Does being exposed to an educational tool influence patient preferences?: The influence of an educational tool on patient preferences assessed by a discrete choice experiment.

Karin Bywall; Jorien Veldwijk; Mats Hansson; eva  baecklund; Karim Raza; M Falahee; Ulrik Kihlbom

doi:10.1016/j.pec.2021.03.013

Does being exposed to an educational tool influence patient preferences? The influence of an educational tool on patient preferences assessed by a discrete choice experiment.

Karin Bywall, Jorien Veldwijk, Mats Hansson, eva baecklund, Karim Raza, M Falahee, Ulrik Kihlbom

Inflammation and Ageing

Research output: Contribution to journal › Article › peer-review

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Abstract

Objectives: There is an increased interest in patient preferences informing the development and authorisation of medical products. A requirement for robust and meaningful results of such studies is that patients adequately understand the risks and benefits associated with treatments for which their preferences are elicited. This study aims to determine the influence of an educational tool, compared with traditional written information on patient preferences elicited in a discrete choice experiment (DCE).

Methods: Treatment preferences of Swedish patients with rheumatoid arthritis (RA) were assessed using a DCE. Patients were recruited via clinics, a research panel, and the Swedish Rheumatism Association. Respondents received training materials either as plain written text or as an online educational tool. The educational tool was designed to enhance understanding of the written text by using graphics, pictograms, icon arrays, spoken text, and click-on functions. Data were analysed using random parameter logit models.

Results: 675 patients with RA were included in the analysis. The patients received either a written information (n=358) or information via an educational tool (n=317). Respondents receiving the educational tool placed relatively more importance on all included side effects in their decision making, compared to respondents receiving the written text, who placed greater importance on treatment effectiveness and administration methods.

Conclusion: Compared to the respondents receiving the written text, the decisions of respondents receiving the educational tool were more influenced by medication side effects. Further research is needed to provide guidance on how and when to use educational tools to inform and elicit patients’ preferences.

Practice implications: The ways in which attributes are presented to patients significantly impacts preferences measured in a DCE.

Original language	English
Pages (from-to)	2577-2585
Journal	Patient Education and Counseling
Volume	104
Issue number	10
Early online date	10 Mar 2021
DOIs	https://doi.org/10.1016/j.pec.2021.03.013
Publication status	E-pub ahead of print - 10 Mar 2021

Keywords

Digital educational tools
Discrete choice experiments
Medical product lifecycle
Regulatory decisions
Rheumatoid arthritis

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PREFER Recommendations - Why, when and how to assess and use patient preferences in medical product decision-making
PREFER consortium, 19 Apr 2022, 287 p. Zenodo.
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Open Access

IMI PREFER webpage
Marie Falahee
23/08/22
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Bywall, K., Veldwijk, J., Hansson, M., baecklund, E., Raza, K., Falahee, M., & Kihlbom, U. (2021). Does being exposed to an educational tool influence patient preferences? The influence of an educational tool on patient preferences assessed by a discrete choice experiment. Patient Education and Counseling, 104(10), 2577-2585. Advance online publication. https://doi.org/10.1016/j.pec.2021.03.013

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abstract = "Objectives: There is an increased interest in patient preferences informing the development and authorisation of medical products. A requirement for robust and meaningful results of such studies is that patients adequately understand the risks and benefits associated with treatments for which their preferences are elicited. This study aims to determine the influence of an educational tool, compared with traditional written information on patient preferences elicited in a discrete choice experiment (DCE).Methods: Treatment preferences of Swedish patients with rheumatoid arthritis (RA) were assessed using a DCE. Patients were recruited via clinics, a research panel, and the Swedish Rheumatism Association. Respondents received training materials either as plain written text or as an online educational tool. The educational tool was designed to enhance understanding of the written text by using graphics, pictograms, icon arrays, spoken text, and click-on functions. Data were analysed using random parameter logit models. Results: 675 patients with RA were included in the analysis. The patients received either a written information (n=358) or information via an educational tool (n=317). Respondents receiving the educational tool placed relatively more importance on all included side effects in their decision making, compared to respondents receiving the written text, who placed greater importance on treatment effectiveness and administration methods.Conclusion: Compared to the respondents receiving the written text, the decisions of respondents receiving the educational tool were more influenced by medication side effects. Further research is needed to provide guidance on how and when to use educational tools to inform and elicit patients{\textquoteright} preferences.Practice implications: The ways in which attributes are presented to patients significantly impacts preferences measured in a DCE.",

