Patient Preferences for Managing Insomnia: A Discrete Choice Experiment

Janet M. Y. Cheung (), Delwyn J. Bartlett, Carol L. Armour, Bandana Saini and Tracey-Lea Laba
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Janet M. Y. Cheung: The University of Sydney
Delwyn J. Bartlett: University of Sydney
Carol L. Armour: University of Sydney
Bandana Saini: The University of Sydney
Tracey-Lea Laba: The University of New South Wales

The Patient: Patient-Centered Outcomes Research, 2018, vol. 11, issue 5, No 5, 503-514

Abstract: Abstract Background Despite the rapid development of effective treatments, both pharmacological and non-pharmacological, insomnia management remains suboptimal at the practice interface. Patient preferences play a critical role in influencing treatment outcomes. However, there is currently a mismatch between patient preferences and clinician recommendations, partly perpetuated by a limited understanding of the patients’ decision-making process. Objectives The aim of our study was to empirically quantify patient preferences for treatment attributes common to both pharmacological and non-pharmacological insomnia treatments. Method An efficient dual-response discrete choice experiment was conducted to evaluate patient treatment preferences for managing insomnia. The sample included 205 patients with self-reported insomnia and an Insomnia Severity Index ≥ 14. Participants were presented with two unlabelled hypothetical scenarios with an opt-out option across 12 choice sets. Data were analyzed using a mixed multinomial logit model to investigate the influence of five attributes (i.e. time, onset of action, maintainability of improved sleep, length of treatment, and monthly cost) on treatment preferences. Results Treatments were preferentially viewed if they conferred long-term sleep benefits (p

Date: 2018
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DOI: 10.1007/s40271-018-0303-y

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