Shared Decision-Making (SDM), the process of physicians and patients collaborating on healthcare decisions, is increasing in importance. Patients can achieve greater self-efficacy when involved in SDM and can better communicate their healthcare goals to clinicians. One approach to SDM involves the use of personalized decision analytic models. These models can leverage both patient-to-patient variabilities in clinical risk factors and patient-to-patient variability in values and preferences for health outcomes (i.e., utilities). First, we must have a feasible and standard approach to assessing patient utilities for health outcomes.

The Gambler is a computerized health utility assessment tool we developed to standardize and semi-automate the process of utility assessment. The Gambler uses a state of the art interactive, web-based platform to assess utilities. The Gambler contains four utility assessment methods: ordinal ranking, visual analog scale, standard reference gamble, and time-trade off. It provides an authoring tool that clinicians can use to create the necessary health state scenario descriptions. An innovative feature is the use of multi-media clips using patients (or actors) to describe the relevant health states. These can supplement text descriptions and demographically match a patient’s age range, gender, and race to provide more personalized, relatable descriptions of the health states assessed.

Learning Objective 1: After participating in this session, the learner should be better able to:

Explain how health utility assessment can contribute to shared decision-making with patients.


Adeboye Adejare (Presenter)
University of Cincinnati

Mark Eckman, University of Cincinnati

Presentation Materials: