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Patient weighting of osteoporosis medication attributes across racial and ethnic groups: a study of osteoporosis medication preferences using conjoint analysis.

Publication ,  Journal Article
Silverman, S; Calderon, A; Kaw, K; Childers, TB; Stafford, BA; Brynildsen, W; Focil, A; Koenig, M; Gold, DT
Published in: Osteoporos Int
July 2013

UNLABELLED: We studied the ranking of osteoporosis (OP) medication attributes in a convenience sample of four different racial/ethnic groups in the United States. Our study showed that postmenopausal women differ in the ranking of OP medication attributes based on age, educational level, income, and prior fracture history. INTRODUCTION: Decision making about OP medication-related behavior relies heavily on patient preferences about specific medication attributes. Patients may decide to initiate, change, or stop therapies based on ranking of perceived attributes of the therapy and their personal attitudes toward those attributes. We used MaxDiff, a form of conjoint analysis (Ryan and Farrar 2000), to explore patient weighting of attributes across four racial/ethnic groups at two sites in the United States and defined four critical attributes that influence such decisions (safety, efficacy, cost, and convenience) from qualitative interviews. METHODS: We recruited a sample of 367 Postmenopausal (PM) women at risk of OP fractures from four racial/ethnic groups: Caucasian (n = 100), African American (n = 100), Asian American (n = 82), and Hispanic American (n = 85). Respondents completed a laptop-based questionnaire that included demographic items, several short scales on medical care preference and OP patient perceptions, and a MaxDiff procedure that determines comparative ranking of attributes either as least important or most important to their decisions. RESULTS: MaxDiff analyses were done to evaluate the relative weight of specific statements for each participant and to determine whether racial/ethnic groups differed across dimensions. Overall, participants in all four groups rated efficacy > safety > cost > convenience. CONCLUSIONS: Although there were no significant differences among the racial/ethnic groups on overall ranking of attributes, subgroup analyses revealed significant impact of age, education, income, and prior fracture on these decisions. The findings from this study suggest that postmenopausal women differ in their ranking of OP medication attributes, and healthcare providers must account for personal preferences in their communication about and selection of OP medications.

Duke Scholars

Published In

Osteoporos Int

DOI

EISSN

1433-2965

Publication Date

July 2013

Volume

24

Issue

7

Start / End Page

2067 / 2077

Location

England

Related Subject Headings

  • White People
  • United States
  • Socioeconomic Factors
  • Qualitative Research
  • Psychometrics
  • Patient Preference
  • Osteoporotic Fractures
  • Osteoporosis, Postmenopausal
  • Humans
  • Hispanic or Latino
 

Citation

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Silverman, S., Calderon, A., Kaw, K., Childers, T. B., Stafford, B. A., Brynildsen, W., … Gold, D. T. (2013). Patient weighting of osteoporosis medication attributes across racial and ethnic groups: a study of osteoporosis medication preferences using conjoint analysis. Osteoporos Int, 24(7), 2067–2077. https://doi.org/10.1007/s00198-012-2241-1
Silverman, S., A. Calderon, K. Kaw, T. B. Childers, B. A. Stafford, W. Brynildsen, A. Focil, M. Koenig, and D. T. Gold. “Patient weighting of osteoporosis medication attributes across racial and ethnic groups: a study of osteoporosis medication preferences using conjoint analysis.Osteoporos Int 24, no. 7 (July 2013): 2067–77. https://doi.org/10.1007/s00198-012-2241-1.
Silverman S, Calderon A, Kaw K, Childers TB, Stafford BA, Brynildsen W, et al. Patient weighting of osteoporosis medication attributes across racial and ethnic groups: a study of osteoporosis medication preferences using conjoint analysis. Osteoporos Int. 2013 Jul;24(7):2067–77.
Silverman, S., et al. “Patient weighting of osteoporosis medication attributes across racial and ethnic groups: a study of osteoporosis medication preferences using conjoint analysis.Osteoporos Int, vol. 24, no. 7, July 2013, pp. 2067–77. Pubmed, doi:10.1007/s00198-012-2241-1.
Silverman S, Calderon A, Kaw K, Childers TB, Stafford BA, Brynildsen W, Focil A, Koenig M, Gold DT. Patient weighting of osteoporosis medication attributes across racial and ethnic groups: a study of osteoporosis medication preferences using conjoint analysis. Osteoporos Int. 2013 Jul;24(7):2067–2077.
Journal cover image

Published In

Osteoporos Int

DOI

EISSN

1433-2965

Publication Date

July 2013

Volume

24

Issue

7

Start / End Page

2067 / 2077

Location

England

Related Subject Headings

  • White People
  • United States
  • Socioeconomic Factors
  • Qualitative Research
  • Psychometrics
  • Patient Preference
  • Osteoporotic Fractures
  • Osteoporosis, Postmenopausal
  • Humans
  • Hispanic or Latino