Evidence map›Paper›PMID 33855684›Full record

ArticleThe patient2021

Don't Forget the Caregivers! A Discrete Choice Experiment Examining Caregiver Views of Integrated Youth Services.

Lisa D Hawke, Lehana Thabane, Leanne Wilkins, Steve Mathias, Srividya Iyer, Joanna Henderson

Abstract read
In one paragraph

Article in The patient, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
–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, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
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  7. What do justice-involved youth want from integrated youth services? A conjoint analysis.Journal of the Canadian Academy of Child and Adolescent Psychiatry = Journal de l'Academie canadienne de psychiatrie de l'enfant et de l'adolescent · 2024
    Article
  8. Article
  9. Youth Perspectives on Integrated Youth Services: A Discrete Choice Conjoint Experiment.Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2022
    Article
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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

6 authors.

Lisa D HawkeMargaret and Wallace McCain Centre for Child, Youth and Family Mental Health, Centre for Addiction and Mental Health; University of Toronto, Toronto, ON, Canada.ORCID 0000-0003-1108-9453
Lehana ThabaneHealth Research Methods, Evidence, and Impact, McMaster University, Hamilton, ON, Canada.ORCID 0000-0003-0355-9734
Leanne WilkinsMargaret and Wallace McCain Centre for Child, Youth and Family Mental Health, Centre for Addiction and Mental Health, Toronto, ON, Canada.
Steve MathiasFoundry, Vancouver, BC, Canada.ORCID 0000-0002-7264-2200
Srividya IyerMcGill University; ACCESS Open Minds (Youth Mental Health Services Research Network), Montreal, QC, Canada.ORCID 0000-0001-5367-9086
Joanna HendersonMargaret and Wallace McCain Centre for Child, Youth and Family Mental Health, Centre for Addiction and Mental Health; University of Toronto, Toronto, ON, Canada. Joanna.Henderson@camh.ca.ORCID 0000-0002-9387-5193

Funding

CIHR
6 · The paper itself

Abstract

backgroundThe design and implementation of community-based integrated youth service hubs (IYSHs) is burgeoning around the world. This collaborative model of care aims to address barriers in youth service access by designing services that meet the needs of youth and caregivers. However, heterogeneity across models requires a better understanding of the preferences for key service characteristics.

methodA discrete choice experiment was conducted among 274 caregivers of youth aged 14-29 years with mental health challenges. The experiment consisted of 12 attributes with four levels each, representing different service components; additional measures were collected, including demographics and burden assessments. Utility values were calculated, representing the degree of preference for a given level of an attribute. Latent class analysis was conducted to understand subgroups with different service preferences, identifying three latent classes with differing IYSH service preferences.

resultsThe largest class (n = 173, 63.1%), entitled 'Comprehensive, Integrative Service Access', strongly valued practical aspects of service design, such as rapid access and support for a wide range of needs. The 'Service Process Features' class (n = 67, 24.5%) expressed a relative prioritization of process features of service access, while the smaller 'Caregiver Involvement' (n = 34, 12.4%) class most highly prioritized caregiver involvement in their youths' services. Similar demographic characteristics and caregiver burden were found across classes, although participants in the Caregiver Involvement latent class were supporting younger youth. DISCUSSION AND

conclusionsCaregivers have diverse youth service preferences and relative priorities that should be taken into account when designing services. System designers and service providers are encouraged to take caregivers' preferences and priorities into account, alongside youth priorities, whether designing service delivery models or an individual service plan for a youth.

Indexed as

CaregiversMental HealthAdolescentHumansLatent Class Analysis

Identifiers

PMID33855684
PMCPMC8046579

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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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.