Adult Patient Preferences for Long-Acting ADHD Treatments: A Discrete Choice Experiment
M Janelle Cambron-Mellott1, Jaromir Mikl2, Joana E Matos1
1Kantar Health, New York, NY, USA.
Background And Objective:
Treatment for attention deficit hyperactivity disorder (ADHD) requires a multifaceted approach including psychosocial interventions and pharmacological treatment. This study evaluates preferences for specific attributes associated with different long-acting stimulant treatment among US adults with ADHD.
Methods:
Patients completed an online, cross-sectional survey, incorporating a discrete choice experiment to assess preferences for attributes.
Results:
Analyses included 200 adults with ADHD (mean age 33.0 years; 60% self-reporting moderate severity); the mean (SD) Adult ADHD Self-Report Scale-v1.1 score was 45.9 (12.4). Overall, patients valued speed of onset most and risk of rebound least. Three population groups with distinct preferences were identified: side effect-driven (n=69, 35%), quick onset-driven (n=47, 24%) and quick onset and long duration-driven (n=84, 42%).
Conclusion:
This study shows differences in how adults with ADHD value and assess benefit-risk trade-offs when considering the desired attributes of stimulant treatments, highlighting the importance of patient-physician shared decision-making to optimize the desired benefits of individualized treatment.
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