Investigating patients' preferences for cardiac rehabilitation in Denmark

2006 ◽  
Vol 22 (2) ◽  
pp. 211-218 ◽  
Author(s):  
Trine Kjær ◽  
Dorte Gyrd-Hansen ◽  
Ingrid Willaing
Keyword(s):  
Cardiac Rehabilitation ◽  
Discrete Choice Experiment ◽  
Discrete Choice ◽  
Choice Experiment ◽  
Exercise Program ◽  
Rehabilitation Program ◽  
Decision Makers ◽  
Cardiac Patients ◽  
Rehabilitation Programs ◽  
Gender And Age

Objectives: The objective of this study was to analyze preferences for activities comprised in comprehensive cardiac rehabilitation programs among former cardiac patients from three different hospitals in Copenhagen County, Denmark.Methods: A discrete choice experiment was applied to elicit the preferences for the offer of participation in various cardiac rehabilitation program activities: smoking cessation course, physical exercise program, personal meetings with cardiac nurse, group meetings managed by cardiac nurses, and nutritional counseling guidance. The questionnaire was sent to 742 former cardiac patients. We had a response rate of 69 percent.Results: We found that preferences differed with respect to gender and age and that the offer of participation in cardiac rehabilitation activities was not highly valued by older patients, in particular among older men.Conclusions: The discrete choice experiment proved a valuable instrument for the measurement of preferences for cardiac rehabilitation. The study provides important information on patients' preferences for cardiac rehabilitation for healthcare professionals and decision makers.

Using a stated preference discrete choice experiment to assess societal value from the perspective of decision-makers in Europe. Does it work for rare diseases?

Health Policy ◽  
2019 ◽  
Vol 123 (2) ◽  
pp. 152-158 ◽  
Author(s):  
J. López-Bastida ◽  
J.M. Ramos-Goñi ◽  
I. Aranda-Reneo ◽  
M. Trapero-Bertran ◽  
P. Kanavos ◽  
...  
Keyword(s):  
Discrete Choice Experiment ◽  
Discrete Choice ◽  
Rare Diseases ◽  
Choice Experiment ◽  
Stated Preference ◽  
Decision Makers ◽  
Societal Value

scholarly journals Public and decision-maker stated preferences for pharmaceutical subsidy decisions in Iran: an application of the discrete choice experiment

2021 ◽  
Vol 14 (1) ◽  
Author(s):  
Gita Afsharmanesh ◽  
Farimah Rahimi ◽  
Leila Zarei ◽  
Farzad Peiravian ◽  
Gholamhossein Mehralian
Keyword(s):  
Decision Maker ◽  
Discrete Choice Experiment ◽  
Discrete Choice ◽  
Choice Experiment ◽  
Health Gain ◽  
Decision Makers ◽  
Logit Analysis ◽  
The Public ◽  
Health Decision ◽  
Severity Of The Disease

Abstract Background The argument about funding criteria poses challenges for health decision-makers in all countries. This study aimed to investigate the public and decision-maker preferences for pharmaceutical subsidy decisions in Iran. Methods A discrete choice experiment (DCE) was used for eliciting the preferences of the public and decision-makers. Four attributes including health gain after treatment, the severity of the disease, prevalence of the disease, and monthly out of pocket and relevant levels were designed in the form of hypothetical scenarios. The analysis was done by using conditional logit analysis. Results The results show all of four attributes are important for pharmaceutical subsidy decisions. But a medicine that improves health gain after treatment is more likely to be a choice in subsidy decisions (by relative importance of 28% for public and 42% for decision-makers). Out of pocket, severity, and prevalence of disease subsequently influence the preferences of the public and decision-makers, respectively. The greatest difference is observed in changing the health gain after treatment and out of pocket levels, between public and decision-makers. Conclusion This research reveals that the public is willing and able to provide preferences to inform policymakers for pharmaceutical decision-making; it also sets grounds for further studies.

scholarly journals Delivery preferences for psychological intervention in cardiac rehabilitation: a pilot discrete choice experiment

Open Heart ◽  
2021 ◽  
Vol 8 (2) ◽  
pp. e001747
Author(s):  
Gemma Elizabeth Shields ◽  
Stuart Wright ◽  
Adrian Wells ◽  
Patrick Doherty ◽  
Lora Capobianco ◽  
...  
Keyword(s):  
Pilot Study ◽  
Cardiac Rehabilitation ◽  
Discrete Choice Experiment ◽  
Discrete Choice ◽  
Choice Experiment ◽  
Psychological Intervention ◽  
Psychological Therapy ◽  
Home Based ◽  
Programme Of Care ◽  
To Receive

