• Patient Prefer Adher · Jan 2022

    Feasibility of Testing Client Preferences for Accessing Injectable Opioid Agonist Treatment (iOAT): A Pilot Study.

    • Sophia Dobischok, Rebecca K Metcalfe, Elizabeth Angela Matzinger, Kurt Lock, Scott Harrison, Scott MacDonald, Sherif Amara, Martin T Schechter, Nick Bansback, and Eugenia Oviedo-Joekes.
    • Centre for Health Evaluation & Outcome Sciences, Providence Health Care, Vancouver, BC, Canada.
    • Patient Prefer Adher. 2022 Jan 1; 16: 340534133405-3413.

    PurposeInjectable opioid agonist treatment (iOAT) is an effective treatment for opioid use disorder (OUD). To our knowledge, no research has systematically studied client preferences for accessing iOAT. Incorporating preferences could help meet the heterogenous needs of clients and make addiction care more person-centred. This paper presents a pilot study of a best-worst scaling (BWS) preference elicitation survey that aimed to assess if the survey was feasible and accessible for our population and to test that the survey could gather sound data that would suit our planned analyses.Patients And MethodsCurrent and former iOAT clients (n = 18) completed a BWS survey supported by an interviewer using a think-aloud approach. The survey was administered on PowerPoint, and responses and contextual field notes were recorded manually. Think-aloud audio was recorded on Audacity.ResultsClients' feedback fell into five categories: framing of the task, accessibility, conceptualization of attributes and levels, formatting, and behaviour predicting questions. Survey repetitiveness was the most consistent feedback. The data simulation showed that 100 responses should provide an adequate sample size.ConclusionThis pilot demonstrates the type of analysis that can be done with BWS in our population, suggests that such analysis is feasible, and highlights the importance of the interviewer and participant working side-by-side throughout the task.© 2022 Dobischok et al.

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