Evidence map›Paper›PMID 38109008›Full record

ArticleApplied health economics and health policy2024

Treatment Preferences of Adolescents and Young Adults with Depressive Symptoms: A Discrete Choice Experiment.

Ruth C Waumans, Anna D T Muntingh, Jorien Veldwijk, Adriaan W Hoogendoorn, Anton J L M van Balkom, Neeltje M Batelaan

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Article in Applied health economics and health policy, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 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

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3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

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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.

Ruth C WaumansAmsterdam Public Health Institute and GGZ inGeest Specialized Mental Health care, Department of Psychiatry, Amsterdam UMC, location Vrije Universiteit, Amsterdam, The Netherlands. ruth.waumans@deviersprong.nl.ORCID 0000-0002-2211-4725
Anna D T MuntinghAmsterdam Public Health Institute and GGZ inGeest Specialized Mental Health care, Department of Psychiatry, Amsterdam UMC, location Vrije Universiteit, Amsterdam, The Netherlands.
Jorien VeldwijkErasmus School of Health Policy and Management, Erasmus Choice Modelling Centre, Erasmus University Rotterdam, Rotterdam, The Netherlands.
Adriaan W HoogendoornAmsterdam Public Health Institute and GGZ inGeest Specialized Mental Health care, Department of Psychiatry, Amsterdam UMC, location Vrije Universiteit, Amsterdam, The Netherlands.
Anton J L M van BalkomAmsterdam Public Health Institute and GGZ inGeest Specialized Mental Health care, Department of Psychiatry, Amsterdam UMC, location Vrije Universiteit, Amsterdam, The Netherlands.
Neeltje M BatelaanAmsterdam Public Health Institute and GGZ inGeest Specialized Mental Health care, Department of Psychiatry, Amsterdam UMC, location Vrije Universiteit, Amsterdam, The Netherlands.

Funding

ZonMw 430000003
6 · The paper itself

Abstract

backgroundDepression in adolescents and young adults is common and causes considerable disease burden while hampering their development, leading to adverse consequences in later life. Although treatment is available, young people are a vulnerable group regarding uptake and completion of treatment. To improve this, insight into youth's preferences for treatment is essential.

objectiveThe aim of this study was to investigate patient preferences for depression treatment in a Dutch sample aged 16-24 years using a discrete choice experiment (DCE).

methodsThe study was conducted in The Netherlands between October 2018 and June 2019, and included 236 adolescents and young adults with current depressive symptoms or previous treatment. The DCE included five attributes (treatment type, frequency of appointment, waiting time, effectiveness, evaluation of therapeutic alliance) with corresponding levels. Results were analysed using latent class analysis.

resultsResults show a general preference for individual psychotherapy, treatment with high frequency, high effectiveness, short waiting time and a standard evaluation of the therapeutic alliance ('click' with the therapist) early in treatment. Latent class analysis revealed three different patterns of preferences regarding treatment type and willingness to engage in therapy. The first class showed a strong preference for individual therapy. The second class, including relatively older, higher educated and treatment-experienced participants, preferred high frequency treatment and was more open to different forms of therapy. The third class, including lower educated, younger and treatment-naïve adolescents showed reluctance to engage in therapy overall and in group therapy specifically.

conclusionIn this DCE, three classes could be identified that share similar preferences regarding treatment effectiveness, waiting time and evaluation of the therapeutic alliance, but varied considerably in their preference for treatment type (individual, group, or combined psychotherapy) and their willingness to engage. The results from this study may inform mental health care providers and institutions and help optimize professional care for adolescents and young adults with depressive symptoms, improving engagement in this vulnerable group.

Indexed as

Choice BehaviorDepressionAdolescentHumansNetherlandsPatient PreferencePsychotherapyTreatment OutcomeYoung Adult

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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.