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Medical Decision Making
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A Comparison of Narrative and Table Formats for Presenting Hypothetical Health States to Patients with Gastrointestinal or Pulmonary Disease

Holger J. Schünemann, MD, PhD

McMaster University Health Sciences Centre, Room 2C12, Hamilton, Ontario, L8N 3Z5, Canada;schuneh{at}mcmaster.ca

Elisabeth Ståhl, PhD

Peggy Austin, PhD

Elie Akl, MD

David Armstrong, MD

Gordon H. Guyatt, MD, MSc

Traditionally, quality-of-life researchers describe states of health for patients to rate either in narrative form or in table form, but evidence about which format patients prefer is limited. The authors performed 2 randomized studies to test whether patients prefer the table or narrative format and whether the format of presentation influences how patients rate health states. Approximately three-fourths of patients with gastrointestinal disease or chronic airflow limitation preferred the table format. There were no differences in patients’ ratings of 3 described health states or of their own health. Investigators should consider using the table presentation for describing health states to subjects who are not familiar with these states of health.

Key Words: health-related quality of life • marker states • preference ratings • standard gamble • visual analogue scale • utility • randomized controlled trial • health states

Medical Decision Making, Vol. 24, No. 1, 53-60 (2004)
DOI: 10.1177/0272989X03261566
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