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Using discrete choice experiments to develop and deliver patient-centered psychological interventions: a systematic review.
Health Psychology Review ( IF 6.6 ) Pub Date : 2020-01-22 , DOI: 10.1080/17437199.2020.1715813
Meghan E McGrady 1, 2 , Ahna L H Pai 1, 2 , Lisa A Prosser 3
Affiliation  

Developing and/or tailoring psychological interventions to align with patient preferences is a critical component of patient-centered care and has the potential to improve patient engagement and treatment outcomes. Discrete choice experiments (DCEs) are a quantitative method of assessing patient preferences that offer numerous strengths (i.e., ability to account for trade-offs), but are not routinely incorporated into health psychology coursework, likely leaving many unaware of the potential benefits of this methodology. To highlight the potential applications of DCEs within health psychology, this systematic review synthesises previous efforts to utilise DCEs to inform the design of patient-centered psychological care, defined as interventions targeting psychological (e.g., depression, anxiety) or behavioural health (e.g., pain management, adherence) concerns. Literature searches were conducted in March 2017 and November 2019 for articles reporting on DCEs using the terms 'discrete choice', 'conjoint', or 'stated preference'. Thirty-nine articles met all inclusion criteria and used DCEs to understand patient preferences regarding psychosocial clinical services (n = 12), lifestyle behaviour change interventions (n = 11), HIV prevention and/or intervention services (n = 10), disease self-management programmes (n = 4), or other interventions (n = 2). Clinical implications as well as limitations and directions for future research are discussed.

中文翻译:

使用离散选择实验开发和提供以患者为中心的心理干预:系统评价。

开发和/或定制符合患者偏好的心理干预措施是以患者为中心的护理的关键组成部分,并有可能改善患者的参与度和治疗结果。离散选择实验 (DCE) 是一种评估患者偏好的定量方法,具有众多优势(即权衡取舍的能力),但并未常规纳入健康心理学课程,可能使许多人没有意识到这种方法的潜在好处方法。为了突出 DCE 在健康心理学中的潜在应用,本系统综述综合了以前利用 DCE 为以患者为中心的心理护理设计提供信息的努力,定义为针对心理(如抑郁、焦虑)或行为健康(如疼痛)的干预管理,依从性)的担忧。在 2017 年 3 月和 2019 年 11 月对使用“离散选择”、“联合”或“陈述偏好”等术语报告 DCE 的文章进行了文献搜索。39 篇文章符合所有纳入标准,并使用 DCE 了解患者对社会心理临床服务 (n = 12)、生活方式行为改变干预 (n = 11)、艾滋病毒预防和/或干预服务 (n = 10)、疾病自我的偏好-管理计划(n = 4)或其他干预措施(n = 2)。讨论了临床意义以及未来研究的局限性和方向。39 篇文章符合所有纳入标准,并使用 DCE 了解患者对社会心理临床服务 (n = 12)、生活方式行为改变干预 (n = 11)、艾滋病毒预防和/或干预服务 (n = 10)、疾病自我的偏好-管理计划(n = 4)或其他干预措施(n = 2)。讨论了临床意义以及未来研究的局限性和方向。39 篇文章符合所有纳入标准,并使用 DCE 了解患者对社会心理临床服务 (n = 12)、生活方式行为改变干预 (n = 11)、艾滋病毒预防和/或干预服务 (n = 10)、疾病自我的偏好-管理计划(n = 4)或其他干预措施(n = 2)。讨论了临床意义以及未来研究的局限性和方向。
更新日期:2020-01-22
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