Preferences for HIV testing services among men who have sex with men in the UK: A discrete choice experiment

IntroductionSocial distancing and lockdown measures are among the main government responses to the COVID-19 pandemic. These measures aim to limit the COVID-19 infection rate and reduce the mortality rate of COVID-19. Given we are likely to see local lockdowns until a treatment or vaccine for COVID-19 is available, and their effectiveness depends on public acceptability, it is important to understand public preference for government responses.Methods and analysisUsing a discrete choice experiment (DCE), this study will investigate the public’s preferences for pandemic responses in the UK. Attributes (and levels) are based on: (1) lockdown measures described in policy documents; (2) literature on preferences for lockdown measures and (3) a social media analysis. Attributes include: lockdown type; lockdown length; postponement of usual non-urgent medical care; number of excess deaths; number of infections; impact on household spending and job losses. We will prepilot the DCE using virtual think aloud interviews with respondents recruited via Facebook. We will collect preference data using an online survey of 4000 individuals from across the four UK countries (1000 per country). We will estimate the relative importance of the attributes, and the trade-offs individuals are willing to make between attributes. We will test if respondents’ preferences differ based on moral attitudes (using the Moral Foundation Questionnaire), socioeconomic circumstances (age, education, economic insecurity, health status), country of residence and experience of COVID-19.Ethics and disseminationThe University of Aberdeen’s College Ethics Research Board (CERB) has approved the study (reference: CERB/2020/6/1974). We will seek CERB approval for major changes from the developmental and pilot work. Peer-reviewed papers will be submitted, and results will be presented at public health and health economic conferences nationally and internationally. A lay summary will be published on the Health Economics Research Unit blog.

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Designing a brief behaviour change intervention to reduce sexually transmitted infections: a discrete choice experiment

International Journal of STD & AIDS ◽

10.1177/0956462418760425 ◽

2018 ◽

Vol 29 (9) ◽

pp. 851-860 ◽

Cited By ~ 5

Author(s):

Alec Miners ◽

Carrie Llewellyn ◽

Carina King ◽

Alex Pollard ◽

Anupama Roy ◽

...

Keyword(s):

Health Care ◽

Sexually Transmitted Infections ◽

Discrete Choice Experiment ◽

Discrete Choice ◽

Choice Experiment ◽

Important Determinant ◽

Behavioural Change ◽

Behaviour Change Intervention ◽

Sexually Transmitted ◽

Sex With Men

To understand whether people attending sexual health (SH) clinics are willing to participate in a brief behavioural change intervention (BBCI) to reduce the likelihood of future sexually transmitted infections (STIs) and to understand their preferences for different service designs, we conducted a discrete choice experiment (DCE) with young heterosexual adults (aged 16–25 years), and men who have sex with men (MSM) aged 16 or above, attending SH clinics in England. Data from 368 participants showed that people particularly valued BBCIs that involved talking (OR 1.45; 95%CI 1.35, 1.57 compared with an ‘email or text’-based BBCIs), preferably with a health care professional rather than a peer. Findings also showed that 26% of respondents preferred ‘email/texts’ to all other options; the remaining 14% preferred not to participate in any of the offered BBCIs. These results suggest that most people attending SH clinics in England are likely to participate in a BBCI if offered, but the type/format of the BBCI is likely to be the single important determinant of uptake rather than characteristics such as the length and the number of sessions. Moreover, participants generally favoured ‘talking’-based options rather than digital alternatives, which are likely to require the most resources to implement.

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A discrete choice experiment to investigate patient preferences for HIV testing programs in Bogotá, Colombia

Expert Review of Pharmacoeconomics & Outcomes Research ◽

10.1080/14737167.2019.1530594 ◽

2018 ◽

Vol 19 (2) ◽

pp. 195-201

Author(s):

Ben F. M. Wijnen ◽

Ruben P. L. B. Van Engelen ◽

Jan Ostermann ◽

Axel Muhlbacher ◽

Arnolf F. W. Hendriks ◽

...

Keyword(s):

Hiv Testing ◽

Discrete Choice Experiment ◽

Discrete Choice ◽

Patient Preferences ◽

Choice Experiment

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The Preferred Qualities of Human Immunodeficiency Virus Testing and Self-Testing Among Men Who Have Sex With Men: A Discrete Choice Experiment

Value in Health ◽

10.1016/j.jval.2020.04.1826 ◽

2020 ◽

Vol 23 (7) ◽

pp. 870-879 ◽

Cited By ~ 3

Author(s):

Jason J. Ong ◽

Richard De Abreu Lourenco ◽

Deborah Street ◽

Kirsty Smith ◽

Muhammad S. Jamil ◽

...

Keyword(s):

Human Immunodeficiency Virus ◽

Discrete Choice Experiment ◽

Discrete Choice ◽

Choice Experiment ◽

Human Immunodeficiency Virus Testing ◽

Self Testing ◽

Immunodeficiency Virus ◽

Sex With Men ◽

Virus Testing

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HIV testing preferences among long distance truck drivers in Kenya: a discrete choice experiment

AIDS Care ◽

10.1080/09540121.2017.1367086 ◽

2017 ◽

Vol 30 (1) ◽

pp. 72-80 ◽

Cited By ~ 15

Author(s):

Michael Strauss ◽

Gavin George ◽

Emma Lansdell ◽

Joanne E. Mantell ◽

Kaymarlin Govender ◽

...

