Sample Size Requirements for Discrete-Choice Experiments in Healthcare: a Practical Guide

Discrete-choice experiments (DCEs) have become a commonly used instrument in health economics and patient-preference analysis, addressing a wide range of policy questions. An important question when setting up a DCE is the size of the sample needed to answer the research question of interest. Although theory exists as to the calculation of sample size requirements for stated choice data, it does not address the issue of minimum sample size requirements in terms of the statistical power of hypothesis tests on the estimated coefficients. The purpose of this paper is threefold: (1) to provide insight into whether and how researchers have dealt with sample size calculations for healthcare-related DCE studies; (2) to introduce and explain the required sample size for parameter estimates in DCEs; and (3) to provide a step-by-step guide for the calculation of the minimum sample size requirements for DCEs in health care.

[1]  Rainer Sauerborn,et al.  Health worker preferences for community-based health insurance payment mechanisms: a discrete choice experiment , 2012, BMC Health Services Research.

[2]  Michiel C.J. Bliemer,et al.  Constructing Efficient Stated Choice Experimental Designs , 2009 .

[3]  D. Hensher,et al.  Stated Choice Methods: Analysis and Applications , 2000 .

[4]  Michel Wedel,et al.  Profile Construction in Experimental Choice Designs for Mixed Logit Models , 2002 .

[5]  Deborah Marshall,et al.  Constructing experimental designs for discrete-choice experiments: report of the ISPOR Conjoint Analysis Experimental Design Good Research Practices Task Force. , 2013, Value in health : the journal of the International Society for Pharmacoeconomics and Outcomes Research.

[6]  Mandy Ryan,et al.  Using discrete choice experiments to value health care programmes: current practice and future research reflections. , 2003, Applied health economics and health policy.

[7]  John M. Rose,et al.  Applied Choice Analysis: A Primer , 2005 .

[8]  Mylene Lagarde,et al.  Job Preferences of Nurses and Midwives for Taking Up a Rural Job in Peru: A Discrete Choice Experiment , 2012, PloS one.

[9]  T. Öberg,et al.  Conjoint analysis , 2008, Environmental science and pollution research international.

[10]  Masatoshi Kudo,et al.  Identifying and prioritizing strategies for comprehensive liver cancer control in Asia , 2011, BMC health services research.

[11]  E P Kroes,et al.  STATED PREFERENCE TECHNIQUES: A GUIDE TO PRACTICE , 1990 .

[12]  Margaret E Kruk,et al.  Preferences for working in rural clinics among trainee health professionals in Uganda: a discrete choice experiment , 2012, BMC Health Services Research.

[13]  Mandy Ryan,et al.  Discrete choice experiments in health economics: a review of the literature. , 2012, Health economics.

[14]  Scot Simpson,et al.  A discrete choice experiment evaluation of patients’ preferences for different risk, benefit, and delivery attributes of insulin therapy for diabetes management , 2010, Patient preference and adherence.

[15]  Karen Gerard,et al.  Valuing the extended role of prescribing pharmacist in general practice: results from a discrete choice experiment. , 2012, Value in health : the journal of the International Society for Pharmacoeconomics and Outcomes Research.

[16]  John M. Rose,et al.  Applied Choice Analysis: List of tables , 2005 .

[17]  Dominik Mahr,et al.  Predicting the place of out-of-hours care--a market simulation based on discrete choice analysis. , 2012, Health policy.

[18]  K. Lancaster A New Approach to Consumer Theory , 1966, Journal of Political Economy.

[19]  Philippe Lambin,et al.  Follow-up after treatment for breast cancer: One strategy fits all? An investigation of patient preferences using a discrete choice experiment , 2010, Acta oncologica.

[20]  M. English,et al.  Policy interventions that attract nurses to rural areas: a multicountry discrete choice experiment. , 2010, Bulletin of the World Health Organization.

[21]  Bas Donkers,et al.  Girls' preferences for HPV vaccination: a discrete choice experiment. , 2010, Vaccine.

[22]  John F P Bridges,et al.  Designing Family-Centered Male Circumcision Services , 2012, The Patient - Patient-Centered Outcomes Research.

[23]  E W Steyerberg,et al.  What determines individuals' preferences for colorectal cancer screening programmes? A discrete choice experiment. , 2010, European journal of cancer.

[24]  Liming Dong,et al.  Prioritizing strategies for comprehensive liver cancer control in Asia: a conjoint analysis , 2012, BMC Health Services Research.

[25]  A. Scott,et al.  Eliciting GPs' preferences for pecuniary and non-pecuniary job characteristics. , 2001, Journal of health economics.

[26]  John M. Rose,et al.  Sample size requirements for stated choice experiments , 2013 .

[27]  John F P Bridges,et al.  Patients' preferences for treatment outcomes for advanced non-small cell lung cancer: a conjoint analysis. , 2012, Lung cancer.

[28]  M. Bliemer,et al.  A Closer Look at Decision and Analyst Error by Including Nonlinearities in Discrete Choice Models: Implications on Willingness-to-Pay Estimates Derived from Discrete Choice Data in Healthcare , 2013, PharmacoEconomics.

[29]  Mara Ozolins,et al.  What determines patient preferences for treating low risk basal cell carcinoma when comparing surgery vs imiquimod? A discrete choice experiment survey from the SINS trial , 2012, BMC Dermatology.

[30]  J. Ratcliffe,et al.  What sort of follow-up services would Australian breast cancer survivors prefer if we could no longer offer long-term specialist-based care? A discrete choice experiment , 2014, British Journal of Cancer.

[31]  D R Owens,et al.  Preferences of people with diabetes for diabetic retinopathy screening: a discrete choice experiment , 2012, Diabetic medicine : a journal of the British Diabetic Association.

[32]  John M. Rose,et al.  Applied Choice Analysis: List of tables , 2005 .

[33]  Mandy Ryan,et al.  Using discrete choice experiments to value health and health care , 2008 .

[34]  Peter Goos,et al.  A Comparison of Criteria to Design Efficient Choice Experiments , 2006 .

[35]  E. W. Steyerberg,et al.  Patients’ preferences for osteoporosis drug treatment: a discrete choice experiment , 2008, Osteoporosis International.

[36]  M. Bliemer,et al.  Construction of experimental designs for mixed logit models allowing for correlation across choice observations , 2010 .

[37]  Simon Dixon,et al.  Assessing patient preferences for the delivery of different community‐based models of care using a discrete choice experiment , 2015, Health expectations : an international journal of public participation in health care and health policy.

[38]  J. Louviere,et al.  Conducting Discrete Choice Experiments to Inform Healthcare Decision Making , 2012, PharmacoEconomics.

[39]  R. Manjunath,et al.  Patients' preferences for treatment outcomes of add-on antiepileptic drugs: A conjoint analysis , 2012, Epilepsy & Behavior.

[40]  David Patrick,et al.  Evaluating societal preferences for human papillomavirus vaccine and cervical smear test screening programme , 2010, Sexually Transmitted Infections.

[41]  D. McFadden Conditional logit analysis of qualitative choice behavior , 1972 .

[42]  Dorte Gyrd-Hansen,et al.  Do general practitioners know patients' preferences? An empirical study on the agency relationship at an aggregate level using a discrete choice experiment. , 2012, Value in health : the journal of the International Society for Pharmacoeconomics and Outcomes Research.

[43]  O. Ström,et al.  Patient preferences for characteristics differentiating ovarian stimulation treatments. , 2012, Human reproduction.