A randomized preference trial to inform personalization of a parent training program implemented in community mental health clinics

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• 作者：Yaliu He M.Ed ; Abigail Gewirtz Ph.D ; Susanne Lee Ph.D…
• 关键词：Preference ; Personalization ; Parent training ; Treatment retention
• 刊名：Translational Behavioral Medicine
• 出版年：2016
• 出版时间：March 2016
• 年：2016
• 卷：6
• 期：1
• 页码：73-80
• 全文大小：333 KB
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• 作者单位：Yaliu He M.Ed (1)
  Abigail Gewirtz Ph.D (2)
  Susanne Lee Ph.D (3)
  Nicole Morrell M.Ed (3)
  Gerald August Ph.D (2)
  
  1. Department of Family Social Science, University of Minnesota Twin Cities, St. Paul, MN, USA
  2. Department of Family Social Science and Institute of Translational Research in Children’s Mental Health, University of Minnesota Twin Cities, 290 McNeal Hall, 1985 Buford Avenue, St. Paul, MN, 55108, USA
  3. Psychiatry Department, University of Minnesota Twin Cities, Minneapolis, MN, USA
  
• 刊物主题：Medicine/Public Health, general; Health Psychology; Health Promotion and Disease Prevention; General Practice / Family Medicine; Cross Cultural Psychology;
• 出版者：Springer US
• ISSN：1613-9860

文摘

Incorporating participant preferences into intervention decision-making may optimize health outcomes by improving participant engagement. We describe the rationale for a preference-based approach to the personalization of community-based interventions. Compensating for the limitations of traditional randomized controlled trials (RCTs) and partially randomized preference trials (PRPTs), we employed a doubly randomized preference trial in the present study. Families (N = 129) presenting to community mental health clinics for child conduct problems were randomized to choice or no-choice conditions. Within each condition, parents were again randomized, or offered choices between home- and clinic-based, individual and group versions of a parent training program or services-as-usual. Participants were assessed at baseline, and treatment retention data were gathered. Families assigned to the choice condition were significantly less likely to drop out of treatment than those in the no-choice condition. In the choice condition, in-home treatment was the preferred modality, and across conditions, families were less likely to be retained in group and clinic modalities. Research on preferences may boost participant engagement and inform shared decision-making.