Dataset Information

Preferences for Treatments for Major Depressive Disorder: Formative Qualitative Research Using the Patient Experience.

ABSTRACT:

Objectives

The goals of this formative research are to elicit attributes of treatment and desired outcomes that are important to individuals with major depressive disorder (MDD), to develop a stated preference instrument, and to pre-test the instrument.

Methods

A three-phase survey study design elicited the patient's journey with MDD to design and pre-test the discrete choice experiment (DCE) instrument. Participants were 20 adults aged ≥ 18 with MDD who did not also have bipolar disorder or post-partum depression. We engaged patient advocates and a multi-disciplinary stakeholder advisory group to select and refine attributes for inclusion in a DCE instrument. The DCE was incorporated into a survey that also collected depression treatment and management and sociodemographic characteristics. The DCE was pre-tested with ten adults with MDD.

Results

Six attributes were included in the DCE: mode of treatment (medicine only, psychotherapy only, all modalities including brain stimulation), time to treatment effect (6, 9, 12 weeks), days of hopefulness (2, 4, 6 days/week), effect on productivity (40%, 60%, 90% increase), relations with others (strained, improved, no impact), and out-of-pocket costs ($30, $60, $90/month). The DCE test led to the refinement of mode of treatment (medicine, medicine and psychotherapy, and all modalities); time to treatment effect (4, 6, 9 weeks); monthly out-of-pocket costs ($30, $90, $270).

Conclusions

MDD treatment preferences revealed trade-offs among mode of treatment, time to treatment effect, functional outcomes, and cost. The findings demonstrate the potential for meaningfully incorporating the patient experience in preference measures.

SUBMITTER: dosReis S

PROVIDER: S-EPMC9483243 | biostudies-literature | 2023 Jan

REPOSITORIES: biostudies-literature

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Publications

Preferences for Treatments for Major Depressive Disorder: Formative Qualitative Research Using the Patient Experience.

dosReis Susan S Bozzi Laura M LM Butler Beverly B Xie Richard Z RZ Chapman Richard H RH Bright Jennifer J Malik Erica E Slejko Julia F JF

The patient 20220919 1

<h4>Objectives</h4>The goals of this formative research are to elicit attributes of treatment and desired outcomes that are important to individuals with major depressive disorder (MDD), to develop a stated preference instrument, and to pre-test the instrument.<h4>Methods</h4>A three-phase survey study design elicited the patient's journey with MDD to design and pre-test the discrete choice experiment (DCE) instrument. Participants were 20 adults aged ≥ 18 with MDD who did not also have bipolar ...[more]

PMID: 36121615

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Dataset Information

Preferences for Treatments for Major Depressive Disorder: Formative Qualitative Research Using the Patient Experience.

Objectives

Methods

Results

Conclusions

Publications

Preferences for Treatments for Major Depressive Disorder: Formative Qualitative Research Using the Patient Experience.

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