Decision Satisfaction Research Articles

Quality of Services and Satisfaction of Customer:Mediated by Consumer Buying Decision

During era of 1990s, Paktel enjoyed the profits and hold market in a hand. As time goes on other providers entered into the market. Than rivalry was increased due to the saturated market. This conditions benefitted customers and put them in myth of to whom they select as their basic service providers. This study conducted with the aim to investigate the influence of quality of services QoS and role of family and friends F&F, on consumer buying decision CBD and satisfaction of customers SoC. 567 responses collected via field survey. The techniques of bootstrapping, PLS Algorithms, and structural equation modeling was used. Findings involve CBD positively and significantly mediate between QoS, F&F and SoC. Moreover positive and significant direct relationship founded between QoS and SoC Keywords: Quality of Services (QoS), Family and Friends (F&F), Satisfaction of Customer (SoC), Consumer Buying Decision (CBD). DOI : 10.7176/EJBM/11-12-18 Publication date : April 30 th 2019

고등학생의 학교 진로교육 상담이 교육 만족도와 진로결정 자기효능감에 미친 효과

고등학생의 학교 진로교육 상담이 교육 만족도와 진로결정 자기효능감에 미친 효과

Evaluation of a Physical Ergonomic Intervention for Milking Parlor Operatives – A Case Study

ABSTRACTMusculoskeletal pain and disorders frequently occur among milking parlor operatives on dairy farms, irrespective of the farm size and despite that the work is carried out in an upright position. The objective of this case study was to assess the effect of a new milking system, a physical ergonomic intervention, to reduce the prevalence of musculoskeletal pain and disorders among milking parlor operatives. The new milking system has a reduced cluster weight and single tube guidance and, consequently, abandons the positioning of the cluster underneath the udder, thus reducing the postural load. In a pre/post treatment study the parlor operatives of five farms were questioned, and parlor specifics were measured. The gap between visits was at least one year. There was no significant reduction in pain, but three-quarters of the workers experienced a workload reduction and would recommend the new system. The isolation of the effect of the ergonomic intervention was not possible, because all but one farm completely rebuilt their milking parlors, and several things were changed including work organizational aspects. The expected reduction in pain in the musculoskeletal system was noticed, but not statistically significant. Worker satisfaction and participation in decision making could be improved on the farms and might increase the effect of the intervention, especially because work satisfaction is correlated with the occurrence of pain in the musculoskeletal system.

When is enough, enough? Investigating product reviews and information overload from a consumer empowerment perspective

This study focuses on consumers' processing of online reviews as an empowering experience. We investigate how decision support information (i.e., online reviews) can lead to information overload and decision difficulty, and ultimately affect decision satisfaction. A series of three experimental studies with subjects from a professional marketing agency examine the influence of self-determined review quantity and perceived review quality on satisfaction, as well as the mediating effects of information overload and decision difficulty. Our results show that the effect of perceived review quality on information overload is enhanced when the consumer chooses to read more reviews. Individual characteristics are also relevant; consumers' product knowledge moderates the mediating effect of decision difficulty on satisfaction. This study contributes to the literature by (1) investigating how the characteristics of decision support information affect decision process and outcome, and (2) exploring the boundary conditions wherein online reviews can empower but also overload consumers under various decision contexts.

Self-Regulation as A Mediator Between the Effect of Mental Accounting on Decision Satisfaction of Car Purchases

This study aims to determine the effect of mental accounting on satisfaction with purchase decision, using self-regulation as a mediator. Previous studies about post-purchase have focused on decision satisfaction - despite the latter being an antecedent of satisfaction. This study attempts to view decision satisfaction through the lense of mental accounting, namely how consumers code and categorize income as well as evaluate spendings. This is a quantitative research that studies consumers who bought cars in Jakarta and Surabaya. The sample consist of 316 participants, recruited through convenient sampling technique. The measuring instrument used is a modified Decision Satisfaction Questionnaire (SWD) by Holmes-Roy, 3-item Self-Regulation Questionaire to measure Self-Regulation to buy, and 2-item Mental Budgeting Questionnaire to measure mental accounting. These are all in the form of a 5-item Likert scale. The validity of the item is done using the Rasch model. Data analysis was performed using partial least squares PLS-SEM with the use of Software SmartPLS 3. The findings indicate that self-regulation acts as a mediator between mental accounting and decision satisfaction. Decision Satisfaction as First order is affected directly by the second order, which is “Good Enough”, “Not Available”, “Move On” and “Happy with the decision”. Self-Regulation as a mediator variable positioned as First order is influenced directly by the Second order, namely “Strategy”, “Control”, “Objective”, “Evaluation”, “Progress”, and “Firmness”. Mental Accounting as First order is influenced directly by Second order, namely “Frame”, “Category”, and “Evaluation”. Keyword: decision satisfaction, mental accounting, self-regulation

