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A deliberative approach to valuing capabilities : assessing and valuing changes in the well-being of those close to patients receiving supportive end of life care

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Kinghorn, Philip, Canaway, Alastair, Bailey, Cara, Al-Janabi, Hareth and Coast, Joanna (2022) A deliberative approach to valuing capabilities : assessing and valuing changes in the well-being of those close to patients receiving supportive end of life care. Journal of Human Development and Capabilities, 23 (3). pp. 455-476. doi:10.1080/19452829.2021.2008885 ISSN 1945-2829.

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Official URL: https://doi.org/10.1080/19452829.2021.2008885

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Abstract

Aim: Explore the use of deliberative valuation to elicit relative weights for a set of capabilities identified as being important and relevant to those close to patients receiving supportive care at the end of life. Methods: Focus groups, involving the general UK population (n = 38) and policy-makers (n = 29) with experience of, and influence on, priorities for end of life care. Public participants completed two valuation tasks (budget pie and visual analogue scale (VAS)) individually, discussed their responses, and then recorded a final (individual) response. Policy-makers completed the VAS tasks in a separate series of focus groups. Quantitative and qualitative analyses of participants’ responses are reported. Results: Individual values were aggregated to form relative weights for the capabilities. Capabilities given greatest weighting were “good communication between care providers and close persons” and “practical support for close persons”. The quantitative impact of deliberation on weights overall was negligible, but qualitative findings indicated that disclosure of personal experiences did appear to prompt others to consider issues from new perspectives. Discussion: Deliberative valuation was found to be a potentially feasible method for generating weights. However, further consideration needs to be given as to how to optimise recruitment whilst ensuring that participants actively engage with the task.

Item Type: Journal Article
Subjects: R Medicine > R Medicine (General)
Divisions: Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences
Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School
Library of Congress Subject Headings (LCSH): Terminal care -- Evaluation, Terminally ill -- Care, Palliative treatment -- Evaluation, Capabilities approach (Social sciences), Terminal care -- Economic aspects, Terminal care -- Cost effectiveness, Deliberative valuation
Journal or Publication Title: Journal of Human Development and Capabilities
Publisher: Routledge
ISSN: 1945-2829
Official Date: 2022
Dates:
DateEvent
2022Published
1 December 2021Available
12 November 2021Accepted
Volume: 23
Number: 3
Page Range: pp. 455-476
DOI: 10.1080/19452829.2021.2008885
Status: Peer Reviewed
Publication Status: Published
Reuse Statement (publisher, data, author rights): This is an Accepted Manuscript of an article published by Taylor & Francis in Journal of Human Development and Capabilities on 01/12/2021, available online: http://www.tandfonline.com/10.1080/19452829.2021.2008885
Access rights to Published version: Restricted or Subscription Access
Date of first compliant deposit: 18 November 2021
RIOXX Funder/Project Grant:
Project/Grant IDRIOXX Funder NameFunder ID
261098European Research Councilhttp://dx.doi.org/10.13039/501100000781
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