title: Patient and parent preferences for immunoglobulin treatments: a conjoint analysis.
abstract: OBJECTIVE
  The purpose was to quantify patient and parent preferences for administration attributes of immunoglobulin (IG) treatments; and determine which administration attributes were most important to users of IG treatment and whether patients and parents have similar preferences for administration attributes.
  
  
  METHODS
  US adult patients and parents of children with a self-reported physician diagnosis of a primary immunodeficiency disorder completed a best-practice web-enabled choice-format conjoint survey that presented a series of 12 choice questions, each including a pair of hypothetical IG-treatment profiles. After reviewing current therapies, each profile was defined by mode of administration, frequency, location, number of needle sticks, and treatment duration. Before answering the choice questions, respondents were told to assume all treatments worked equally well. Choice questions were based on a D-efficient experimental design. Preference weights for attribute levels were estimated using random-parameters logit for each sample (adult patients and parents). Tests were performed to determine potential interactions among the administration attributes. All respondents provided online informed consent.
  
  
  RESULTS
  In total, 252 patients and 66 parents completed the choice questions appropriately. Overall, both groups preferred a home setting, monthly frequency, fewer needle sticks, and shorter treatment durations of IG treatment relative to alternative choices (p<0.05). Mode of administration was the least important attribute to both samples; however, parents strongly preferred self-administration to an appointment with a healthcare professional (p<0.05), whereas patients slightly preferred self-administration but were indifferent to the two modes.
  
  
  CONCLUSIONS
  Respondents evaluate hypothetical treatments and differences can arise between stated and actual choices.
  
  
  CONCLUSIONS
  Considering the hypothetical treatments evaluated, IG treatments that provide the option of a home setting, monthly frequency, fewer needle sticks, and shorter treatment durations may address the needs of both patients and parents. Patients and parents have different preferences for administration attributes of IG treatments.
authors: RTI Health Solutions, Research Triangle Park, NC 27709-2194, USA. amohamed@rti.org
authors: Ateesha F
authors: AF
authors: Mohamed
authors: Vikram
authors: V
authors: Kilambi
authors: Michelle P
authors: MP
authors: Luo
authors: Ravi G
authors: RG
authors: Iyer
authors: Josephine M
authors: JM
authors: Li-McLeod
mesh_terms: D000328:Adult; D000368:Aged; D002755:Choice Behavior; D004333:Drug Administration Routes; D004334:Drug Administration Schedule; D005260:Female; D006801:Humans; D007136:Immunoglobulins / Q000008:administration & dosage* / Q000627:therapeutic use; D007153:Immunologic Deficiency Syndromes / Q000188:drug therapy*; D008297:Male; D008875:Middle Aged; D010290:Parents; D057240:Patient Preference / Q000706:statistics & numerical data*; D012646:Self Administration; D014481:United States
chemical_list: D007136:Immunoglobulins