Pregnant women's and policymakers' preferences for the expansion of noninvasive prenatal screening: A discrete choice experiment approach study.

Autor: Nguyen HM; Département de médecine sociale et préventive Université Laval Québec Canada., Baradaran M; Département de génie électrique et de génie informatique Université Laval Québec Canada., Daigle G; Département de mathématiques et de statistique Université Laval Québec Canada., Nshimyumukiza L; Institut national d'excellence en santé et en services sociaux Québec Canada.; Faculté des sciences infirmières Université Laval Québec Canada., Guertin JR; Département de médecine sociale et préventive Université Laval Québec Canada.; Centre de Recherche du CHU de Québec Université Laval Québec Canada., Reinharz D; Département de médecine sociale et préventive Université Laval Québec Canada.
Jazyk: angličtina
Zdroj: Health science reports [Health Sci Rep] 2023 Aug 23; Vol. 6 (8), pp. e1516. Date of Electronic Publication: 2023 Aug 23 (Print Publication: 2023).
DOI: 10.1002/hsr2.1516
Abstrakt: Background and Aims: Quantitative approaches for eliciting preferences for new interventions are mostly conducted by patients and rarely by policymakers. This study aimed to quantify the preferences of pregnant women and policymakers regarding the addition of a new test to prenatal screening programs for detecting chromosomal abnormalities.
Methods: A discrete choice experiment was conducted to measure the respondents' preferences for a new prenatal test. A seven-attribute instrument was built based on interviews with pregnant women and policymakers. The data were analyzed using robust conditional logistic regression and nested logit models.
Results: In total, 272 pregnant women and 24 policymakers completed the questionnaire (response rates of 48% and 55%, respectively). Overall, all attributes were statistically significant in the pregnant women group, whereas only three attributes (test performance, degree of test result certainty, and cost) were statistically significant in the policymakers group. Statistically significant differences in test performance and information were observed between the two groups.
Conclusion: Policymakers differed from pregnant women in their appraisal of attributes related to their preference for a new prenatal screening intervention. The low response rates observed in both groups suggest that further investigation of the relevance of this approach must be conducted.
Competing Interests: The authors declare no conflict of interest.
(© 2023 The Authors. Health Science Reports published by Wiley Periodicals LLC.)
Databáze: MEDLINE
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