A feasibility study of using a card sort task to explore mental health related outcome and treatment preferences in older adults, and clinical research portfolio

BF Psychology

Butrimaviciute, Rasa ; McLeod, Hamish

University:University of Glasgow

Department:Institute of Health and Wellbeing

关键词: Keywords: treatment preferences, older adults, feasibility, psychological therapy.;   

Others  :  http://theses.gla.ac.uk/81425/1/2020ButrimaviciuteDClinPsy.pdf

来源: University of Glasgow

【 摘 要 】

Background: Incorporating patient preferences into clinical decision-making can have a positive impact on clinical outcomes and is a core principle of patient-centred care. Despite this, no established methods exist for studying patient preferences with older adult (OA) population.Objectives: The study aimed to develop a Card Sort Task (CST) preference elicitation method and to determine its feasibility and acceptability with the OAs.Method: In a cross-sectional feasibility study, the CST was developed and its acceptability was explored with OAs waiting to receive (‘Waiting list’ group) and receiving psychological treatment (‘In-treatment’ group). The study procedure involved collecting patient feedback and qualitative observation data to aid further development of the tool. Preferences for outcomes and treatments were assessed. The data was analysed to identify patient preferences and difference between the two groups.Results: Twenty-seven participants were recruited. Twenty-six completed the full procedure, with 85% (n = 22) rating it positively. The Tasks 1 and 2 were acceptable to participants; aspects of Task 3 were found laborious and require further refinement. There were no differences in preferences between the two groups. ‘To feel less troubled by memories from the past’ was ranked as the most important treatment outcome and ‘to see a therapist weekly or two-weekly’ was the most preferred treatment type.Conclusions: It was possible to recruit for, and trial the CST with OAs who generally found the tool acceptable. Further refinement of the tool is required before adopting it for larger scale trials.