Journal article
Veterans’ preferences for tobacco treatment in primary care: A discrete choice experiment
Patient education and counseling, Vol.103(3), pp.652-660
03/2020
DOI: 10.1016/j.pec.2019.10.002
PMID: 31629558
Abstract
•Selection of treatments for smoking cessation are sensitive to patients’ preferences.•Latent class analysis reveals clusters of patients with unique preference phenotypes.•There is potential to tailor tobacco treatment programs based on patient preferences.
To evaluate US veterans’ preferences for smoking cessation counseling and pharmacotherapy.
A discrete choice experiment (DCE) was conducted in 123 Veterans Health Administration primary care outpatients who planned to quit smoking within 6 months. Key attributes of tobacco cessation treatment were based on literature review and expert opinion. We used a hierarchical Bayesian approach with a logit model to estimate the part-worth utility of each attribute level and used latent class logit models to explore preference heterogeneity.
In the aggregate, participants valued counseling options with the following attributes: higher quit rate at 1 year, emphasis on autonomy, familiarity of the counselor, counselor’s communication skills, and inclusion of printed materials on smoking cessation. Participants valued pharmacotherapy options with the following attributes: higher quit rate at 1 year, lower risk of physical side effects, zero copayment, monthly check-in calls, and less weight gain. Latent class analysis revealed distinct clusters of patients with a unique preference “phenotype.”
Veterans have distinct preferences for attributes of cessation counseling and pharmacotherapy.
Identifying patients’ preferences provides an opportunity for clinicians to offer tailored treatment options that better engage veterans in their own care and boost adherence to guideline-recommended counseling and pharmacotherapy.
Details
- Title: Subtitle
- Veterans’ preferences for tobacco treatment in primary care: A discrete choice experiment
- Creators
- David A Katz - Comprehensive Access & Delivery Research and Evaluation (CADRE) Center, VA Iowa City Health Care System , Iowa City, IA 52246-2208, USAChristine Hamlin - Comprehensive Access & Delivery Research and Evaluation (CADRE) Center, VA Iowa City Health Care System , Iowa City, IA 52246-2208, USAMark W Vander Weg - Comprehensive Access & Delivery Research and Evaluation (CADRE) Center, VA Iowa City Health Care System , Iowa City, IA 52246-2208, USAKathleen M Grant - VA Nebraska-Western Iowa Health Care System and the Department of Internal Medicine, University of Nebraska Medical Center, Omaha, NE, USAKenda R Stewart Steffensmeier - Comprehensive Access & Delivery Research and Evaluation (CADRE) Center, VA Iowa City Health Care System , Iowa City, IA 52246-2208, USAMonica Paez - Comprehensive Access & Delivery Research and Evaluation (CADRE) Center, VA Iowa City Health Care System , Iowa City, IA 52246-2208, USASarah T Hawley - Ann Arbor Veterans Administration (VA) Healthcare System, University of Michigan, Ann Arbor, MI, USAGary Gaeth - Tippie School of Business, University of Iowa, Iowa City, IA, USA
- Resource Type
- Journal article
- Publication Details
- Patient education and counseling, Vol.103(3), pp.652-660
- DOI
- 10.1016/j.pec.2019.10.002
- PMID
- 31629558
- NLM abbreviation
- Patient Educ Couns
- ISSN
- 0738-3991
- eISSN
- 1873-5134
- Publisher
- Elsevier B.V
- Grant note
- DOI: 10.13039/100000738, name: US Department of Veterans Affairs; DOI: 10.13039/100007217, name: Health Services Research and Development
- Language
- English
- Date published
- 03/2020
- Academic Unit
- Marketing; Epidemiology; Psychological and Brain Sciences; Injury Prevention Research Center; General Internal Medicine; Community and Behavioral Health; Internal Medicine
- Record Identifier
- 9984214951002771
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