Evidence map›Paper›PMID 32513886›Full record

ArticleBMJ open2020

Personal preferences for Personalised Trials among patients with chronic diseases: an empirical Bayesian analysis of a conjoint survey.

Ying Kuen Cheung, Dallas Wood, Kangkang Zhang, Ty A Ridenour, Lilly Derby, Tara St Onge, Naihua Duan, Joan Duer-Hefele, Karina W Davidson, Ian Kronish and 1 more

Abstract read
In one paragraph

Article in BMJ open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Ying Kuen CheungBiostatistics, Columbia University Irving Medical Center, New York, New York, USA yc632@cumc.columbia.edu.ORCID 0000-0001-8530-035X
Dallas WoodRTI International, Research Triangle Park, North Carolina, USA.
Kangkang ZhangBiostatistics, Columbia University Irving Medical Center, New York, New York, USA.
Ty A RidenourRTI International, Research Triangle Park, North Carolina, USA.
Lilly DerbyCenter Behavioral Cardiovascular Health, Columbia University Irving Medical Center, New York, New York, USA.
Tara St OngeCenter Behavioral Cardiovascular Health, Columbia University Irving Medical Center, New York, New York, USA.
Naihua DuanBiostatistics, Columbia University Irving Medical Center, New York, New York, USA.
Joan Duer-HefeleResearch, Feinstein Institute for Medical Research, Manhasset, New York, USA.
Karina W DavidsonResearch, Feinstein Institute for Medical Research, Manhasset, New York, USA.
Ian KronishCenter Behavioral Cardiovascular Health, Columbia University Irving Medical Center, New York, New York, USA.ORCID 0000-0003-0945-2380
Nathalie MoiseCenter Behavioral Cardiovascular Health, Columbia University Irving Medical Center, New York, New York, USA.

Funding

Novel Methods for Evaluation and Implementation of Behavioral Intervention Technologies for DepressionR01MH109496 · NIMH · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI CHEUNG, KEN, MOHR, DAVID CURTIS · 2016 to 2019
$1.6M
NIMH NIH HHS R01 MH109496
6 · The paper itself

Abstract

objectiveTo describe individual patient preferences for Personalised Trials and to identify factors and conditions associated with patient preferences.

designEach participant was presented with 18 conjoint questions via an online survey. Each question provided two choices of Personalised Trials that were defined by up to eight attributes, including treatment types, clinician involvement, study logistics and trial burden on a patient.

settingOnline survey of adults with at least two common chronic conditions in the USA.

participantsA nationally representative sample of 501 individuals were recruited from the Chronic Illness Panel by Harris Poll Online. Participants were recruited from several sources, including emails, social media and telephone recruitment of the target population.

main outcome measuresThe choice of Personalised Trial design that the participant preferred with each conjoint question.

resultsThere was large variability in participants' preferences for the design of Personalised Trials. On average, they preferred certain attributes, such as a short time commitment and no cost. Notably, a population-level analysis correctly predicted 62% of the conjoint responses. An empirical Bayesian analysis of the conjoint data, which supported the estimation of individual-level preferences, improved the accuracy to 86%. Based on estimates of individual-level preferences, patients with chronic pain preferred a long study duration (p≤0.001). Asthma patients were less averse to participation burden in terms of data-collection frequency than patients with other conditions (p=0.002). Patients with hypertension were more cost-sensitive (p<0.001).

conclusionThese analyses provide a framework for elucidating individual-level preferences when implementing novel patient-centred interventions. The data showed that patient preference in Personalised Trials is highly variable, suggesting that individual differences must be accounted for when marketing Personalised Trials. These results have implications for advancing precise interventions in Personalised Trials by indicating when rigorous scientific principles, such as frequent monitoring, is feasible in a substantial subset of patients.

Indexed as

AsthmaChronic DiseaseClinical Trials as TopicHypertensionPatient PreferenceAgedAge FactorsBayes TheoremEthnicityFemaleHumansInternetMaleSurveys and QuestionnairesUnited Statescomplementary medicinegeneral medicine (see internal medicine)pain managementquality in health carerheumatology

Identifiers

PMID32513886
PMCPMC7282396

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.