Patient preferences for conservative treatment of shoulder pain: a discrete choice experiment.
Fam Pract
; 2024 Oct 10.
Article
em En
| MEDLINE
| ID: mdl-39388636
ABSTRACT
BACKGROUND:
Shoulder pain is common amongst adults, but little is known about patients' preferences.OBJECTIVE:
The aim of this study was to determine patients' preferences for treatment options offered for shoulder pain in primary care.METHODS:
A discrete choice experiment was used to investigate these preferences. Adults with shoulder pain were asked to make 12 choices between two treatment options, or to opt-out. The attributes of the 12 treatment options were presented as varying in treatment effectiveness (50%, 70%, or 90%), risk of relapse (10%, 20%, or 30%), time to pain reduction (2 or 6 weeks), prevention of relapse (yes/no), requiring injection (yes/no), and including physiotherapy (none, 6, or 12 sessions). A conditional logit model with latent class analysis was used for the analysis and a class assignment model.RESULTS:
Three hundred and twelve participants completed the questionnaire with mean age of 52â ±â 15.2 years. Latent class analysis revealed three groups. Group 1 preferred to opt-out, unless the attributes were highly favorable (90% effectiveness). Group 2 preferred treatment, but not an injection. Group 3 preferred to opt-out and did not opt for treatment. The likelihood of a participant belonging to one of these groups was 68.8%, 9.3%, and 21.9%, respectively. The class assignment was related to having previously received injection or physiotherapy, as they did not prefer that same treatment again.CONCLUSION:
This study showed that most patients with shoulder pain prefer to opt-out, unless treatment attributes are highly favorable. Characteristics of influence on this decision was whether the patient had received an injection or physiotherapy before.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Idioma:
En
Revista:
Fam Pract
/
Fam. pract
/
Family Practice
Ano de publicação:
2024
Tipo de documento:
Article
País de afiliação:
Holanda
País de publicação:
Reino Unido