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However, it does impact on the valuation of the milder health states, an impact that is particularly evident in comparison of models 1 and 1b. Anchoring prevents a ceiling effect that can be seen in the non-anchored algorithms. However, this ceiling may be justifiable in that the constant plays a role relative to dimensions at level 2 or 3 that the N3 term plays relative to dimensions at level 3 only. The simple main effect models 1 and 1b can be rejected on model fit, with significantly poorer AIC/BIC values than other models. The significant interaction terms present in the other models suggest that neither model 1 nor 1b are appropriate. In addition, the inclusion selleckchem of an anchoring point on these models has the largest impact on health state valuations. Model 2 is the model that is most consistent with existing international studies and provides a point of comparison between the Australian population's preferences and those of other populations in other countries (Fig. 2). The N3 term is statistically significant and has a similar effect in the Australian models to that seen in other countries. This comparison also suggests broad selleck products consistency between Australian valuations and internationally. Models 3 and 4 take a more sophisticated approach to interactions, and both represent an improvement in model fit over model 2. Model 4 includes all interaction terms, whereas model Cefaloridine 3 includes only interactions between level 3 of dimensions. Additional combinations of interactions were considered (such as including only interactions involving at least one level 3 dimension, or limiting interactions to specific dimensions), but did not prove better than those reported here. In terms of AIC and BIC, model 3 is preferred to model 4. In both cases some of the interaction terms are not significantly different from zero. This is particularly the case in model 4. Although this may be the effect of sample size given that this model includes a large number of estimated coefficients, the fact that there is not a consistent pattern of interactions also suggests that many of these effects may not impact on the valuation placed on the health state beyond the main effect. As expected, given the pattern of non-statistically significant interaction terms in model 4, it does not provide an improvement over model 3 when compared using the AIC and BIC. In model 3 the interaction terms are more consistently significant, and typically positive. In particular, the interaction terms for mobility with pain/discomfort, self-care with pain/discomfort, and with anxiety/depression, and pain/discomfort with anxiety/depression are all statistically significant (P