Decision Making III
posted April 25, 2006
Reading assignment: Schwartz, et al. (2004)
Multi-attribute Decision Making
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Decision making under ________
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_________ between multiple attributes
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Which attribute is more important?
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Trade-off makes the choice difficult
Adding options, Part 1
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Is more really better?
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Economists tell us more options are better
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People make _______ choices
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Ensures something for everyone
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Psychologists show that adding options causes irrational behavior
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Choices are not __________
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________ is avoided
___________ Effect
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2 options:
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Sony CD player Average quality
$125
40%
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Aiwa CD Player High quality
$145
60%
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3-options:
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Sony CD player Average quality
$125
___%
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Aiwa CD Player High quality
$145
___%
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RCA CD player Below average quality $125
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Conflict in Choice
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Attraction effect (Huber, Payne, & Puto 1982)
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Violates normative rule of ____________
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Increasing the number choices should not change relative preferences among
the original options
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unless new option offers additional information
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If I prefer the Aiwa to the Sony then it should stay that way– even when
the RCA CD player is there
Why does this happen?
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______ highlight relationships among the alternatives
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_________- target looks better because it has a relational advantage over
the decoy
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Competitor has no such advantage
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Reduces conflict– provides a justifiable reason to choose
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Avoids complicated trade-off analysis
Alleviates post-decision ________
Attraction Effect
The patient is a 56-year-old female. She was widowed six weeks
ago, after watching her husband suffer from an illness for several months.
During a routine physical examination, the patient reports that for the
past three weeks she has had difficulty sleeping, diminished appetite,
increased anxiety, and a lack of interest in previously enjoyed activities.
Your diagnosis is New Onset Depression. The patient is an appropriate
candidate for antidepressant medication.
| Med |
Effectiveness |
Side Effects |
| Serzone |
Superior to a placebo on 3 out of 4 depression measures |
25% report dry mouth, nausea, somnolence. |
| Paxil |
Superior to a placebo on 2 out of 4 depression measures |
5% report dry mouth, nausea, somnolence |
| Tofranil |
Superior to a placebo on 3 out of 4 depression measures |
35% report dry mouth, nausea, somnolence. Also hallucinations,
and delusions. |
Results
| Condition |
Drug |
N |
% Choice |
| 2-Option |
Serzone |
4 |
25% |
|
Paxil |
12 |
75% |
|
|
|
|
| 3-Option |
Serzone |
7 |
___% |
|
Paxil |
2 |
___% |
|
Tofranil |
1 |
___% |
|
|
|
|
Schwartz, J.A. and Chapman, G.B. (1999). Are more options always
better? The attraction effect in physicians’ decisions about medications.
Medical Decision Making, 19, 315-323.
Adding Options, Part 2
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Low conflict:
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Suppose you are considering buying a new CD player and have not yet decided
which model to buy. You pass by a store that is having a one-day clearance
sale. They offer a popular SONY player for just $99, well below the list
price. Do you?
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B. buy the SONY player (___%)
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C. wait until you learn more about the various models (___%)
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High conflict:
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You pass by a store that is having a one-day clearance sale. They offer
a popular SONY player for just $99, and a top-of-the-line AIWA player for
just $169, both well below the list price. Do you?
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A. buy the Aiwa player
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B. buy the SONY player
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C. wait until you learn more about the various models (___%)
Decisions with Multiple Alternatives
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Family physicians read the following scenario:
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The patient is a 67-year-old farmer with chronic right hip pain.
The diagnosis is osteoarthritis. You have tried several nonsteroidal
anti-inflammatory agents (e.g., aspirin, naproxen, and ketoprofen) and
have stopped them because of either adverse effects or lack of efficacy.
You decide to refer him to an orthopedic consultant for consideration for
hip replacement surgery. The patient agrees to this plan.
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Basic Version
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Before sending him away, however, you check the drug formulary and find
that there is one nonsteroidal medication that this patient has not tried
(ibuprofen). What do you do?
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A. refer to orthopedics and also start ibuprofen
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B. refer to orthopedics and do not start any new medication (___%)
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Expanded Version
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Before sending him away, however, you check the drug formulary and find
that there are two nonsteroidal medications that this patient has not tried
(ibuprofen and piroxicam). What do you do?
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A. refer to orthopedics and also start ibuprofen
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B. refer to orthopedics and also start piroxicam
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C. refer to orthopedics and do not start any new medication (___%)
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Redelmeier, D.A. & Shafir, E. (1995). Medical decision making
in situations that offer multiple alternatives. JAMA, 273(4), 302-305.
Accountability
|
Accountable |
(n=64) |
Nonaccountable |
(n=127) |
| Treatment Option |
2 Option (n=34) |
3 Option (n=30) |
2 Option (n=58) |
3 Option (n=69) |
| Piroxicam + referral |
|
___% |
|
18% |
| Diclofenac + referral |
70% |
___% |
65% |
38% |
| Referral only |
30% |
___% |
35% |
44% |
|
|
|
|
|
|
|
|
|
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________-Based Choice (Shafir)
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Decision makers want a defensible ________ for choosing one option.
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Pick the option with the best supporting reason
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Not necessarily the option with highest _________
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Leads to inconsistencies when context changes make different reasons salient
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Feeling _____________ heightens the search for defensible reasons.
Choosing vs. Rejecting Options
Imagine that you are planning a week’s vacation in a warm spot over
spring break. You currently have two options that are reasonably priced.
The travel brochure has only a limited amount of information about the
two options. Given the information available, which vacation spot do you
[prefer/decide to cancel]?
Reasons Pro and Con
| Spot A |
Average weather
Average beaches
Medium-quality hotel
Medium-temperature water
Average nightlife Prefer |
Prefer
|
Cancel
|
| Spot B |
Lots of sunshine
Gorgeous beaches and coral reefs
Ultra-modern hotel
Very cold water
Very strong winds
No nightlife |
|
|
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Both questions ask which vacation you want, so prefer vs. cancel should
be complimentary
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Pp (68%) + Pc (48%) > 100%
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Compatibility
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When ________, focus on positive attributes
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When ________, focus on negative attributes
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No good reason to either choose or reject A
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Very good reasons for both choosing and rejecting B
_____________ effect (Tversky & Shafir, 1992)
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Imagine that you have just taken a tough qualifying examination. It is
the end of the term, you feel tired and run down, and are not sure you
passed. In case you failed you have to take the exam again– after the Christmas
holiday. You now have the opportunity to buy a very attractive 5-day Christmas
vacation package to Hawaii at an exceptionally low price. The special offer
expires tomorrow, while the exam grade will not be available until the
following day. Would you?
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Buy the vacation package?
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Not buy the vacation package?
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Pay a $5, non-refundable fee in order to secure the deal until after
you know the exam outcome?
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Imagine that you have just taken a tough qualifying examination. It is
the end of the term, you feel tired and run down, and you find out that
you [passed/failed. You will now have to take the exam again after the
Christmas holidays]. You now have the opportunity to buy a very attractive
5-day Christmas vacation package to Hawaii at an exceptionally low price.
The special offer expires tomorrow. Would you?
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Buy the vacation package?
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Not buy the vacation package?
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Pay a $5, non-refundable fee in order to secure the deal until after
you know the exam outcome?
The pursuit of more ___________
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Disjunction effect- a disjunction of events (pass or fail) results in the
same outcome
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The outcome is irrelevant- majority of students book vacation regardless
of exam outcome
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Will pay a premium for the rights to a good reason for choosing
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Pursuing information that seems relevant, but actually won’t affect decision.
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But the information determines the __________ for the decsion.