Elderly People's Preferences for Different Organizational Models for Frailty Screening: A Discrete Choice Experiment.

IF 3.4 3区医学 Q1 HEALTH CARE SCIENCES & SERVICES

Patient-Patient Centered Outcomes Research Pub Date : 2025-05-02 DOI:10.1007/s40271-025-00738-6

Lucile Mulot, Fanny Monmousseau, Sophie Dubnitskiy-Robin, Maurine Diot, Pierre Marionnaud, Solène Brunet-Houdard, Bertrand Fougere

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引用次数: 0

Abstract

Objectives: Frailty dimensions can be evaluated in a comprehensive geriatric assessment (CGA). As frailty is often reversible, early detection can help to maintain a person's independence. The objective of the present study was to identify organizational factors that would encourage people aged 60 years or over to agree to frailty screening.

Methods: A face-to-face discrete choice experiment was conducted to elicit older adults' preferences for five attributes of the CGA: the initiator, pre-assessment, location, schedules, and announcement of the results. To assess the relative importance of attributes and explore relationships between preferences and participant characteristics, the data were analyzed using conditional logit, mixed logit, and bivariate probit models.

Results: A total of 224 people (women: 61.2%; mean age: 72.2 years; urban dwellers: 61.6%; caregivers for other people: 35.6%) completed the survey. The CGA initiator, schedules, and location significantly influenced the respondents' preferences. The organizational preferences varied according to the respondent's quality of life and relationship with the family physician, as well as knowledge of the CGA; while agreement to attend a CGA depended on the person's gender, living environment, socioprofessional category, and caregiver status. Ideally, the CGA should be initiated by the family physician, carried out at the family physician's office or in hospital (but not at home), and split into two parts on the same day. The CGA results should preferably be presented by the healthcare professional who carried out the assessment.

Conclusions: Early frailty screening by a mobile geriatric team or specifically trained professionals in a neutral location close to the older person's home might be envisaged.

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老年人对不同组织模式的脆弱性筛查偏好：一个离散选择实验。

目的：衰弱维度可以在综合老年评估（CGA）中进行评估。由于虚弱往往是可逆的，早期发现可以帮助保持一个人的独立性。本研究的目的是确定鼓励60岁或以上的人同意进行虚弱筛查的组织因素。方法：采用面对面离散选择实验，探讨老年人对CGA的发起者、预评估、地点、时间安排和结果公布五个属性的偏好。为了评估属性的相对重要性并探索偏好与参与者特征之间的关系，使用条件logit、混合logit和双变量probit模型分析数据。结果：共224人(女性占61.2%；平均年龄72.2岁；城镇居民：61.6%；其他人的照顾者（35.6%）完成了调查。CGA发起者、时间表和地点显著影响受访者的偏好。组织偏好根据受访者的生活质量、与家庭医生的关系以及对CGA的了解程度而变化；而是否同意参加CGA取决于个人的性别、生活环境、社会专业类别和照顾者的状况。理想情况下，CGA应由家庭医生发起，在家庭医生办公室或医院（但不是在家里）进行，并在同一天分为两个部分。CGA结果最好由进行评估的医疗保健专业人员提供。结论：可以设想由流动老年医学小组或经过专门训练的专业人员在靠近老年人家的中立地点进行早期虚弱筛查。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Patient-Patient Centered Outcomes Research HEALTH CARE SCIENCES & SERVICES-

CiteScore

6.60

自引率

8.30%

发文量

审稿时长

>12 weeks

期刊介绍： The Patient provides a venue for scientifically rigorous, timely, and relevant research to promote the development, evaluation and implementation of therapies, technologies, and innovations that will enhance the patient experience. It is an international forum for research that advances and/or applies qualitative or quantitative methods to promote the generation, synthesis, or interpretation of evidence. The journal has specific interest in receiving original research, reviews and commentaries related to qualitative and mixed methods research, stated-preference methods, patient reported outcomes, and shared decision making. Advances in regulatory science, patient-focused drug development, patient-centered benefit-risk and health technology assessment will also be considered. Additional digital features (including animated abstracts, video abstracts, slide decks, audio slides, instructional videos, infographics, podcasts and animations) can be published with articles; these are designed to increase the visibility, readership and educational value of the journal’s content. In addition, articles published in The Patient may be accompanied by plain language summaries to assist readers who have some knowledge of, but not in-depth expertise in, the area to understand important medical advances. All manuscripts are subject to peer review by international experts.