Browsing by Author "Huber, Joel C"
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Item Open Access Action Simulations in Acquisition Cost Estimates(2009) Tal, AnerConsumers often lack objective information about product acquisition costs. In such cases, consumers must rely on estimates of acquisition costs in making their choices. The current work examines the influence of mental simulations of product acquisition on estimates of acquisition costs. We suggest that simulations of product acquisition lead estimates to reflect the influence of consumers' current physical states on the experience of a particular cost. Specifically, carrying a heavy burden leads consumers to estimate higher distances to targets when they engage in simulation of walking to targets, but not when they do not engage in such simulation.
Simulation can be either deliberate or spontaneous. Deliberate simulation is engaged when consumers intentionally simulate an action. Spontaneous simulation requires particular conditions for its occurrence, but does not require conscious intent. The specific conditions for the occurrence of spontaneous simulation are the availability of situational inputs and that action be possible in the given situation. We support these ideas in a series of studies.
Study 1 demonstrates preference shifts that occur as a consequence of participants carrying heavy burdens. Participants in this study shifted their preference from an option located a visible but undefined distance away towards one that was available at their current location. Study 2 supports the theory that this shift occurs as a consequence of alterations in estimates of acquisition costs by showing that burdened participants estimate distances as greater than do unburdened participants.
Study 3 provides evidence for the role of mental simulation in producing such changes in estimated acquisition costs by showing that the distance expansion first demonstrated in study 2 occurs when targets are visible, but not when targets are not visible. This result is consistent with the central contention of this dissertation that visibility is critical for spontaneous simulation. Together, the studies support the role of spontaneous simulation in burden leading to distance expansion. Study 4 provides further support for the role of simulation in producing the effects of physical state on estimated acquisition costs by showing deliberate simulation results in similar distance to that of spontaneous simulation.
Studies 5 and 6 further demonstrate the dual roles of spontaneous and deliberate simulation on distance expansion. They show that expansion does not occur when targets are not reachable because they are up in the air (study 5). However, deliberate simulation of realistic (climbing - study 5) or unrealistic (flying - study 6) action restores distance expansion in those circumstances, supporting the role of simulation in leading to consideration of physical state in estimated acquisition costs.
The final study ties together these results by demonstrating the effects of both spontaneous and deliberate simulation in a single setting. Varying both the availability of conditions supporting spontaneous simulation and instructions for deliberate simulation the study allows an examination of the comparative effects of the two types of simulation and of their potential interaction. The study finds that deliberate simulation may produce effects that are larger than those of spontaneous simulation, but spontaneous simulation does not seem to enhance the effects of deliberate simulation.
Item Open Access Hedonic Benefits of Experiential Preparation(2007-07-24) Lieb, Daniel StephenWhile a vast amount of research in marketing has examined how information prior to purchase helps consumers to make purchase decisions, relatively little work has considered how marketers can increase the value consumers derive from subsequent experiences using this information. This dissertation develops a construct called "experiential preparation" that describes how consumers can increase the hedonic benefit of their experiences. This dissertation defines "experiential preparation" as any mechanism that allows consumers to familiarize themselves with upcoming experiences in advance of consumption, while the "preparation effect" refers to the increase in liking for an event due to experiential preparation.In a series of ten experimental studies this dissertation demonstrates that experiential preparation increases satisfaction, particularly where the respondent is in a positive mood. It also identifies the primary mechanism through which experiential preparation works, showing that increased satisfaction is fully mediated by fluency. These effects occurred across a range of experiences and modes of preparation. In all the studies, participants viewed feature-length and short, films and read short stories. Participants who engaged in experiential preparation received previews in the form of plot summaries or actual excerpts from the films and stories. In all studies, participants reported their enjoyment for the experiences, and, in several studies additional preference measures were collected. Finally, measures were developed to test for the ways in which fluency mediates and positive moods moderate the preparation effect.This dissertation is organized in three chapters. In Chapter One, experiential preparation and the preparation effect are defined, and background literature is discussed. Chapter Two analyses the results of the ten studies thematically around various mechanisms, some of which have a significant impact on the preparation effect, and some, little impact. Chapter Three presents the studies' results in detail.Item Open Access Surgeon Applications of Patient Preferences in Treatment Decision Making for First-Time Anterior Shoulder Dislocation.(Orthopaedic journal of sports medicine, 2020-12-04) Lau, Brian C; Hutyra, Carolyn A; Streufert, Benjamin; Reed, Shelby D; Orlando, Lori A; Huber, Joel C; Taylor, Dean C; Mather, Richard CBackground
