Cited by 326Psoriasis: Treatment and PathogenesisPatient-Provider Communication in HealthcareEconomic and Environmental Valuation

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Outcomes associated with matching patients' treatment preferences to physicians' recommendations: study methodology

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Umar, Nasir, Litaker, David, Schaarschmidt, Marthe-Lisa, Peitsch, Wiebke K, Schmieder, Astrid, Terris, Darcey D·2012·BMC Health Services Research

DOI 10.1186/1472-6963-12-1PMC PMC3276415

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Abstract

BACKGROUND: Patients often express strong preferences for the forms of treatment available for their disease. Incorporating these preferences into the process of treatment decision-making might improve patients' adherence to treatment, contributing to better outcomes. We describe the methodology used in a study aiming to assess treatment outcomes when patients' preferences for treatment are closely matched to recommended treatments. METHOD: Participants included patients with moderate and severe psoriasis attending outpatient dermatology clinics at the University Medical Centre Mannheim, University of Heidelberg, Germany. A self-administered online survey used conjoint analysis to measure participants' preferences for psoriasis treatment options at the initial study visit. Physicians' treatment recommendations were abstracted from each participant's medical records. The Preference Matching Index (PMI), a measure of concordance between the participant's preferences for treatment and the physician's recommended treatment, was determined for each participant at t(1) (initial study visit). A clinical outcome measure, the Psoriasis Area and Severity Index, and two participant-derived outcomes assessing treatment satisfaction and health related quality of life were employed at t(1), t(2) (twelve weeks post-t(1)) and t(3) (twelve weeks post-t(2)). Change in outcomes was assessed using repeated measures analysis of variance. The association between participants' PMI scores at t(1) and outcomes at t(2) and t(3) was evaluated using multivariate regressions analysis. DISCUSSION: We describe methods for capturing concordance between patients' treatment preferences and recommended treatment and for assessing its association with specific treatment outcomes. The methods are intended to promote the incorporation of patients' preferences in treatment decision-making, enhance treatment satisfaction, and improve treatment effectiveness through greater adherence.

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Figure 1 Illustration of the scaling used to determine the Preference Matching Index.CC BY · PubMed Central

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Authors: Umar, N., Litaker, D., Schaarschmidt, M.-L., Peitsch, W. K., Schmieder, A., & Terris, D. D.
Affiliations: Heidelberg University (DE)
University of Georgia (US)
Corresponding author: Umar, Nasir
ORCID: Umar, Nasir
Litaker, David
Schaarschmidt, Marthe-Lisa
Peitsch, Wiebke K
Schmieder, Astrid
Venue: BMC Health Services Research
Publisher: Springer Science and Business Media LLC
Published: 2012-01-03
Volume: 12
Issue: 1
Pages: 1-1
ISSN: 1472-6963 (ISSN-L)
DOI: 10.1186/1472-6963-12-1
PMC: PMC3276415
OpenAlex: W2159132475
Cited by: 326
References: 26
Citations by year: 2026: 6 · 2025: 21 · 2024: 10 · 2023: 16 · 2022: 21 · 2021: 43 · 2020: 33 · 2019: 29 · 2018: 30 · 2017: 40 · 2016: 29 · 2015: 20 · 2014: 17 · 2013: 10 · 2012: 1
FWCI: 6.69
Type: journal article
Language: en
Open access: gold
doi.org
Licence: cc-by
creativecommons.org/licenses/by/2.0 (tdm)
Locations: BMC Health Services Research (publishedVersion, cc-by)
PubMed Central (publishedVersion, cc-by)
PubMed (publishedVersion)
DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
Funders: Universität Mannheim
Universitätsmedizin Mannheim
Topics: Life Sciences › Immunology and Microbiology › Immunology › Psoriasis: Treatment and Pathogenesis
Health Sciences › Health Professions › General Health Professions › Patient-Provider Communication in Healthcare
Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Economic and Environmental Valuation
Keywords: patient treatment preferences, preference matching, psoriasis, conjoint analysis, treatment satisfaction, health-related quality of life, Psoriasis Area and Severity Index, medication adherence, shared decision-making, patient-centered care
MeSH terms: Adult, Ambulatory Care, Female, Germany, Health Services Research, Humans, Male, Patient Compliance, Practice Patterns, Physicians', Prospective Studies, Psoriasis, Quality of Life, Surveys and Questionnaires, Regression Analysis, Research Design, Severity of Illness Index, Treatment Outcome, Patient-Centered Care, Patient Preference

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Outcomes associated with matching patients' treatment preferences to physicians' recommendations: study methodology

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