Patient Preferences for Anxiety and Depression Screening in Cancer Care: A Discrete Choice Experiment.

Yim, J; Arora, S; Shaw, J; Street, DJ; Pearce, A; Viney, R

Patient Preferences for Anxiety and Depression Screening in Cancer Care: A Discrete Choice Experiment.

Yim, J Arora, S

Shaw, J Street, DJ Pearce, A Viney, R

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Publisher:: Elsevier
Publication Type:: Journal Article
Citation:: Value in Health, 2021, 24, (12), pp. 1835-1844
Issue Date:: 2021-12

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Field	Value	Language
dc.contributor.author	Yim, J
dc.contributor.author	Arora, S https://orcid.org/0000-0002-7562-2416
dc.contributor.author	Shaw, J
dc.contributor.author	Street, DJ
dc.contributor.author	Pearce, A
dc.contributor.author	Viney, R https://orcid.org/0000-0002-0039-9635
dc.date.accessioned	2021-12-15T04:11:44Z
dc.date.available	2021-05-26
dc.date.available	2021-12-15T04:11:44Z
dc.date.issued	2021-12
dc.identifier.citation	Value in Health, 2021, 24, (12), pp. 1835-1844
dc.identifier.issn	1098-3015
dc.identifier.issn	1524-4733
dc.identifier.uri	http://hdl.handle.net/10453/152347
dc.description.abstract	OBJECTIVES: Screening for anxiety and depression in cancer care is recommended, as identification is the first step in managing anxiety and depression. Nevertheless, patient preferences for anxiety and depression screening in cancer care are unknown. The objective of this study was to investigate and identify the aspects of an anxiety and depression screening program cancer patients value most, to inform decision-makers about ways to improve patient uptake and ultimately, the provision of patient-centered care. METHODS: A discrete choice experiment was designed and implemented within an Australian cancer population sample. Participants were presented with a series of hypothetical screening programs labeled as "screening program 1" and "screening program 2" and were asked to choose their preferred one. The discrete choice experiment was administered using an online survey platform. A mixed logit and a latent class analysis was conducted. RESULTS: Participants (n = 294) preferred screening to be conducted by a cancer nurse, face-to-face, and at regular intervals (monthly or every 3 months). Participants also preferred follow-up care to be delivered by mental health professionals embedded within the cancer care team. Factors that influenced preferences were the low cost and short waiting times for access to care. CONCLUSIONS: Cancer patients prefer cancer services with integrated mental healthcare services. To maximize patient uptake, anxiety and depression screening programs should be routinely offered, delivered by oncology healthcare staff in a face-to-face format, and, postscreening, to be care for by mental health professionals embedded within the cancer service.
dc.language	eng
dc.publisher	Elsevier
dc.relation.ispartof	Value in Health
dc.relation.isbasedon	10.1016/j.jval.2021.05.014
dc.rights	info:eu-repo/semantics/embargoedAccess
dc.subject	1117 Public Health and Health Services, 1402 Applied Economics
dc.subject.classification	Health Policy & Services
dc.title	Patient Preferences for Anxiety and Depression Screening in Cancer Care: A Discrete Choice Experiment.
dc.type	Journal Article
utslib.citation.volume	24
utslib.location.activity	United States
utslib.for	1117 Public Health and Health Services
utslib.for	1402 Applied Economics
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Business
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Strength - CHERE - Centre for Health Economics Research and Evaluation
pubs.organisational-group	/University of Technology Sydney/Students
utslib.copyright.status	open_access	*
pubs.consider-herdc	false
utslib.copyright.embargo	2022-12-31T00:00:00+1000Z
dc.date.updated	2021-12-15T04:11:43Z
pubs.issue	12
pubs.publication-status	Published
pubs.volume	24
utslib.citation.issue	12

Abstract:

OBJECTIVES: Screening for anxiety and depression in cancer care is recommended, as identification is the first step in managing anxiety and depression. Nevertheless, patient preferences for anxiety and depression screening in cancer care are unknown. The objective of this study was to investigate and identify the aspects of an anxiety and depression screening program cancer patients value most, to inform decision-makers about ways to improve patient uptake and ultimately, the provision of patient-centered care. METHODS: A discrete choice experiment was designed and implemented within an Australian cancer population sample. Participants were presented with a series of hypothetical screening programs labeled as "screening program 1" and "screening program 2" and were asked to choose their preferred one. The discrete choice experiment was administered using an online survey platform. A mixed logit and a latent class analysis was conducted. RESULTS: Participants (n = 294) preferred screening to be conducted by a cancer nurse, face-to-face, and at regular intervals (monthly or every 3 months). Participants also preferred follow-up care to be delivered by mental health professionals embedded within the cancer care team. Factors that influenced preferences were the low cost and short waiting times for access to care. CONCLUSIONS: Cancer patients prefer cancer services with integrated mental healthcare services. To maximize patient uptake, anxiety and depression screening programs should be routinely offered, delivered by oncology healthcare staff in a face-to-face format, and, postscreening, to be care for by mental health professionals embedded within the cancer service.

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http://hdl.handle.net/10453/152347