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Bywall, K, Veldwijk, J, Hansson, M, baecklund, E, Raza, K , Falahee, M & Kihlbom, U 2021, 'Does being exposed to an educational tool influence patient preferences? The influence of an educational tool on patient preferences assessed by a discrete choice experiment.', Patient Education and Counseling, vol. 104, no. 10, pp. 2577-2585. https://doi.org/10.1016/j.pec.2021.03.013

Does being exposed to an educational tool influence patient preferences? The influence of an educational tool on patient preferences assessed by a discrete choice experiment. / Bywall, Karin; Veldwijk, Jorien; Hansson, Mats et al.
In: Patient Education and Counseling, Vol. 104, No. 10, 10.03.2021, p. 2577-2585.

Research output: Contribution to journal › Article › peer-review

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T1 - Does being exposed to an educational tool influence patient preferences?

T2 - The influence of an educational tool on patient preferences assessed by a discrete choice experiment.

AU - Bywall, Karin

AU - Veldwijk, Jorien

AU - Hansson, Mats

AU - baecklund, eva

AU - Raza, Karim

AU - Falahee, M

AU - Kihlbom, Ulrik

PY - 2021/3/10

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N2 - Objectives: There is an increased interest in patient preferences informing the development and authorisation of medical products. A requirement for robust and meaningful results of such studies is that patients adequately understand the risks and benefits associated with treatments for which their preferences are elicited. This study aims to determine the influence of an educational tool, compared with traditional written information on patient preferences elicited in a discrete choice experiment (DCE).Methods: Treatment preferences of Swedish patients with rheumatoid arthritis (RA) were assessed using a DCE. Patients were recruited via clinics, a research panel, and the Swedish Rheumatism Association. Respondents received training materials either as plain written text or as an online educational tool. The educational tool was designed to enhance understanding of the written text by using graphics, pictograms, icon arrays, spoken text, and click-on functions. Data were analysed using random parameter logit models. Results: 675 patients with RA were included in the analysis. The patients received either a written information (n=358) or information via an educational tool (n=317). Respondents receiving the educational tool placed relatively more importance on all included side effects in their decision making, compared to respondents receiving the written text, who placed greater importance on treatment effectiveness and administration methods.Conclusion: Compared to the respondents receiving the written text, the decisions of respondents receiving the educational tool were more influenced by medication side effects. Further research is needed to provide guidance on how and when to use educational tools to inform and elicit patients’ preferences.Practice implications: The ways in which attributes are presented to patients significantly impacts preferences measured in a DCE.

AB - Objectives: There is an increased interest in patient preferences informing the development and authorisation of medical products. A requirement for robust and meaningful results of such studies is that patients adequately understand the risks and benefits associated with treatments for which their preferences are elicited. This study aims to determine the influence of an educational tool, compared with traditional written information on patient preferences elicited in a discrete choice experiment (DCE).Methods: Treatment preferences of Swedish patients with rheumatoid arthritis (RA) were assessed using a DCE. Patients were recruited via clinics, a research panel, and the Swedish Rheumatism Association. Respondents received training materials either as plain written text or as an online educational tool. The educational tool was designed to enhance understanding of the written text by using graphics, pictograms, icon arrays, spoken text, and click-on functions. Data were analysed using random parameter logit models. Results: 675 patients with RA were included in the analysis. The patients received either a written information (n=358) or information via an educational tool (n=317). Respondents receiving the educational tool placed relatively more importance on all included side effects in their decision making, compared to respondents receiving the written text, who placed greater importance on treatment effectiveness and administration methods.Conclusion: Compared to the respondents receiving the written text, the decisions of respondents receiving the educational tool were more influenced by medication side effects. Further research is needed to provide guidance on how and when to use educational tools to inform and elicit patients’ preferences.Practice implications: The ways in which attributes are presented to patients significantly impacts preferences measured in a DCE.

KW - Digital educational tools

KW - Discrete choice experiments

KW - Medical product lifecycle

KW - Regulatory decisions

KW - Rheumatoid arthritis

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ER -

Does being exposed to an educational tool influence patient preferences? The influence of an educational tool on patient preferences assessed by a discrete choice experiment.

Abstract

Keywords

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Research output

PREFER Recommendations - Why, when and how to assess and use patient preferences in medical product decision-making

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IMI PREFER webpage

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