Patient-Reported Outcomes and Cosmesis in a Feasibility Study of 4-Dimensional Simulated Image Guided Accelerated Partial Breast Irradiation

PurposeThree-dimensional conformal accelerated partial breast irradiation (APBI) is a treatment option for well selected women with breast cancer, despite reports of adverse cosmetic outcome with this technique. Dose-volume relationships may be responsible for this poor cosmesis. We aimed to determine the feasibility of limiting the exposure of nontarget breast tissue to radiation through smaller planning target volumes achieved through daily image guidance and 4-dimensional computed tomography simulation. Methods and MaterialsEligibility criteria included the following: women, age ≥50 years, Karnofsky performance status score ≥70, stage 0 and I breast cancer treated with breast-conserving surgery, margins clear by ≥2 mm, pathologic tumor size ≤2 cm, and 4-dimensional computed tomography with planning target volumes of 0.2 cm rather than the standard 1.0 cm. A dose of 3850 cGy was prescribed in 10 fractions. The study was considered successful if ≥50% of enrollees met dosimetric constraints on the breast (V50 < 45% and V100 < 23.5%). ResultsThe study achieved its primary endpoint of feasibility of reducing the nontarget breast dose with a breast median of V50 = 31% and V100 = 11%. There were no recurrences and no toxicity grade >3. At baseline, fair/poor cosmesis was low (2.2%). By year 3, adverse cosmesis post-APBI had increased by 13.2% (to 15.4%). Patient decisional satisfaction was reached completely in 84.2% of patients. ConclusionsThis study demonstrated that with 4-dimensional simulated APBI that uses stringent dosimetric constraints and image guidance radiation therapy, it is possible to obtain acceptable cosmetic outcomes. We report no locoregional recurrences in 3 years and no toxicity grade >3. The observed decline in cosmesis was acceptable compared with that of prior published studies, and patient satisfaction with APBI was excellent.

The Influence Of Taste and Product Quality to Purchasing Decisions and Customer Satisfaction

This study is to analyze the influence of taste and product quality topurchasing decisions and customer satisfaction. Type of research is quantitive. The population of this study were 100respondents who bought Entrasol milk in Surabaya. The analysis technique used is Partial Least Square. Data obtained from questionnaires and tested with SmartPLS 3.0 application. The results of this study indicate that taste, and product quality have a positiveand significant influence on purchasing decision and customer satisfaction. Andpurchasing decision has a positive and significant effect on customer satisfaction.

Families' Experiences With End-of-Life Care in Nursing Homes and Associations With Dying Peacefully With Dementia

ObjectivesTo examine family caregivers' experiences with end-of-life care for nursing home residents with dementia and associations with the residents dying peacefully. DesignA secondary data analysis of family caregiver data collected in the observational Dutch End of Life in Dementia (DEOLD) study between 2007 and 2010. Setting and participantsData were collected at 34 Dutch nursing homes (2799 beds) representing the nation. We included 252 reports from bereaved family members of nursing home residents with dementia. MeasuresThe primary outcome was dying peacefully, assessed by family members using an item from the Quality of Dying in Long-term Care instrument. Unpleasant experiences with end-of-life care were investigated using open-ended questions. Overall satisfaction with end-of-life care was assessed with the End-of-Life Satisfaction With Care (EOLD-SWC) scale, and families' appraisal of decision making was measured with the Decision Satisfaction Inventory. Associations were investigated with multilevel linear regression analyses using generalized estimating equations. ResultsFamilies' reports of unpleasant experiences translated into 2 themes: neglect and lack of respect. Neglect involved facing inaccessibility, disinterest, or discontinuity of relations, and negligence in tailored care and information. Lack of respect involved perceptions of being purposefully disregarded, an insensitive approach towards resident and family, noncompliance with agreements, and violations of privacy. Unpleasant experiences with end-of-life care were negatively associated with families' perceptions of the resident dying peacefully. Families' assessment of their relative dying peacefully was positively associated with satisfaction with end-of-life care and decision making. Conclusions/ImplicationsFamilies' reports of unpleasant experiences with end-of-life care may inform practice to improve perceived quality of dying of their loved ones. Humane and compassionate care and attention from physicians and other staff for resident and family may facilitate recollections of a peaceful death.

