Evidence map›Paper›PMID 34426529›Full record

ArticleOpen heart2021

Delivery preferences for psychological intervention in cardiac rehabilitation: a pilot discrete choice experiment.

Gemma Elizabeth Shields, Stuart Wright, Adrian Wells, Patrick Doherty, Lora Capobianco, Linda Mary Davies

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Open heart, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.6field-weighted citation impact, top 15% of its field
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

7 citing papers in PubMed, 13 citations in OpenAlex.

  1. Trial
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  3. A framework for implementing Patient and Public Involvement in mental health research: The PATHWAY research programme benchmarked against NIHR standards.Health expectations : an international journal of public participation in health care and health policy · 2023
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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 at 3 institutions in 1 country.

Gemma Elizabeth ShieldsManchester Centre for Health Economics, The University of Manchester, Manchester, UK gemma.shields@manchester.ac.uk.ORCID 0000-0003-4869-7524
Stuart WrightManchester Centre for Health Economics, The University of Manchester, Manchester, UK.
Adrian WellsSchool of Psychological Sciences, The University of Manchester, Manchester, UK.
Patrick DohertyDepartment of Health Sciences, University of York, York, North Yorkshire, UK.
Lora CapobiancoResearch and Innovation, Greater Manchester Mental Health NHS Foundation Trust, Manchester, UK.
Linda Mary DaviesManchester Centre for Health Economics, The University of Manchester, Manchester, UK.
University of Manchester · GBGreater Manchester Mental Health NHS Foundation Trust · GBUniversity of York · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCardiac rehabilitation (CR) is a programme of care offered to people who recently experienced a cardiac event. There is a growing focus on home-based formats of CR and a lack of evidence on preferences for psychological care in CR. This pilot study aimed to investigate preferences for delivery attributes of a psychological therapy intervention in CR patients with symptoms of anxiety and/or depression.

methodsA discrete choice experiment (DCE) was conducted and recruited participants from a feasibility trial. Participants were asked to choose between two hypothetical interventions, described using five attributes; intervention type (home or centre-based), information provided, therapy manual format, cost to the National Health Service (NHS) and waiting time. A separate opt-out was included. A conditional logit using maximum likelihood estimation was used to analyse preferences. The NHS cost was used to estimate willingness to pay for aspects of the intervention delivery.

results35 responses were received (39% response rate). Results indicated that participants would prefer to receive any form of therapy compared with no therapy. Statistically significant results were limited, but included participants being keen to avoid not receiving information prior to therapy (β=-0.270; p=0.03) and preferring a lower cost to the NHS (β=-0.001; p=0.00). No significant results were identified for the type of psychological intervention, format of therapy/exercises and programme start time. Coefficients indicated preferences were stronger for home-based therapy compared with centre-based, but this was not significant.

conclusionsThe pilot study demonstrates the feasibility of a DCE in this group, it identifies potential attributes and levels, and estimates the sample sizes needed for a full study. Preliminary evidence indicated that sampled participants tended to prefer home-based psychological therapy in CR and wanted to receive information before initiating therapy. Results are limited due to the pilot design and further research is needed.

Indexed as

AgedAged, 80 and overAnxietyCardiac RehabilitationCognitive Behavioral TherapyDepressionFemaleFollow-Up StudiesHeart DiseasesHumansMaleMiddle AgedPilot ProjectsPsychosocial InterventionRetrospective StudiesState Medicinecardiac rehabilitationdelivery of health carehealth care economics and organizationsresearch designtelemedicine

Identifiers

PMID34426529
PMCPMC8383873
OpenAlexW3190124647

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

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.