A feasibility study of using a card sort task to explore mental health related outcome and treatment preferences in older adults, and clinical research portfolio

Butrimaviciute, Rasa (2020) A feasibility study of using a card sort task to explore mental health related outcome and treatment preferences in older adults, and clinical research portfolio. D Clin Psy thesis, University of Glasgow.

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Abstract

Background: Incorporating patient preferences into clinical decision-making can have a positive impact on clinical outcomes and is a core principle of patient-centred care. Despite this, no established methods exist for studying patient preferences with older adult (OA) population.
Objectives: The study aimed to develop a Card Sort Task (CST) preference elicitation method and to determine its feasibility and acceptability with the OAs.
Method: In a cross-sectional feasibility study, the CST was developed and its acceptability was explored with OAs waiting to receive (‘Waiting list’ group) and receiving psychological treatment (‘In-treatment’ group). The study procedure involved collecting patient feedback and qualitative observation data to aid further development of the tool. Preferences for outcomes and treatments were assessed. The data was analysed to identify patient preferences and difference between the two groups.
Results: Twenty-seven participants were recruited. Twenty-six completed the full procedure, with 85% (n = 22) rating it positively. The Tasks 1 and 2 were acceptable to participants; aspects of Task 3 were found laborious and require further refinement. There were no differences in preferences between the two groups. ‘To feel less troubled by memories from the past’ was ranked as the most important treatment outcome and ‘to see a therapist weekly or two-weekly’ was the most preferred treatment type.
Conclusions: It was possible to recruit for, and trial the CST with OAs who generally found the tool acceptable. Further refinement of the tool is required before adopting it for larger scale trials.

Item Type: Thesis (D Clin Psy)
Qualification Level: Doctoral
Keywords: Keywords: treatment preferences, older adults, feasibility, psychological therapy.
Subjects: B Philosophy. Psychology. Religion > BF Psychology
Colleges/Schools: College of Medical Veterinary and Life Sciences > Institute of Health and Wellbeing > Mental Health and Wellbeing
Supervisor's Name: McLeod, Professor Hamish
Date of Award: 2020
Depositing User: Ms Rasa Butrimaviciute
Unique ID: glathesis:2020-81425
Copyright: Copyright of this thesis is held by the author.
Date Deposited: 10 Jun 2020 14:22
Last Modified: 10 Jun 2020 14:26
URI: http://theses.gla.ac.uk/id/eprint/81425

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