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Published Online: 17 November 2014

A Best-Worst Scaling Experiment to Prioritize Caregiver Concerns About ADHD Medication for Children

Melissa Ross, M.A., John F. P. Bridges, Ph.D., Xinyi Ng, B.S.Pharm., Lauren D. Wagner, M.S., Ph.D., Emily Frosch, M.D., Gloria Reeves, M.D., and Susan dosReis, Ph.D.Authors Info & Affiliations
Publication: Psychiatric Services
Volume 66, Number 2
https://doi.org/10.1176/appi.ps.201300525
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Abstract

Objective:

The objective of this feasibility study was to develop and pilot an instrument to elicit caregivers’ priorities when initiating attention-deficit hyperactivity disorder (ADHD) medication for their child.

Methods:

A best-worst scaling experiment was used to rank competing priorities when initiating ADHD medicine. Forty-six participants were recruited for a two-phase study involving survey development (phase 1, N=21) and the survey pilot (phase 2, N=25). Best-worst scores and 95% confidence intervals indicating the relative importance of 16 concerns were determined, and t tests were used to determine the scores’ significance.

Results:

The significance of best-worst scores for most concerns indicated that the choices were purposeful. Concerns about helping the child become a successful adult, having a doctor who addresses caregivers’ concerns, and improving school behavior were ranked highest.

Conclusions:

The best-worst scaling method can elicit priorities for children’s mental health treatment. Future work using this method will guide family-centered care.

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Information & Authors

Information

Published In

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Cover: Snowbound, by John Henry Twachtman, ca 1889. Oil on canvas; 64 × 77 cm. Art Institute, Chicago. © DeA Picture Library, Art Resource, New York City.

Psychiatric Services
Volume 66 • Number 2 • February 01, 2015
Pages: 208 - 211
PubMed: 25642618

History

Published ahead of print: 17 November 2014
Published in print: February 01, 2015
Published online: 2 February 2015

Authors

Details

Melissa Ross, M.A.
Ms. Ross, Ms. Ng, Dr. Wagner, and Dr. dosReis are with the Department of Pharmaceutical Health Services Research, University of Maryland School of Pharmacy, Baltimore. Dr. Bridges is with the Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore. Dr. Frosch is with the Division of Child and Adolescent Psychiatry, Johns Hopkins University School of Medicine, Baltimore. Dr. Reeves is with the Department of Psychiatry, University of Maryland School of Medicine, Baltimore. Send correspondence to Dr. dosReis (e-mail: [email protected]).
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John F. P. Bridges, Ph.D.
Ms. Ross, Ms. Ng, Dr. Wagner, and Dr. dosReis are with the Department of Pharmaceutical Health Services Research, University of Maryland School of Pharmacy, Baltimore. Dr. Bridges is with the Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore. Dr. Frosch is with the Division of Child and Adolescent Psychiatry, Johns Hopkins University School of Medicine, Baltimore. Dr. Reeves is with the Department of Psychiatry, University of Maryland School of Medicine, Baltimore. Send correspondence to Dr. dosReis (e-mail: [email protected]).
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Xinyi Ng, B.S.Pharm.
Ms. Ross, Ms. Ng, Dr. Wagner, and Dr. dosReis are with the Department of Pharmaceutical Health Services Research, University of Maryland School of Pharmacy, Baltimore. Dr. Bridges is with the Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore. Dr. Frosch is with the Division of Child and Adolescent Psychiatry, Johns Hopkins University School of Medicine, Baltimore. Dr. Reeves is with the Department of Psychiatry, University of Maryland School of Medicine, Baltimore. Send correspondence to Dr. dosReis (e-mail: [email protected]).
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Lauren D. Wagner, M.S., Ph.D.
Ms. Ross, Ms. Ng, Dr. Wagner, and Dr. dosReis are with the Department of Pharmaceutical Health Services Research, University of Maryland School of Pharmacy, Baltimore. Dr. Bridges is with the Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore. Dr. Frosch is with the Division of Child and Adolescent Psychiatry, Johns Hopkins University School of Medicine, Baltimore. Dr. Reeves is with the Department of Psychiatry, University of Maryland School of Medicine, Baltimore. Send correspondence to Dr. dosReis (e-mail: [email protected]).
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Emily Frosch, M.D.
Ms. Ross, Ms. Ng, Dr. Wagner, and Dr. dosReis are with the Department of Pharmaceutical Health Services Research, University of Maryland School of Pharmacy, Baltimore. Dr. Bridges is with the Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore. Dr. Frosch is with the Division of Child and Adolescent Psychiatry, Johns Hopkins University School of Medicine, Baltimore. Dr. Reeves is with the Department of Psychiatry, University of Maryland School of Medicine, Baltimore. Send correspondence to Dr. dosReis (e-mail: [email protected]).
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Gloria Reeves, M.D.
Ms. Ross, Ms. Ng, Dr. Wagner, and Dr. dosReis are with the Department of Pharmaceutical Health Services Research, University of Maryland School of Pharmacy, Baltimore. Dr. Bridges is with the Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore. Dr. Frosch is with the Division of Child and Adolescent Psychiatry, Johns Hopkins University School of Medicine, Baltimore. Dr. Reeves is with the Department of Psychiatry, University of Maryland School of Medicine, Baltimore. Send correspondence to Dr. dosReis (e-mail: [email protected]).
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Susan dosReis, Ph.D.
Ms. Ross, Ms. Ng, Dr. Wagner, and Dr. dosReis are with the Department of Pharmaceutical Health Services Research, University of Maryland School of Pharmacy, Baltimore. Dr. Bridges is with the Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore. Dr. Frosch is with the Division of Child and Adolescent Psychiatry, Johns Hopkins University School of Medicine, Baltimore. Dr. Reeves is with the Department of Psychiatry, University of Maryland School of Medicine, Baltimore. Send correspondence to Dr. dosReis (e-mail: [email protected]).
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