BackgroundCardiac rehabilitation (CR) is a programme of care offered to people who recently experienced a cardiac event. There is a growing focus on home-based formats of CR and a lack of evidence on preferences for psychological care in CR. This pilot study aimed to investigate preferences for delivery attributes of a psychological therapy intervention in CR patients with symptoms of anxiety and/or depression.MethodsA discrete choice experiment (DCE) was conducted and recruited participants from a feasibility trial. Participants were asked to choose between two hypothetical interventions, described using five attributes; intervention type (home or centre-based), information provided, therapy manual format, cost to the National Health Service (NHS) and waiting time. A separate opt-out was included. A conditional logit using maximum likelihood estimation was used to analyse preferences. The NHS cost was used to estimate willingness to pay for aspects of the intervention delivery.Results35 responses were received (39% response rate). Results indicated that participants would prefer to receive any form of therapy compared with no therapy. Statistically significant results were limited, but included participants being keen to avoid not receiving information prior to therapy (β=−0.270; p=0.03) and preferring a lower cost to the NHS (β=−0.001; p=0.00). No significant results were identified for the type of psychological intervention, format of therapy/exercises and programme start time. Coefficients indicated preferences were stronger for home-based therapy compared with centre-based, but this was not significant.ConclusionsThe pilot study demonstrates the feasibility of a DCE in this group, it identifies potential attributes and levels, and estimates the sample sizes needed for a full study. Preliminary evidence indicated that sampled participants tended to prefer home-based psychological therapy in CR and wanted to receive information before initiating therapy. Results are limited due to the pilot design and further research is needed.

scholarly journals Discrete choice experiment to determine preferences of decision-makers in healthcare for different formats of rapid reviews

2021 ◽  
Vol 10 (1) ◽  
Author(s):  
Christian Speckemeier ◽  
Laura Krabbe ◽  
Susanne Schwenke ◽  
Jürgen Wasem ◽  
Barbara Buchberger ◽  
...  
Keyword(s):  
Discrete Choice Experiment ◽  
Discrete Choice ◽  
Text Analysis ◽  
Full Text ◽  
Choice Experiment ◽  
Online Survey ◽  
Data Extraction ◽  
Evidence Synthesis ◽  
Decision Makers ◽  
Time Saving

Abstract Background Time-saving formats of evidence syntheses have been developed to fulfill healthcare policymakers’ demands for timely evidence-based information. A discrete choice experiment (DCE) with decision-makers and people involved in the preparation of evidence syntheses was undertaken to elicit preferences for methodological shortcuts in the conduct of abbreviated reviews. Methods D-efficient scenarios, each containing 14 pairwise comparisons, were designed for the DCE: the development of an evidence synthesis in 20 working days (scenario 1) and 12 months (scenario 2), respectively. Six attributes (number of databases, number of reviewers during screening, publication period, number of reviewers during data extraction, full-text analysis, types of HTA domains) with 2 to 3 levels each were defined. These were presented to the target population in an online survey. The relative importance of the individual attributes was determined using logistic regression models. Results Scenario 1 was completed by 36 participants and scenario 2 by 26 participants. The linearity assumption was confirmed by the full model. In both scenarios, the linear difference model showed a preference for higher levels for “number of reviewers during data extraction”, followed by “number of reviewers during screening” and “full-text analysis”. Subgroup analyses showed that preferences were influenced by participation in the preparation of evidence syntheses. Conclusion The surveyed persons expressed preferences for quality standards in the process of literature screening and data extraction.

scholarly journals Discrete Choice Experiment to Determine Preferences of Decision-Makers in Healthcare for Different Formats of Rapid Reviews.

2020 ◽  
Author(s):  
Christian Speckemeier ◽  
Laura Krabbe ◽  
Susanne Schwenke ◽  
Jürgen Wasem ◽  
Barbara Buchberger ◽  
...  
Keyword(s):  
Discrete Choice Experiment ◽  
Discrete Choice ◽  
Text Analysis ◽  
Full Text ◽  
Choice Experiment ◽  
Online Survey ◽  
Data Extraction ◽  
Evidence Synthesis ◽  
Decision Makers ◽  
Time Saving

Abstract Background Time-saving formats of evidence syntheses have been developed to fulfil healthcare policymakers’ demands for timely evidence-based information. A discrete choice experiment (DCE) with decision-makers and people involved in the preparation of evidence syntheses was undertaken to elicit preferences for methodological shortcuts in the conduct of abbreviated reviews.Methods D-optimal scenarios, each containing 14 pairwise comparisons, were designed for the DCE: the development of an evidence synthesis in 20 working days (scenario 1) and 12 months (scenario 2), respectively. Six attributes (number of databases, number of reviewers during screening, publication period, number of reviewers during data extraction, full-text analysis, types of HTA domains) with 2 to 3 levels each were defined. These were presented to the target population in an online survey. The relative importance of the individual attributes was determined using logistic regression models.Results Scenario 1 was completed by 36 participants and scenario 2 by 26 participants. The linearity assumption was confirmed by the full model. In both scenarios, the linear difference model showed a preference for higher levels for ‘number of reviewers during data extraction’, followed by ‘number of reviewers during screening’ and ‘full-text analysis’. Subgroup analyses showed that preferences are influenced by participation in the preparation of evidence syntheses.Conclusion The surveyed persons expressed preferences for quality standards in the process of literature screening and data extraction.

Sign in / Sign up

Export Citation Format

Share Document