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Using discrete choice experiments to develop and deliver patient-centered psychological interventions: a systematic
Meghan E McGrady1,2, Ahna L H Pai1,2, Lisa A Prosser3
1Division of Behavioral Medicine and Clinical Psychology, Patient and Family Wellness Center, Cancer and Blood Diseases Institute; Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
Discrete choice experiments (DCEs) can assess patient preferences for psychological interventions, improving patient-centered care. This review synthesizes DCEs
Area of Science:
- Health Psychology
- Behavioral Health
- Patient-Centered Care
Background:
- Tailoring psychological interventions to patient preferences enhances engagement and outcomes.
- Discrete choice experiments (DCEs) are a quantitative method for assessing patient preferences, but are underutilized in health psychology.
- Understanding patient preferences is key to developing effective, patient-centered psychological and behavioral health interventions.
Purpose of the Study:
- To systematically review the application of DCEs in informing the design of patient-centered psychological care.
- To highlight the potential benefits and applications of DCEs within health psychology.
- To synthesize research on DCEs used to understand patient preferences for various health interventions.
Main Methods:
- Systematic literature review of articles reporting DCEs.
- Searches conducted in March 2017 and November 2019 using terms 'discrete choice', 'conjoint', or 'stated preference'.
- Included studies focused on DCEs informing patient-centered psychological or behavioral health interventions.
Main Results:
- Thirty-nine articles met inclusion criteria.
- DCEs were used to understand preferences for psychosocial clinical services (12 studies), lifestyle behavior change (11 studies), HIV services (10 studies), and self-management programs (4 studies).
- The review identified diverse applications of DCEs in tailoring health interventions to patient preferences.
Conclusions:
- Discrete choice experiments (DCEs) are a valuable tool for understanding patient preferences in health psychology.
- Integrating DCEs into health psychology can advance patient-centered care and improve intervention design.
- Further research should explore DCEs' potential to optimize psychological and behavioral health interventions.
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