Keyword(s):

Hiv Testing ◽

Discrete Choice Experiment ◽

Discrete Choice ◽

Choice Experiment ◽

Truck Drivers ◽

Long Distance

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PMU105 Patient Preferences for Systemic Atopic Dermatitis Treatments in the UK, France and Spain: A Discrete Choice Experiment

Value in Health ◽

10.1016/j.jval.2020.08.1317 ◽

2020 ◽

Vol 23 ◽

pp. S621

Author(s):

C. Thomas ◽

A. Raibouaa ◽

A. Wollenberg ◽

J.P. Capron ◽

N. Krucien ◽

...

Keyword(s):

Atopic Dermatitis ◽

Discrete Choice Experiment ◽

Discrete Choice ◽

Patient Preferences ◽

Choice Experiment ◽

The Uk

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What are patients’ preferences for revision surgery after periprosthetic joint infection? A discrete choice experiment

BMJ Open ◽

10.1136/bmjopen-2019-031645 ◽

2020 ◽

Vol 10 (1) ◽

pp. e031645

Author(s):

Fran E Carroll ◽

Rachael Gooberman-Hill ◽

Simon Strange ◽

Ashley W Blom ◽

Andrew J Moore

Keyword(s):

Treatment Option ◽

Discrete Choice Experiment ◽

Discrete Choice ◽

Revision Surgery ◽

Choice Experiment ◽

Joint Infection ◽

Major Complication ◽

Everyday Activities ◽

Hip Infection ◽

The Uk

ObjectivesUnderstanding patients’ preferences for treatment is crucial to provision of good care and shared decisions, especially when more than one treatment option exists for a given condition. One such condition is infection of the area around the prosthesis after hip replacement, which affects between 0.4% and 3% of patients. There is more than one treatment option for this major complication, and our study aimed to assess the value that patients place on aspects of revision surgery for periprosthetic hip infection.DesignWe identified four attributes of revision surgery for periprosthetic hip infection. Using a discrete choice experiment (DCE), we measured the value placed on each attribute by 57 people who had undergone either one-stage or two-stage revision surgery for infection.SettingThe DCE was conducted with participants from nine National Health Service hospitals in the UK.ParticipantsAdults who had undergone revision surgery for periprosthetic hip infection (N=57).ResultsOverall, the strongest preference was for a surgical option that resulted in no restrictions on engaging in valued activities after a new hip is fitted (β=0.7). Less valued but still important attributes included a shorter time taken from the start of treatment to return to normal activities (6 months; β=0.3), few or no side effects from antibiotics (β=0.2), and having only one operation (β=0.2).ConclusionsThe results highlight that people who have had revision surgery for periprosthetic hip infection most value aspects of care that affect their ability to engage in normal everyday activities. These were the most important characteristics in decisions about revision surgery.

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Finding the best fit: examining the decision-making of augmentative and alternative communication professionals in the UK using a discrete choice experiment

BMJ Open ◽

10.1136/bmjopen-2019-030274 ◽

2019 ◽

Vol 9 (11) ◽

pp. e030274

Author(s):

Edward J D Webb ◽

Yvonne Lynch ◽

David Meads ◽

Simon Judge ◽

Nicola Randall ◽

...

Keyword(s):

Decision Making ◽

Discrete Choice Experiment ◽

Discrete Choice ◽

Choice Experiment ◽

Augmentative And Alternative Communication ◽

Mixed Logit ◽

Information Criterion ◽

Alternative Communication ◽

Trade Offs ◽

The Uk

ObjectivesMany children with varied disabilities, for example, cerebral palsy, autism, can benefit from augmentative and alternative communication (AAC) systems. However, little is known about professionals’ decision-making when recommending symbol based AAC systems for children. This study examines AAC professionals’ preferences for attributes of AAC systems and how they interact with child characteristics.DesignAAC professionals answered a discrete choice experiment survey with AAC system and child-related attributes, where participants chose an AAC system for a child vignette.SettingThe survey was administered online in the UK.Participants155 UK-based AAC professionals were recruited between 20 October 2017 and 4 March 2018.OutcomesThe study outcomes were the preferences of AAC professionals’ as quantified using a mixed logit model, with model selection performed using a step-wise procedure and the Bayesian Information Criterion.ResultsSignificant differences were observed in preferences for AAC system attributes, and large interactions were seen between child attributes included in the child vignettes, for example, participants made more ambitious choices for children who were motivated to communicate using AAC, and predicted to progress in skills and abilities. These characteristics were perceived as relatively more important than language ability and previous AAC experience.ConclusionsAAC professionals make trade-offs between attributes of AAC systems, and these trade-offs change depending on the characteristics of the child for whom the system is being provided.

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