Supplemental Material for True to Which Self? Lay Rationalism and Decision Satisfaction in Self-Control Conflicts

Supplemental Material for True to Which Self? Lay Rationalism and Decision Satisfaction in Self-Control Conflicts

Bidirectional constraint satisfaction in rational strategic decision making

We describe the properties of a constraint satisfaction network that is able to reason and decide rationally in strategic games. We use the structure of Bidirectional Associative Memory (BAM), a minimal two-layer recurrent neural network, and assume that network layers represent self and other strategies, whereas connection weights encode best responses. We apply BAM to finite-strategy two-player games, and show that network activation in the long run is restricted to the set of rationalizable strategies. The network is not guaranteed to reach a stable activation state, but any pure strategy profile that constitutes a stable state in the network must be a pure strategy Nash equilibrium. We illustrate the properties of the network using the traveler’s dilemma, the rock–paper–scissors game, and coordination games. The network’s behavior also depends on starting activation states, and we show how biases in these starting states can resolve equilibrium selection problems. Strategic decision making is a key part of complex social behavior, and our results illustrate how bidirectional constraint satisfaction networks can perform rational computations in this domain.

Current State of Shared Decision-Making for CT Lung Cancer Screening and Improvement Strategies.

Introduction:Lung cancer remains the leading cause of oncologic mortality in the United States. Computed tomography (CT) screening has begun to combat this prevalent health problem. Prior to enrollment, a shared decision-making conversation is required to ensure a patient preference decision. This is the first and only imaging study to hold this requirement and compliance has been suspected to be low, but there is limited literature proving this.Methods:At a single academic institution, 30 patients who declined and 38 patients who enrolled in CT lung cancer screening were interviewed about their shared decision-making provider conversation. All referring providers were surveyed regarding their methods of shared decision-making for CT lung cancer screening. Clinical notes were evaluated 9 months prior to 2 interventions and 6 months following the first intervention to improve clinical documentation.Results:85% to 89% of the interviewed patients could not recall a decision aid used during the shared decision-making conversation. Zero percent of clinical notes met the Centers for Medicare/Medicaid Services (CMS) encounter requirements for shared decision-making despite interventions to improve knowledge and ease accessibility to decision aids and documentation templates.Discussion:Lack of compliance with CMS requirements has a low patient decision satisfaction. This also places the institution at risk for financial repercussions of reimbursement which may jeopardize the longevity of screening programs. Development of strategies to improve the patient experience and provider facilitation are nascent and require a dedicated leadership team with carefully constructed electronic health record support.

Decisional preferences and satisfaction with short-course radiation for breast cancer.

193 Background: Limited literature exists regarding preferences and decisional satisfaction for women who choose accelerated partial breast irradiation (APBI) in lieu of 6-7 weeks of radiation. This analysis provides long-term patient reported outcomes in women treated with APBI at one institution. Methods: Records of women treated primarily with balloon-based APBI (2005-2013) were reviewed after IRB approval. Women with recurrent disease or poor prognosis second primary cancer were excluded. Assessment of decisional factors important to the patient, as well as satisfaction and regret with treatment choices (Decisional Regret and Satisfaction Scales) were captured via mail or telephone. Results: In 141 women who met inclusion criteria, 83 participated. Median age at diagnosis was 62 years (SD = 9), and median time from RT to survey completion was 102 months (SD = 8). Histology was pre-invasive, (25%), invasive (52%), and combined invasive/pre-invasive (23%). The majority had estrogen/progesterone receptor positive disease. Factors that were important in decision making included convenience, physician recommendation, financial considerations, novelty of treatment, desire to avoid mastectomy, and recovery time. The majority (48%) reported convenience to be the single most important factor. Provider recommendation was the primary factor in decision making for 20% of women. Most women agreed that their choice was the right decision (96%) and most felt adequately informed (90%). The majority (92% and 90% respectively) of women agreed that their decision was consistent with their personal values and was the best decision for them personally. Decisional satisfaction was high (95%). Overall satisfaction with treatment choices was high: 84% and 10% reported being totally and somewhat satisfied respectively. The majority (90%) of women stated they would make the same treatment choice again. Conclusions: Decisional satisfaction remains high almost a decade after completion of short course radiation. Practitioners should consider patient values and preferences as part of shared decision making when determining type and duration of radiation as part of breast conservation therapy.

