Evidence map›Paper›PMID 36343991›Full record

ArticleBMJ open2022

Discrete choice experiment to investigate preferences for psychological intervention in cardiac rehabilitation.

Gemma E Shields, Adrian Wells, Stuart Wright, Caroline M Vass, Patrick Joseph Doherty, Lora Capobianco, Linda M Davies

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
2.2field-weighted citation impact, top 9% 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
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

7 authors at 3 institutions in 1 country.

Gemma E ShieldsManchester Centre for Health Economics, The University of Manchester, Manchester, UK gemma.shields@manchester.ac.uk.ORCID 0000-0003-4869-7524
Adrian WellsSchool of Psychological Sciences, The University of Manchester, Manchester, UK.
Stuart WrightManchester Centre for Health Economics, The University of Manchester, Manchester, UK.
Caroline M VassManchester Centre for Health Economics, The University of Manchester, Manchester, UK.
Patrick Joseph DohertyDepartment of Health Sciences, University of York, York, Yorkshire, UK.ORCID 0000-0002-1887-0237
Lora CapobiancoGreater Manchester Mental Health NHS Foundation Trust, Manchester, UK.
Linda M 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

objectiveCardiac rehabilitation (CR) is offered to people who recently experienced a cardiac event, and often comprises of exercise, education and psychological care. This stated preference study aimed to investigate preferences for attributes of a psychological therapy intervention in CR.

methodsA discrete choice experiment (DCE) was conducted and recruited a general population sample and a trial sample. DCE attributes included the modality (group or individual), healthcare professional providing care, information provided prior to therapy, location and the cost to the National Health Service (NHS). Participants were asked to choose between two hypothetical designs of therapy, with a separate opt-out included. A mixed logit model was used to analyse preferences. Cost to the NHS was used to estimate willingness to pay (WTP) for aspects of the intervention design.

resultsThree hundred and four participants completed the DCE (general public sample (n=262, mean age 47, 48% female) and trial sample (n=42, mean age 66, 45% female)). A preference for receiving psychological therapy was demonstrated by both samples (general population WTP £1081; 95% CI £957 to £1206). The general population appeared to favour individual therapy (WTP £213; 95% CI £160 to £266), delivered by a CR professional (WTP £48; 9% % CI £4 to £93) and with a lower cost (β=-0.002; p<0.001). Participants preferred to avoid options where no information was received prior to starting therapy (WTP -£106; 95% CI -£153 to -£59). Results for the location attribute were variable and challenging to interpret.

conclusionsThe study demonstrates a preference for psychological therapy as part of a programme of CR, as participants were more likely to opt-in to therapy. Results indicate that some aspects of the delivery which may be important to participants can be tailored to design a psychological therapy. Preference heterogeneity is an issue which may prevent a 'one-size-fits-all' approach to psychological therapy in CR.

Indexed as

Cardiac RehabilitationPatient PreferenceAgedChoice BehaviorFemaleHumansMaleMiddle AgedPsychosocial InterventionState MedicineSurveys and Questionnairesanxiety disorderscardiologydepression & mood disordershealth economicspsychiatryrehabilitation medicine

Identifiers

PMID36343991
PMCPMC9644324
OpenAlexW4308435284

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.