BMC Medical Ethics

Attitudes towards assisted dying are influenced by question wording and order: a survey experiment

Morten MagelssenEmail author,
Magne Supphellen,
Per Nortvedt and
Lars Johan Materstvedt

BMC Medical EthicsBMC series – open, inclusive and trusted201617:24

DOI: 10.1186/s12910-016-0107-3

Received: 18 December 2015

Accepted: 21 April 2016

Published: 27 April 2016

Open Peer Review reports

Abstract

Background

Surveys on attitudes towards assisted dying play an important role in informing public debate, policy and legislation. Unfortunately, surveys are often designed with insufficient attention to framing effects; that is, effects on the respondents’ stated attitudes caused by question wording and context. The purpose of this study was to demonstrate and measure such framing effects.

Methods

Survey experiment in which an eight-question survey on attitudes towards assisted dying was distributed to Norwegian citizens through a web-based panel. Two variations of question wording as well as two variations of question order were employed. Respondents were randomized to receive one of four questionnaire versions.

Results

Three thousand and fifty responses were received. There were moderate to large question wording and question order effects. A majority of Norwegian citizens favour the legalization of assisted dying for patients with terminal or chronic disease.

Conclusions

Stakeholders in the assisted dying debate need to acknowledge potential framing effects, and accordingly should interpret survey results with caution. The same holds for researchers who conduct attitude surveys in the field of bioethics.