Abstract
Background The management of foot problems in JIA is complex and requires a multidisciplinary health professional input. However little is known about patients’ and parents’ preferences for attributes of foot care. Incorporating individuals’ preferences into future foot-care provision may improve satisfaction, treatment adherence, and thus clinical efficacy. The aim of this study was to compare the relative importance of foot care attributes to parents of children/adolescents with JIA using an established stated preference method, a discrete choice experiment (DCE).
Highlights
The management of foot problems in JIA is complex and requires a multidisciplinary health professional input
The aim of this study was to compare the relative importance of foot care attributes to parents of children/adolescents with JIA using an established stated preference method, a discrete choice experiment (DCE)
The magnitudes of the coefficients indicate that the order of importance for each attribute was: activities of daily living (ADL) (b=1.65), pain (b=1.20), mobility (b=1.12,), footwear (b=1.05), route (b=0.53) and wait (b=-0.05)
Summary
The management of foot problems in JIA is complex and requires a multidisciplinary health professional input. Little is known about patients’ and parents’ preferences for attributes of foot care. The aim of this study was to compare the relative importance of foot care attributes to parents of children/adolescents with JIA using an established stated preference method, a discrete choice experiment (DCE). Suggesting that all attributes, except cost, had an impact on parents’ preferences. The magnitudes of the coefficients indicate that the order of importance (that is strength of preference) for each attribute was: ADL (b=1.65), pain (b=1.20), mobility (b=1.12,), footwear (b=1.05), route (b=0.53) and wait (b=-0.05). The sign of the b values suggests that parents preferred: a reduction in pain, improvements in mobility, the ability to perform ADL, and the ability to wear desired footwear; referral to a multi-disciplinary foot-care programme; and reduced waiting time. The insignificance of the cost attribute means that WTP values could not be estimated
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