A systematic review of discrete choice experiments in stroke rehabilitation

Journal article


Jolliffe, Laura, Christie, Lauren J., Fearn, Nicola, Nohrenberg, Michael, Liu, Rasia, Williams, Julie F., Parsons, Mark W. and Pearce, Alison M.. (2024). A systematic review of discrete choice experiments in stroke rehabilitation. Topics in Stroke Rehabilitation. 31(6), pp. 632-643. https://doi.org/10.1080/10749357.2024.2312641
AuthorsJolliffe, Laura, Christie, Lauren J., Fearn, Nicola, Nohrenberg, Michael, Liu, Rasia, Williams, Julie F., Parsons, Mark W. and Pearce, Alison M.
Abstract

Objectives
Existing research qualitatively explores consumer preferences for stroke rehabilitation interventions. However, it remains unclear which intervention characteristics are most important to consumers, and how these preferences may influence uptake and participation. Discrete choice experiments (DCE) provide a unique way to quantitatively measure preferences for health and health care. This study aims to explore how DCEs have been used in stroke rehabilitation and to identify reported consumer preferences for rehabilitation interventions.

Material and Methods
A systematic review of published stroke rehabilitation DCEs was completed (PROSPERO registration: CRD42021282578). Six databases (including CINAHL, MEDLINE, EconLIT) were searched from January 2000-March 2023. Data extracted included topic area, sample size, aim, attributes, design process, and preference outcomes. Descriptive and thematic analyses were conducted, and two methodological checklists applied to review quality.

Results
Of 2,446 studies screened, five were eligible. Studies focused on exercise preference (n = 3), the structure and delivery of community services (n = 1), and self-management programs (n = 1). All had small sample sizes (range 50–146) and were of moderate quality (average score of 77%). Results indicated people have strong preferences for one-to-one therapy (over group-based), light-moderate intensity of exercise, and delivery by qualified therapists (over volunteers).

Conclusions
Few DCEs have been conducted in stroke rehabilitation, suggesting consumer preferences could be more rigorously explored. Included studies were narrow in the scope of attributes included, limiting their application to practice and policy. Further research is needed to assess the impact of differing service delivery models on uptake and participation.

Keywordsstroke rehabilitation; discrete choice experiment; consumer preferences; methodology
Year2024
JournalTopics in Stroke Rehabilitation
Journal citation31 (6), pp. 632-643
PublisherTaylor & Francis
ISSN1074-9357
Digital Object Identifier (DOI)https://doi.org/10.1080/10749357.2024.2312641
PubMed ID38372124
Scopus EID2-s2.0-85186257320
Open accessPublished as ‘gold’ (paid) open access
Page range632-643
Publisher's version
License
File Access Level
Open
Output statusPublished
Publication dates
Online19 Feb 2024
Publication process dates
Accepted27 Jan 2024
Deposited30 Jun 2025
Additional information

© 2024 The Author(s). Published with license by Taylor & Francis Group, LLC.

This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. The terms on which this article has been published allow the posting of the Accepted Manuscript in a repository by the author(s) or with their consent.

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