Quality of Life Research

, Volume 15, Issue 3, pp 429–439

Eliciting Utilities Using Functional Methodology: People’s Disutilities for the Adverse Outcomes of Cardiopulmonary Resuscitation

  • Alexandra Gamelin
  • María Teresa Muñoz Sastre
  • Paul Clay Sorum
  • Etienne Mullet

DOI: 10.1007/s11136-005-2830-y

Cite this article as:
Gamelin, A., Sastre, M.T.M., Sorum, P.C. et al. Qual Life Res (2006) 15: 429. doi:10.1007/s11136-005-2830-y


Objective: To evaluate the functional methodology of Norman H. Anderson in eliciting utilities for health outcomes. Methods: Lay people in Tours, France, rated the undesirability of 40 scenarios of possible outcomes of cardiopulmonary resuscitation on individual linear scales (Study 1) or on a single long scale (Study 2). The outcomes were either 1 of 8 undesirable outcomes, combined with 1 of 5 likelihoods, or else complete recovery, combined with the complementary likelihood. Results: The mean utilities were consistent with previous studies. On the individual level, the internal coherence of most participants’ ratings – defined as the consistency and regularity of the graphic representation of their ratings – improved in Study 1 from their 1st to their 2nd rating. The single scale took less time, but allowed participants to disregard the information about likelihood. Conclusions: Functional methodology provides a powerful means of checking on the understanding and consistency of each person whose utilities are elicited.


Advance directivesCardiopulmonary resuscitationFunctional Theory of CognitionUtility

Copyright information

© Springer 2006

Authors and Affiliations

  • Alexandra Gamelin
    • 1
  • María Teresa Muñoz Sastre
    • 2
  • Paul Clay Sorum
    • 3
  • Etienne Mullet
    • 4
  1. 1.IUT BUniversité François-RabelaisToursFrance
  2. 2.Département de Psychologie Clinique et Pathologique Université du MirailToulouseFrance
  3. 3.Departments of Medicine and Pediatrics Albany Medical CollegeAlbany, LathamUSA
  4. 4.Ecole Pratique des Hautes EtudesToulouseFrance