Accounting for Treatment Preference: Exploration of Methods: Patient Treatment Preference: Clinical and Methodological Importance

2.50
Hdl Handle:
http://hdl.handle.net/10755/157984
Type:
Presentation
Title:
Accounting for Treatment Preference: Exploration of Methods: Patient Treatment Preference: Clinical and Methodological Importance
Abstract:
Accounting for Treatment Preference: Exploration of Methods: Patient Treatment Preference: Clinical and Methodological Importance
Conference Sponsor:Western Institute of Nursing
Conference Year:2005
Author:Sidani, Souraya, PhD, RN
P.I. Institution Name:University of Toronto Faculty of Nursing
Title:Professor
Contact Address:50 St. George Street, Toronto, Ontario, M5S 3H4, CANADA
Contact Telephone:416-978-2856
With the increasing demand for high quality care, coupled with increased consumer knowledge, awareness and respect for consumer rights, and move towards an orientation of self-help, nursing has re-claimed patient-centered care as the perspective underlying the design and delivery of care / interventions. The implementation of patient-centered intervention demands careful assessment and attendance to the patients' preferences. Informed patients develop their own ways or strategies to manage their condition or presenting problem, through experience or learning. They have opinions of the requirements, effectiveness, and applicability of various treatments that shape their preferences. Preferences refer to the individual patients' view about their treatment. Specifically, they represent the patients' expression of their value for alternative treatment options. Accounting for patient preferences in the design, implementation and evaluation of interventions is important from a clinical and methodological perspective. In this paper, the clinical and methodological advantages of accounting for patient treatment preferences will be discussed and illustrated with examples from various studies. From a clinical perspective, accounting for patient treatment preferences is a means for operationalizing the patient-centered approach to care and therefore, improving the quality of nursing care. Incorporating the patients' input into the design of an intervention would improve the relevance of its elements to the needs and values of the target patient population. Consequently, patients would view the intervention as acceptable and suitable to their condition, which will promote the applicability and adherence to the intervention in the patients' everyday life. Adherence to the intervention is associated with the achievement of the intended, beneficial outcomes. From a methodological perspective, accounting for the participants' treatment preferences is advantageous, as it enhances the validity of conclusions reached in an intervention evaluation study. The process involves informing participants of the treatment options provided in the study, requesting them to evaluate the options' acceptability and suitability to their condition and / or lifestyle, eliciting their choice, and assigning them to the respective study group to receive the treatment of their choice. Awareness of potential participants that their preference for treatment will be respected makes recruitment easier, and facilitates the accrual of the required sample size. The obtained sample would be representative of all subgroups of the target population. Providing participants the treatment of their choice would minimize attrition and promote adherence to the intervention, which increases the power to detect significant intervention effects. Accounting for participants' treatment preference in an intervention evaluation study is a step toward representing aspects of clinical reality in research, with the goal of reducing, even closing, the research-practice gap.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Western Institute of Nursing

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleAccounting for Treatment Preference: Exploration of Methods: Patient Treatment Preference: Clinical and Methodological Importanceen_GB
dc.identifier.urihttp://hdl.handle.net/10755/157984-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Accounting for Treatment Preference: Exploration of Methods: Patient Treatment Preference: Clinical and Methodological Importance</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Western Institute of Nursing</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2005</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Sidani, Souraya, PhD, RN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Toronto Faculty of Nursing</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Professor</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">50 St. George Street, Toronto, Ontario, M5S 3H4, CANADA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">416-978-2856</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">s.sidani@utoronto.ca</td></tr><tr><td colspan="2" class="item-abstract">With the increasing demand for high quality care, coupled with increased consumer knowledge, awareness and respect for consumer rights, and move towards an orientation of self-help, nursing has re-claimed patient-centered care as the perspective underlying the design and delivery of care / interventions. The implementation of patient-centered intervention demands careful assessment and attendance to the patients' preferences. Informed patients develop their own ways or strategies to manage their condition or presenting problem, through experience or learning. They have opinions of the requirements, effectiveness, and applicability of various treatments that shape their preferences. Preferences refer to the individual patients' view about their treatment. Specifically, they represent the patients' expression of their value for alternative treatment options. Accounting for patient preferences in the design, implementation and evaluation of interventions is important from a clinical and methodological perspective. In this paper, the clinical and methodological advantages of accounting for patient treatment preferences will be discussed and illustrated with examples from various studies. From a clinical perspective, accounting for patient treatment preferences is a means for operationalizing the patient-centered approach to care and therefore, improving the quality of nursing care. Incorporating the patients' input into the design of an intervention would improve the relevance of its elements to the needs and values of the target patient population. Consequently, patients would view the intervention as acceptable and suitable to their condition, which will promote the applicability and adherence to the intervention in the patients' everyday life. Adherence to the intervention is associated with the achievement of the intended, beneficial outcomes. From a methodological perspective, accounting for the participants' treatment preferences is advantageous, as it enhances the validity of conclusions reached in an intervention evaluation study. The process involves informing participants of the treatment options provided in the study, requesting them to evaluate the options' acceptability and suitability to their condition and / or lifestyle, eliciting their choice, and assigning them to the respective study group to receive the treatment of their choice. Awareness of potential participants that their preference for treatment will be respected makes recruitment easier, and facilitates the accrual of the required sample size. The obtained sample would be representative of all subgroups of the target population. Providing participants the treatment of their choice would minimize attrition and promote adherence to the intervention, which increases the power to detect significant intervention effects. Accounting for participants' treatment preference in an intervention evaluation study is a step toward representing aspects of clinical reality in research, with the goal of reducing, even closing, the research-practice gap.</td></tr></table>en_GB
dc.date.available2011-10-26T20:23:43Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T20:23:43Z-
dc.description.sponsorshipWestern Institute of Nursingen_GB
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.