Decision Making III
posted April 25, 2006
Reading assignment: Schwartz, et al. (2004)

Multi-attribute Decision Making

Adding options, Part 1 ___________ Effect Conflict in Choice


Why does this happen?


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.

  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

Decisions with Multiple Alternatives 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%
 
________-Based Choice (Shafir) 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 


_____________ effect (Tversky & Shafir, 1992)

The pursuit of more ___________