachian CohortsR01DA033862 · NIDA · UNIVERSITY OF KENTUCKY · PI Jennifer R Havens · 2012 to 2026
$6.9M
Social networks and HIV risk among rural drug usersR01DA024598 · NIDA · UNIVERSITY OF KENTUCKY · PI HAVENS, JENNIFER R · 2008 to 2012
$2.6M
NIDA NIH HHS R01 DA024598NIDA NIH HHS R01 DA033862
6 · The paper itself

Abstract

backgroundHistorically, persons who use drugs (PWUDs) in the United States have often lacked health insurance, as Medicaid did not cover low-income adults. The Affordable Care Act of 2010 (ACA) increased access to insurance in states, such as Kentucky, that expanded their Medicaid programs. A cohort study of PWUDs in Kentucky found the prevalence of being insured increased from 34% pre-ACA to 87% post-ACA. However, changes to Medicaid were proposed that intended to restrict access to this program. This manuscript describes the feasibility and utility of conjoint analysis, an innovative method for studying decision-making, to identify potential impacts of health policy changes on PWUDs.

methodsIBM SPSS's "orthogonal design" command was used to construct 12 policy profiles that presented varying combinations of the proposed policy changes to Kentucky's Medicaid plan. Each policy profile presented information on (1) monthly premium costs, (2) penalties for not paying monthly premiums, (3) weekly work requirements, and (4) if their preferred physician accepted the plan for payment. Readability of the policy profiles was analyzed using the Readable.io application. The policy profiles were included in a recent follow-up of a longitudinal cohort of PWUDs in Appalachian Kentucky (n = 355). Participants rated the likelihood of enrolling in each policy profile's Medicaid plan, using a scale ranging from 0=not at all likely to 10=extremely likely. Data were analyzed using SPSS's conjoint analysis commands.

resultsReadability results indicated the policy profiles required a 3

conclusionsThis research demonstrates the feasibility of using conjoint analysis to study the impacts of potential policy changes on PWUDs.

Indexed as

Patient Protection and Affordable Care ActPharmaceutical PreparationsAdultCohort StudiesHealth PolicyHealth Services AccessibilityHumansInsurance CoverageUnited StatesPharmaceutical PreparationsAffordable Care ActConjoint analysisHealth insuranceHealth policyMedicaid expansion

Identifiers

PMID34455174
PMCPMC8671200
OpenAlexW3197282462

What OpenQuestion holds

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LicenceTDM
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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.