Treatment of a first-time anterior shoulder dislocation (FTASD) is sensitive to patient preferences. The operative or nonoperative management debate provides an excellent opportunity to learn how surgeons apply patient preferences in treatment decisions.Purpose
To determine how patient preferences (repeat dislocation risk, recovery difficulties, fear of surgery, treatment costs) and surgeon factors influence a surgeon's treatment plan for FTASD.Study design
Cross-sectional study.Methods
Eight clinical vignettes of hypothetical patients with FTASD (including age, sex, and activity level) were presented to members of the Magellan Society. A second set of matched vignettes with patient preferences and clinical variables were also presented. The vignettes represented scenarios in which evidence does not favor one treatment over another. Respondents were asked how they would manage each hypothetical case. Respondents also estimated the risk of redislocation for the nonoperative cases for comparison with the published rates. Finally, respondents completed a Likert-scale questionnaire to determine their perceptions on factors influencing their decisions.Results
A total of 103 orthopaedic surgeons completed the survey; 48% practiced in an academic hospital; 79% were in practice for 10 years or longer; and 75% had completed a sports medicine fellowship. Patient preferences were the single most important factor influencing treatment recommendation, with activity type and age also important. Just 62% of the surgeon estimates of the risk of redislocation were consistent with the published rates. The inclusion of patient preferences to clinical variables changed treatment recommendations in 62.5% of our hypothetical cases. Respondents rated patient treatment preference as the leading factor in their treatment decision making.Conclusion
Patient preferences were important when deciding the appropriate treatment for FTASD. Respondents were inconsistent when applying evidence in their decision making and estimates of recurrent instability. Decision support tools that deliver patient preferences and personalized evidence-based outcome estimates improve the quality of decision making at the point of care.Item Open Access Understanding Preferences for Treatment After Hypothetical First-Time Anterior Shoulder Dislocation: Surveying an Online Panel Utilizing a Novel Shared Decision-Making Tool.(Orthop J Sports Med, 2017-03) Streufert, Ben; Reed, Shelby D; Orlando, Lori A; Taylor, Dean C; Huber, Joel C; Mather, Richard CBACKGROUND: Although surgical management of a first-time anterior shoulder dislocation (FTASD) can reduce the risk of recurrent dislocation, other treatment characteristics, costs, and outcomes are important to patients considering treatment options. While patient preferences, such as those elicited by conjoint analysis, have been shown to be important in medical decision-making, the magnitudes or effects of patient preferences in treating an FTASD are unknown. PURPOSE: To test a novel shared decision-making tool after sustained FTASD. Specifically measured were the following: (1) importance of aspects of operative versus nonoperative treatment, (2) respondents' agreement with results generated by the tool, (3) willingness to share these results with physicians, and (4) association of results with choice of treatment after FTASD. STUDY DESIGN: Cross-sectional study; Level of evidence, 3. METHODS: A tool was designed and tested using members of Amazon Mechanical Turk, an online panel. The tool included an adaptive conjoint analysis exercise, a method to understand individuals' perceived importance of the following attributes of treatment: (1) chance of recurrent dislocation, (2) cost, (3) short-term limits on shoulder motion, (4) limits on participation in high-risk activities, and (5) duration of physical therapy. Respondents then chose between operative and nonoperative treatment for hypothetical shoulder dislocation. RESULTS: Overall, 374 of 501 (75%) respondents met the inclusion criteria, of which most were young, active males; one-third reported prior dislocation. From the conjoint analysis, the importance of recurrent dislocation and cost of treatment were the most important attributes. A substantial majority agreed with the tool's ability to generate representative preferences and indicated that they would share these preferences with their physician. Importance of recurrence proved significantly predictive of respondents' treatment choices, independent of sex or age; however, activity level was important to previous dislocators. A total of 125 (55%) males and 33 (23%) females chose surgery after FTASD, as did 37% of previous dislocators compared with 45% of nondislocators. CONCLUSION: When given thorough information about the risks and benefits, respondents had strong preferences for operative treatment after an FTASD. Respondents agreed with the survey results and wanted to share the information with providers. Recurrence was the most important attribute and played a role in decisions about treatment.