接触教育工具是否会影响患者偏好？通过离散选择实验评估教育工具对患者偏好的影响。
Does being exposed to an educational tool influence patient preferences? The influence of an educational tool on patient preferences assessed by a discrete choice experiment.
机构信息
Department of Public Health and Caring Sciences, Centre for Research Ethics & Bioethics, Uppsala University, Uppsala, Sweden.
Department of Public Health and Caring Sciences, Centre for Research Ethics & Bioethics, Uppsala University, Uppsala, Sweden; Erasmus School of Health Policy & Management, and Erasmus Choice Modelling Centre, Erasmus University Rotterdam, Rotterdam, The Netherlands.
出版信息
Patient Educ Couns. 2021 Oct;104(10):2577-2585. doi: 10.1016/j.pec.2021.03.013. Epub 2021 Mar 10.
OBJECTIVES
There is an increased interest in patient preferences informing the development and authorisation of medical products. A requirement for robust and meaningful results of such studies is that patients adequately understand the risks and benefits associated with treatments for which their preferences are elicited. This study aims to determine the influence of an educational tool, compared with traditional written information on patient preferences elicited in a discrete choice experiment (DCE).
METHODS
Treatment preferences of Swedish patients with rheumatoid arthritis (RA) were assessed using a DCE. Patients were recruited via clinics, a research panel, and the Swedish Rheumatism Association. Respondents received training materials either as plain written text or as an online educational tool. The educational tool was designed to enhance understanding of the written text by using graphics, pictograms, icon arrays, spoken text, and click-on functions. Data were analysed using random parameter logit models.
RESULTS
675 patients with RA were included in the analysis. The patients received either a written information (n = 358) or information via an educational tool (n = 317). Respondents receiving the educational tool placed relatively more importance on all included side effects in their decision making, compared to respondents receiving the written text, who placed greater importance on treatment effectiveness and administration methods.
CONCLUSION
Compared to the respondents receiving the written text, the decisions of respondents receiving the educational tool were more influenced by medication side effects. Further research is needed to provide guidance on how and when to use educational tools to inform and elicit patients' preferences.
PRACTICE IMPLICATIONS
The ways in which attributes are presented to patients significantly impacts preferences measured in a DCE.
目的
人们越来越关注患者偏好在医疗产品的开发和批准中的作用。此类研究要想获得稳健且有意义的结果，就必须确保患者能够充分理解与其偏好相关的治疗风险和获益。本研究旨在确定与传统书面信息相比，教育工具对离散选择实验（DCE）中患者偏好评估的影响。
方法
采用 DCE 评估瑞典类风湿关节炎（RA）患者的治疗偏好。通过诊所、研究小组和瑞典风湿病协会招募患者。受访者收到的培训材料为纯书面文本或在线教育工具。教育工具旨在通过使用图形、象形图、图标数组、语音文本和点击功能来增强对书面文本的理解。使用随机参数对数模型对数据进行分析。
结果
共纳入 675 例 RA 患者进行分析。患者接受书面信息（n=358）或通过教育工具（n=317）接受信息。与接受书面文本的受访者相比，接受教育工具的受访者在决策时更看重所有包含的副作用，而接受书面文本的受访者更看重治疗效果和给药方法。
结论
与接受书面文本的受访者相比，接受教育工具的受访者的决策受药物副作用的影响更大。需要进一步研究如何以及何时使用教育工具来为患者提供信息并征求其偏好。
实践意义
向患者呈现属性的方式会显著影响 DCE 中测量的偏好。
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