Estimating an anchored utility tariff for the well-being of older people measure (WOOP) for the Netherlands

Sebastian Himmler; Marcel Jonker; Frédérique van Krugten; Mariska Hackert; Job van Exel; Werner Brouwer

doi:10.1016/j.socscimed.2022.114901

Estimating an anchored utility tariff for the well-being of older people measure (WOOP) for the Netherlands

Sebastian Himmler^*
, Marcel Jonker
, Frédérique van Krugten
, Mariska Hackert
, Job van Exel
, Werner Brouwer

^*Corresponding author for this work

Research output: Contribution to journal › Article › Academic › peer-review

19 Citations (Scopus)

77 Downloads (Pure)

Abstract

OBJECTIVE: Health economic evaluations using common health-related quality of life measures may fall short in adequately incorporating all relevant benefits of health and social care interventions targeted at older people. The Well-being of Older People measure (WOOP) is a broader well-being measure that comprises nine well-being domains. The objective of this study was to estimate a utility tariff for the WOOP, to facilitate its application in cost-utility analyses.

METHODS: A discrete choice experiment (DCE) with duration approach was set up and fielded among 2,012 individuals from the Netherlands aged 65 years and above. Matched pairwise choice tasks, colour-coding and level overlap were used to reduce the cognitive burden of the DCE. The choice tasks were created using a Bayesian heterogeneous D-efficient design. The estimation procedure accommodated for nonlinear time preferences via an exponential discounting function.

RESULTS: The estimation results showed that 'physical health', 'mental health', and 'making ends meet' were the most important well-being domains for older people, followed by 'independence' and 'living situation'. Of somewhat lesser importance were domains like 'social life', 'receiving support' and 'feeling useful'. The generated utility tariffs can be used to translate well-being states described with the WOOP to a utility score between -0.616 and 1.

CONCLUSIONS: This study established a tariff for the WOOP, which will facilitate its use in economic evaluations of health and social care interventions targeted at older people, first of all in the Netherlands.

Original language	English
Article number	114901
Journal	Social Science & Medicine
Volume	301
DOIs	https://doi.org/10.1016/j.socscimed.2022.114901
Publication status	Published - May 2022

Bibliographical note

Funding Information:
Sebastian Himmler received funding from a Marie Sklodowska-Curie fellowship financed by the European Commission (Grant agreement No. 721402 ). The data collection was also funded through that grant. The sponsor had no in study design; in the collection, analysis and interpretation of data; in the writing of the articles; and in the decision to submit it for publication.

Publisher Copyright:
© 2022 The Authors

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

SDG 3 Good Health and Well-being

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Estimating an anchored utility tariff for the well-being of older people measure (WOOP) for the NetherlandsFinal published version, 2.82 MBLicence: CC BY

Cite this

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title = "Estimating an anchored utility tariff for the well-being of older people measure (WOOP) for the Netherlands",

abstract = "OBJECTIVE: Health economic evaluations using common health-related quality of life measures may fall short in adequately incorporating all relevant benefits of health and social care interventions targeted at older people. The Well-being of Older People measure (WOOP) is a broader well-being measure that comprises nine well-being domains. The objective of this study was to estimate a utility tariff for the WOOP, to facilitate its application in cost-utility analyses.METHODS: A discrete choice experiment (DCE) with duration approach was set up and fielded among 2,012 individuals from the Netherlands aged 65 years and above. Matched pairwise choice tasks, colour-coding and level overlap were used to reduce the cognitive burden of the DCE. The choice tasks were created using a Bayesian heterogeneous D-efficient design. The estimation procedure accommodated for nonlinear time preferences via an exponential discounting function.RESULTS: The estimation results showed that 'physical health', 'mental health', and 'making ends meet' were the most important well-being domains for older people, followed by 'independence' and 'living situation'. Of somewhat lesser importance were domains like 'social life', 'receiving support' and 'feeling useful'. The generated utility tariffs can be used to translate well-being states described with the WOOP to a utility score between -0.616 and 1.CONCLUSIONS: This study established a tariff for the WOOP, which will facilitate its use in economic evaluations of health and social care interventions targeted at older people, first of all in the Netherlands.",

