Computerized Conjoint Analysis of the Weight Treatment Preferences of Individuals With Schizophrenia.
Computerized Conjoint Analysis of the Weight Treatment Preferences of Individuals With Schizophrenia.
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精神分裂症患者体重治疗偏好的计算机联合分析。
DOI：
10.1176/appi.ps.202000068
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发表时间：
2021-03-01
期刊：
影响因子：
--
通讯作者：
Young AS
中科院分区：
文献类型：
--
作者：
Goodsmith N;Cohen AN;Flynn AWP;Hamilton AB;Hellemann G;Nowlin-Finch N;Young AS
需要创新的方法来评估精神分裂症患者的治疗偏好。与直接提问相比，基于选择的方法，如联合分析，更好地识别偏好。然而，联合分析在精神分裂症个体中的可用性和有效性仍不清楚。本研究探讨了计算机联合分析精神分裂症患者，以及是否评估偏好预测服务使用。一个计算机化的，面向病人的联合分析系统，通过反复咨询与35名精神分裂症患者在社区精神卫生诊所登记。另外35名患有精神分裂症的超重参与者使用该系统在四个属性中选择体重管理计划：位置（社区或诊所）;交付模式（互联网或亲自）;领导者（临床医生或外行）;和培训模式（个人或团体）。多层次logit模型与部分偏好数据确定的贡献，每个属性组范围内的偏好。协会之间的偏好和随后使用的心理体重管理组进行了研究。联合分析系统可用性高。全组偏好有显著贡献的位置（p<0.001，有利于诊所），领导（p=0.018，有利于临床医生）和培训模式（p<0.001，有利于组），但没有交付模式（p=0.681）。偏好与年龄，性别，体重指数，疾病严重程度或随后的服务使用无关。参与者描述了服务利用的障碍，包括交通，调度，隐私，精神疾病和缺乏动力。计算机联合分析可以对精神分裂症患者的治疗偏好进行有效评估，并为治疗的开发和实施提供信息。虽然偏好可能会影响治疗的使用，但它们是多种因素之一。
Innovative approaches are needed for assessing treatment preferences of individuals with schizophrenia. Choice-based methods, such as conjoint analysis, better identify preferences, compared to direct questioning. However, the usability and validity of conjoint analysis in individuals with schizophrenia remain unclear. This study examines computerized conjoint analysis for people with schizophrenia, and whether assessed preferences predict service use. A computerized, patient-facing conjoint analysis system was developed through iterative consultation with 35 individuals with schizophrenia enrolled at a community mental health clinic. An additional 35 overweight participants with schizophrenia then used the system to choose between weight management programs varying in four attributes: location (community or clinic); delivery mode (internet or in-person); leader (clinician or layperson); and training mode (individual or group). A multilevel logit model with partial preference data determined contributions of each attribute to group-wide preferences. Associations were studied between preferences and subsequent use of a psychosocial weight management group. Conjoint analysis system usability was high. Group-wide preferences had significant contributions from location (p<0.001, favoring clinic), leader (p=0.018, favoring clinician) and training mode (p<0.001, favoring group), but not delivery mode (p=0.681). Preferences did not correlate with age, gender, body mass index, illness severity, or subsequent service use. Participants described barriers to service utilization, including transportation, scheduling, privacy, psychiatric illness, and lack of motivation. Computerized conjoint analysis can produce valid assessments of treatment preferences of people with schizophrenia, and inform the development and implementation of treatments. While preferences might affect treatment use, they are one of multiple factors.
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影响因子：
3.2
作者：
Hsieh, HF;Shannon, SE
通讯作者：
Shannon, SE
影响因子：
4.5
作者：
Bresee, Lauren C.;Majumdar, Sumit R.;Johnson, Jeffrey A.
通讯作者：
Johnson, Jeffrey A.
影响因子：
3.8
作者：
Adams, Jared R.;Drake, Robert E.;Wolford, George L.
通讯作者：
Wolford, George L.
影响因子：
5.9
作者：
Iacoviello, Brian M.;McCarthy, Kevin Scott;Barber, Jacques P.
通讯作者：
Barber, Jacques P.
DOI：
10.1186/1748-5908-3-9
发表时间：
2008-02-15
期刊：
Implementation science : IS
影响因子：
--
作者：
Brown AH;Cohen AN;Chinman MJ;Kessler C;Young AS
通讯作者：
Young AS