Decisional Satisfaction, Regret, and Cosmetic Outcomes in Women Treated with Accelerated Partial Breast Radiation

In light of perceived concerns about cosmetic outcomes from accelerated partial breast irradiation (APBI), this analysis provides long-term patient reported metrics in women treated with APBI at one institution. Records of 164 women treated with APBI using balloon catheter high dose rate brachytherapy (BCHDRB) in 34 Gy in 10 fractions from 2005 to 2013 were reviewed after institutional review board approval. Women with ipsilateral or distant recurrence, poor prognosis, second primary, or known dates of death were excluded; women with contralateral recurrence were included if mastectomy was not performed. The Decisional Regret and Satisfaction Scales, quality of life, and cosmesis were captured using questions adapted from NSABP B39. Instruments were administered via mail, telephone, or email to eligible women. Of 141 women who met inclusion criteria, 74 participated, 9 declined, and 58 have yet to be reached. Median age at diagnosis was 62 years(SD=9), and median time from RT completion to surveys was 95 months(SD=8). Histology was pure DCIS(25%), invasive ductal carcinoma(51%), and mixed(24%). The majority had estrogen/progesterone receptor positive disease. Decisional satisfaction was high, and regret was low; 94% felt satisfied with their decision, and 92% would make the same choice again. Factors that were important in decision making included convenience, physician recommendation, financial considerations, novelty of treatment, desire to avoid mastectomy, and recovery time; 46% reported convenience to be the most important factor. Prior to radiation 74% of women were totally satisfied with their breast size, and 96% continued to be totally/somewhat satisfied after APBI. Women were neutral, somewhat/completely dissatisfied in the appearance of their breast before and after APBI in 18% and 19% respectively. After ABPI, 32% reported moderate/large changes in breast size, while 68% reported slight/no changes. Seroma or needle aspiration of seroma were reported in 14% of women, and 89% of those reported this as little/somewhat/very much bothersome. Other side effects reported, were moderate or large hardening of breast(29%), thickening of breast skin(22%), swelling of breast(11%), skin reddening(7%) or darkening(8%). Despite these cosmetic changes, a majority of women(85%) reported total satisfaction with therapy. Overall breast appearance was reported as good/excellent in 70% of women, while 21% and 8% reported fair and poor overall appearance, respectively. Decisional satisfaction remains high 9 years after APBI, even in women with treatment sequela. This study highlights the importance of patient reported cosmesis and quality of life metrics as an adjunct to provider assessment of treatment outcomes.

Choice of radioactive iodine treatment for thyroid cancer: Results from a population-based survey.

159 Background: For many patients with differentiated thyroid cancer, use of radioactive iodine (RAI) does not improve survival or reduce recurrence risks. Yet, most patients continue to receive RAI suggesting the need for a better understanding of patient perspectives regarding RAI decision making. Methods: All eligible sequentially diagnosed patients with thyroid cancer in 2014-15 from the Georgia and Los Angeles SEER registries were surveyed (N = 2097, current response rate: 63%). Patients with intermediate risk thyroid cancer where selective RAI use is recommended were included in this analysis (N = 1357). Patients were asked whether or not they felt they had a choice to receive RAI (yes/no), how strongly their physician recommended initial RAI treatment (5 point Likert responses: Strongly against RAI--Strongly recommended RAI), whether they received RAI (yes/no), how satisfied they were with their RAI decision (5-pt Likert-type scale), categorized as more (score ≥4) vs. less satisfied. Multivariable logistic regression was used to assess 1) association between patient characteristics and perception of no RAI choice, 2) perception of no RAI choice with receipt of RAI and 3) perception of no RAI choice with decision satisfaction. Results: In this sample,over half (57%) of the respondents perceived they did not have a RAI choice, and the majority of them (76%) received RAI. The odds of perceiving no RAI choice was greater among Hispanic and Asian patients (Hispanic OR: 1.4, 95%CI: 1.0, 1.9, Asian OR: 1.9, 95%CI: 1.2, 2.9), and those whose physician strongly recommended RAI (OR: 1.9, 95%CI: 1.4, 2.6). Patients who perceived they did not have a RAI choice were more likely to receive RAI (Adjusted OR: 3.2, 95%CI: 2.1, 4.9) and report lower decision satisfaction (Adjusted OR: 2.7, 95%CI: 1.9, 3.7). Conclusions: Many patients in whom selective RAI use is recommended, particularly those of more vulnerable groups, did not feel they had a choice about whether or not to receive RAI. Patients who perceived they did not have a RAI choice were more likely to receive RAI and report lower decision satisfaction, suggesting a need for more shared treatment decision making to reduce overtreatment.