author = "Sebastian Himmler and Marcel Jonker and \{van Krugten\}, Fr{\'e}d{\'e}rique and Mariska Hackert and \{van Exel\}, Job and Werner Brouwer",

note = "Funding Information: Sebastian Himmler received funding from a Marie Sklodowska-Curie fellowship financed by the European Commission (Grant agreement No. 721402 ). The data collection was also funded through that grant. The sponsor had no in study design; in the collection, analysis and interpretation of data; in the writing of the articles; and in the decision to submit it for publication. Publisher Copyright: {\textcopyright} 2022 The Authors",

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AU - Hackert, Mariska

AU - van Exel, Job

AU - Brouwer, Werner

N1 - Funding Information: Sebastian Himmler received funding from a Marie Sklodowska-Curie fellowship financed by the European Commission (Grant agreement No. 721402 ). The data collection was also funded through that grant. The sponsor had no in study design; in the collection, analysis and interpretation of data; in the writing of the articles; and in the decision to submit it for publication. Publisher Copyright: © 2022 The Authors

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N2 - OBJECTIVE: Health economic evaluations using common health-related quality of life measures may fall short in adequately incorporating all relevant benefits of health and social care interventions targeted at older people. The Well-being of Older People measure (WOOP) is a broader well-being measure that comprises nine well-being domains. The objective of this study was to estimate a utility tariff for the WOOP, to facilitate its application in cost-utility analyses.METHODS: A discrete choice experiment (DCE) with duration approach was set up and fielded among 2,012 individuals from the Netherlands aged 65 years and above. Matched pairwise choice tasks, colour-coding and level overlap were used to reduce the cognitive burden of the DCE. The choice tasks were created using a Bayesian heterogeneous D-efficient design. The estimation procedure accommodated for nonlinear time preferences via an exponential discounting function.RESULTS: The estimation results showed that 'physical health', 'mental health', and 'making ends meet' were the most important well-being domains for older people, followed by 'independence' and 'living situation'. Of somewhat lesser importance were domains like 'social life', 'receiving support' and 'feeling useful'. The generated utility tariffs can be used to translate well-being states described with the WOOP to a utility score between -0.616 and 1.CONCLUSIONS: This study established a tariff for the WOOP, which will facilitate its use in economic evaluations of health and social care interventions targeted at older people, first of all in the Netherlands.

AB - OBJECTIVE: Health economic evaluations using common health-related quality of life measures may fall short in adequately incorporating all relevant benefits of health and social care interventions targeted at older people. The Well-being of Older People measure (WOOP) is a broader well-being measure that comprises nine well-being domains. The objective of this study was to estimate a utility tariff for the WOOP, to facilitate its application in cost-utility analyses.METHODS: A discrete choice experiment (DCE) with duration approach was set up and fielded among 2,012 individuals from the Netherlands aged 65 years and above. Matched pairwise choice tasks, colour-coding and level overlap were used to reduce the cognitive burden of the DCE. The choice tasks were created using a Bayesian heterogeneous D-efficient design. The estimation procedure accommodated for nonlinear time preferences via an exponential discounting function.RESULTS: The estimation results showed that 'physical health', 'mental health', and 'making ends meet' were the most important well-being domains for older people, followed by 'independence' and 'living situation'. Of somewhat lesser importance were domains like 'social life', 'receiving support' and 'feeling useful'. The generated utility tariffs can be used to translate well-being states described with the WOOP to a utility score between -0.616 and 1.CONCLUSIONS: This study established a tariff for the WOOP, which will facilitate its use in economic evaluations of health and social care interventions targeted at older people, first of all in the Netherlands.

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Estimating an anchored utility tariff for the well-being of older people measure (WOOP) for the Netherlands

Abstract

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