Please use this identifier to cite or link to this item: https://doi.org/10.2147/PPA.S4142
Title: Are symbols useful and culturally acceptable in health-state valuation studies? An exploratory study in a multi-ethnic Asian population
Authors: Wee, H.-L. 
Li, S.-C.
Zhang, X.-H.
Xie, F.
Feeny, D.
Luo, N. 
Cheung, Y.-B.
Machin, D.
Fong, K.-Y.
Thumboo, J.
Keywords: Asian
Culture
Health status
Questionnaires
Singapore
Southeastern
Issue Date: 2-Oct-2008
Citation: Wee, H.-L., Li, S.-C., Zhang, X.-H., Xie, F., Feeny, D., Luo, N., Cheung, Y.-B., Machin, D., Fong, K.-Y., Thumboo, J. (2008-10-02). Are symbols useful and culturally acceptable in health-state valuation studies? An exploratory study in a multi-ethnic Asian population. Patient Preference and Adherence 2 : 271-276. ScholarBank@NUS Repository. https://doi.org/10.2147/PPA.S4142
Abstract: Background: Symbols have been used in health state valuation studies to help subjects distinguish the severity of various characteristics of a given health state. Symbols used in such studies need to be evaluated for their cross-cultural appropriateness because a given symbol may have different meanings or acceptability in different cultures, which may affect results of such studies. Objectives: To evaluate if using symbols to differentiate health states of different severity is useful and culturally acceptable in a multi-ethnic, urban Asian population. Methods: Using in-depth interviews with adult Chinese, Malay, and Indian Singaporeans conducted in English/mother-tongue, subjects were shown a health state with 6 levels (Health Utilities Index 3 vision), each displayed with a symbol, and asked (1a) if symbols were useful in differentiating severity of each level (measured using dichotomous and 0-10 visual analog scale [VAS] scales) or (1b) offensive and (2) to assess 7 alternative sets of symbols. Results: Of 63 subjects (91% response rate), 18 (29%) felt symbols were useful in differentiating severity of each level. Reported usefulness of symbols was fair (median VAS score: 3.0, score exceeding 5.0 for 33% of subjects). One Malay subject felt symbols were offensive. Conclusions: Use of symbols for health state valuation was culturally acceptable and useful for some subjects. © 2008 Wee et al, publisher and licensee Dove Medical Press Ltd.
Source Title: Patient Preference and Adherence
URI: http://scholarbank.nus.edu.sg/handle/10635/108264
ISSN: 1177889X
DOI: 10.2147/PPA.S4142
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