Decisional regret in women receiving high risk or inconclusive prenatal cell-free DNA screening results

Objectives: This study examined the experiences of women receiving high-risk cell-free DNA (cfDNA) screening results, with particular focus on decisional satisfaction after receiving high-risk, false, or inconclusive results. It is already known that cell-free DNA screening is rapidly expanding in the clinical practice. A growing number of women are offered cfDNA screening for an increasingly broad range of chromosomal and microdeletion syndromes. However, research shows that the very low false positive rate attributed to cfDNA screening for trisomy 21 does not apply to other conditions.Methods: As a part of the larger study on patient experiences, 40 semistructured telephone interviews were conducted with women who were, or had recently been, pregnant and received high-risk (n = 15), false positive/negative (n = 20), or inconclusive (n = 5) results from cfDNA screening.Results: One third of participants would not elect to have cfDNA screening in a future pregnancy, and another third would only have the screen under particular circumstances or if the scope of the panel was limited. Many women reported feeling misled by the information they received prior to accepting cfDNA screening or receiving their results.Conclusions: Study participants described issues with the clinical dialog when cfDNA screening is offered; when results are returned; and problems with the availability of information about the existence of false positives. These reports suggest that inadequate pretest discussion contributes to women’s experience of decisional regret after receiving high-risk, false positive, or inconclusive results. Given the confusion about cfDNA screening accuracy, the prevalence of follow-up invasive tests, and the number of women who reported that they regretted choosing cfDNA screening, the mode of offering cfDNA should be reassessed.

Importance of Shared Decision-Making for Vulnerable Populations: Examples from Postmastectomy Breast Reconstruction.

Shared decision-making (SDM) is a process through which patients and providers collaborate to select a treatment option that aligns with patients' preferences and clinical context. SDM can improve patients' decision quality and satisfaction. However, vulnerable populations face barriers to participation in SDM, which exacerbates disparities in decision quality. This perspective article discusses SDM with vulnerable patients, using examples from patients who made decisions about postmastectomy breast reconstruction. We offer several strategies for clinical practice, medical education, and research to ensure that movements to engage patients in SDM do not exclude already marginalized groups.

PENGARUH KUALITAS PRODUK TERHADAP KEPUTUSAN PEMBELIAN DAN KEPUASAN KONSUMEN (KAJIAN PADA PENGUNJUNG HOTEL OASIS BANDA)

Abstract : This study aims to determine the effect of product quality on purchasing decisions and customer satisfaction. The sample used in this research is hotel consumer or hotel visitor of OASIS Banda Aceh. This research method used questionnaire as research instrument. The questionnaires were successfully analyzed as many as 126 responden. Non Probability sampling is used as sampling technique with purposive sampling method. Multiple linear regression is used as a method of analysis to determine the effect of the variables involved. The result of the research shows that product quality has influence to price transparency and product quality does not have an effect on purchasing decision and consumer satisfaction and price perception at OASIS Banda Aceh hotel, research result proves that price transparency influence to price perception at hotel OASIS Banda Aceh, shows that price perceptions affect purchasing decisions at OASIS Banda Aceh hotels, the results show that price perceptions have no effect on customer satisfaction, and the results prove that purchasing decisions give effect to customer satisfaction at OASIS Banda Aceh hotels. Keywords: Product Quality, Purchase Decision, Price Transparency, Price Perception, Consumer Satisfactio

