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A systematic review of discrete choice experiments in stroke rehabilitation.
Jolliffe, Laura; Christie, Lauren J; Fearn, Nicola; Nohrenberg, Michael; Liu, Rasia; Williams, Julie F; Parsons, Mark W; Pearce, Alison M.
Afiliación
  • Jolliffe L; Department of Occupational Therapy, Peninsula Health, Melbourne, Australia.
  • Christie LJ; Department of Occupational Therapy, Monash University, Melbourne, Australia.
  • Fearn N; National Centre for Healthy Ageing (NCHA), Melbourne, Australia.
  • Nohrenberg M; Allied Health Research Unit, St Vincent's Health Network Sydney, Darlinghurst, Australia.
  • Liu R; Nursing Research Institute, Australian Catholic University, Sydney, Australia.
  • Williams JF; Allied Health Research Unit, St Vincent's Health Network Sydney, Darlinghurst, Australia.
  • Parsons MW; School of Public Health, The University of Sydney, Camperdown, Australia.
  • Pearce AM; School of Public Health, The University of Sydney, Camperdown, Australia.
Top Stroke Rehabil ; 31(6): 632-643, 2024 Sep.
Article en En | MEDLINE | ID: mdl-38372124
ABSTRACT

OBJECTIVES:

Existing research qualitatively explores consumer preferences for stroke rehabilitation interventions. However, it remains unclear which intervention characteristics are most important to consumers, and how these preferences may influence uptake and participation. Discrete choice experiments (DCE) provide a unique way to quantitatively measure preferences for health and health care. This study aims to explore how DCEs have been used in stroke rehabilitation and to identify reported consumer preferences for rehabilitation interventions. MATERIAL AND

METHODS:

A systematic review of published stroke rehabilitation DCEs was completed (PROSPERO registration CRD42021282578). Six databases (including CINAHL, MEDLINE, EconLIT) were searched from January 2000-March 2023. Data extracted included topic area, sample size, aim, attributes, design process, and preference outcomes. Descriptive and thematic analyses were conducted, and two methodological checklists applied to review quality.

RESULTS:

Of 2,446 studies screened, five were eligible. Studies focused on exercise preference (n = 3), the structure and delivery of community services (n = 1), and self-management programs (n = 1). All had small sample sizes (range 50-146) and were of moderate quality (average score of 77%). Results indicated people have strong preferences for one-to-one therapy (over group-based), light-moderate intensity of exercise, and delivery by qualified therapists (over volunteers).

CONCLUSIONS:

Few DCEs have been conducted in stroke rehabilitation, suggesting consumer preferences could be more rigorously explored. Included studies were narrow in the scope of attributes included, limiting their application to practice and policy. Further research is needed to assess the impact of differing service delivery models on uptake and participation.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Conducta de Elección / Prioridad del Paciente / Rehabilitación de Accidente Cerebrovascular Límite: Humans Idioma: En Revista: Top Stroke Rehabil Asunto de la revista: ANGIOLOGIA / REABILITACAO Año: 2024 Tipo del documento: Article País de afiliación: Australia Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Conducta de Elección / Prioridad del Paciente / Rehabilitación de Accidente Cerebrovascular Límite: Humans Idioma: En Revista: Top Stroke Rehabil Asunto de la revista: ANGIOLOGIA / REABILITACAO Año: 2024 Tipo del documento: Article País de afiliación: Australia Pais de publicación: Reino Unido