一项最佳-最差比例缩放实验，用于确定照顾者对儿童多动症药物治疗的关注重点。
A best-worst scaling experiment to prioritize caregiver concerns about ADHD medication for children.
作者信息
Ross Melissa, Bridges John F P, Ng Xinyi, Wagner Lauren D, Frosch Emily, Reeves Gloria, dosReis Susan
机构信息
Ms. Ross, Ms. Ng, Dr. Wagner, and Dr. dosReis are with the Department of Pharmaceutical Health Services Research, University of Maryland School of Pharmacy, Baltimore. Dr. Bridges is with the Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore. Dr. Frosch is with the Division of Child and Adolescent Psychiatry, Johns Hopkins University School of Medicine, Baltimore. Dr. Reeves is with the Department of Psychiatry, University of Maryland School of Medicine, Baltimore. Send correspondence to Dr. dosReis (e-mail:
出版信息
Psychiatr Serv. 2015 Feb 1;66(2):208-11. doi: 10.1176/appi.ps.201300525. Epub 2014 Nov 17.
OBJECTIVE
The objective of this feasibility study was to develop and pilot an instrument to elicit caregivers' priorities when initiating attention-deficit hyperactivity disorder (ADHD) medication for their child.
METHODS
A best-worst scaling experiment was used to rank competing priorities when initiating ADHD medicine. Forty-six participants were recruited for a two-phase study involving survey development (phase 1, N=21) and the survey pilot (phase 2, N=25). Best-worst scores and 95% confidence intervals indicating the relative importance of 16 concerns were determined, and t tests were used to determine the scores' significance.
RESULTS
The significance of best-worst scores for most concerns indicated that the choices were purposeful. Concerns about helping the child become a successful adult, having a doctor who addresses caregivers' concerns, and improving school behavior were ranked highest.
CONCLUSIONS
The best-worst scaling method can elicit priorities for children's mental health treatment. Future work using this method will guide family-centered care.
目的
本可行性研究的目的是开发并试行一种工具，以确定在为孩子开始使用注意力缺陷多动障碍（ADHD）药物治疗时照顾者的优先事项。
方法
采用最佳-最差尺度实验对开始使用ADHD药物时相互竞争的优先事项进行排序。招募了46名参与者进行一项两阶段研究，包括调查问卷开发（第1阶段，N = 21）和调查问卷试行（第2阶段，N = 25）。确定了表明16个问题相对重要性的最佳-最差分数及95%置信区间，并使用t检验来确定分数的显著性。
结果
大多数问题的最佳-最差分数的显著性表明这些选择是有目的的。对帮助孩子成为成功成年人、有一位能解决照顾者担忧的医生以及改善学校行为的担忧被排在最高位。
结论
最佳-最差尺度法可以确定儿童心理健康治疗的优先事项。未来使用该方法的工作将指导以家庭为中心的护理。
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