Perceptions of hospitalized patients and their surrogate decision makers on dialysis initiation: a pilot study

BackgroundDialysis is often initiated in the hospital during episodes of acute kidney injury and critical illness. Little is known about how patients or their surrogate decision makers feel about dialysis initiation in the inpatient setting.MethodsWe conducted a prospective cohort study at a large academic center in the United States. All patients who initiated dialysis during a 30-day period in 2016 were approached for enrollment. Study participants were defined as individuals who provided consent for dialysis initiation – either the patient or a surrogate decision-maker. Decisional satisfaction and the degree of shared decision-making were assessed using the decisional attitude scale and the control preferences scale, respectively. These scales were incorporated into a study questionnaire along with an exploratory structured interview.ResultsA total of 31 potential participants were eligible and 21 agreed to participate in the study. Continuous renal replacement therapy was used in 14 out of 21 cases (67%) and there was 33% in-hospital mortality in the study cohort. A majority (62%) of patients were unable to participate in the consent process for dialysis initiation and had to rely on a surrogate decision-maker. The mean score for the decisional attitude scale was 4.1 (95% CI 3.8–4.3) with a score of 5 corresponding to high decisional satisfaction. Most of the decisions were classified as shared and incorporated input from clinicians as well as patients or surrogates. Although 90% of participants agreed that they had a choice in making the decision, 81% were unable to mention any alternatives to dialysis initiation.ConclusionsDialysis initiation was associated with high decisional satisfaction and most participants felt that the decision incorporated input from patients and providers. However, inpatient dialysis initiation was commonly associated with loss of decisional capacity and reliance on a surrogate decision-maker. This finding is likely driven by critical illness. Survivors of critical illness who remain dialysis dependent may need to revisit conversations about the rationale, risks, and benefits of dialysis.

Rejecting options from large and small choice sets: the mediating role of confidence

PurposeLiterature on choice has predominantly focused on selection decisions rather than rejection decisions. Research on rejection decisions has also only studied rejecting one option from two alternatives. This research aims to study the differences in decision confidence and satisfaction in rejection decisions between choice sets of small and large sizes.Design/methodology/approachThe authors conducted three behavioral experiments in which they first tested the overall effect (Experiment 1) and then found out whether regulatory focus (Experiment 2) and the attractiveness of options (Experiment 3) moderated it.FindingsThe authors observed that decision satisfaction increased when rejecting larger (vs smaller) choice sets. Decision confidence mediated it (Experiment 1). The effect was strongest when participants had a prevention focus (Experiment 2) and when they were rejecting relatively unattractive options (Experiment 3).Research limitations/implicationsThis research expands the understanding of how individuals make rejection-based decisions and in particular how individuals make choices for one option out of many as in the selection-based choice overload literature.Practical implicationsThe authors show how choice sets of varying sizes affect rejection decisions commonly faced by managers and consumers. This research provides implications for improving confidence and satisfaction, both of which are important elements of everyday decision-making, by suggesting that choice outcomes may differ depending on whether one is making a selection or a rejection decision and whether the choice set size is small or large.Originality/valueThis is the first study to examine rejection decisions with more than two alternatives. The findings complement the large body of work on the choice overload effect that focuses on selection decisions.

The Level of Decision-Making, Perceived Influence, and Perceived Satisfaction of Faculty and Their Impact on Student Retention in Community Colleges

ABSTRACTThis study expanded on previous models that looked primarily at student and support factors related to student retention and examined other stakeholder group functions not previously reviewed in relation to student retention. The research question assumed that greater faculty participation in campus decision-making and faculty satisfaction would have been associated with a higher campus student retention rate. The non-experimental retrospective design examined the unanalyzed 2007 community college (CC) Changing Academic Profession (CAP) survey in relation to campus retention rates. The CAP captured faculty perceptions of whether faculty or non-faculty entities were the primary influence on decisions regarding academic matters, as well as a rating of faculty satisfaction. Analysis indicated that CC faculty rated their participation in campus decision-making versus non-faculty entities similarly to the ratings of faculty who had completed the CAP at four-year institutions. When compared with the 2007 retention rate per campus, only faculty job satisfaction was statistically significantly positively associated with student retention. Recommendations for future research include continuing to look at retention as an outcome of a multi-factorial model involving all campus stakeholders, and more research with retention as the outcome.