Preferences of people with Type 2 diabetes for diabetes care: a discrete choice experiment. Issue 11 (6th May 2019)

• Record Type: Journal Article
• Authors: Hertroijs, D. F. L.; Elissen, A. M. J.; Brouwers, M. C. G. J.; Hiligsmann, M.; Schaper, N. C.; Ruwaard, D.
• Is Part Of: Diabetic medicine. Volume 37:Issue 11(2020)
• Page Start: 1807
• Page End: 1815
• Publication Date: 2019-05-06
• Subjects: Diabetes -- Periodicals; 616.462
• DOI: 10.1111/dme.13969
• Languages: English
• ISSNs: 0742-3071

Abstract

Abstract: Aims: Limited knowledge exists on the preferences of people with Type 2 diabetes towards diabetes care. Consequently, these care preferences cannot yet be considered in the development of tailored diabetes care approaches. Therefore, this study aimed to assess care preferences and their determinants in people with Type 2 diabetes. Methods: A discrete choice experiment was conducted to elicit people's preferences. People with Type 2 diabetes, treated in 30 Dutch primary care practices, were asked to choose repeatedly between two hypothetical diabetes care packages, which differed in six attributes: role division in daily diabetes care planning, lifestyle education method, type of medication management support, consultation frequency, emotional support and time spend on self‐management. A mixed‐logit model was used to estimate the relative importance of the included attributes. Preference heterogeneity among people with different person‐ and disease‐related characteristics was investigated. Results: In total, 288 participants completed the experiment. They preferred to plan their daily diabetes care together with a healthcare provider, to receive individual lifestyle education, medication and emotional support from a healthcare provider, one consultation visit every 3 months and to spend less time on self‐management. Participants did not prefer to receive emotional support from a psychologist. Heterogeneity in preferences could partly be explained by differences in sex, education level and glucose‐lowering drug use. Conclusion: People with Type 2 diabetes show a preference for traditional care models. Emotional support was identified by participants as the most important attribute. It is therefore important to adequately guide them when changes in diabetes care organization are implemented. What's new?: There is increasing consensus that the preferences of people with Type 2 diabetes should be used to develop tailored diabetes care approaches. In this study, participants with Type 2 diabetes clearly indicated that they did not prefer to receive emotional support from a psychologist and preferred traditional care models, such as one consultation every 3 months. The information from this study can be used to tailor Type 2 diabetes care by identifying subgroups of people with Type 2 diabetes with varying preferences towards Type 2 diabetes care, and can potentially lead to more person‐centred care.