A discrete choice conjoint experiment to evaluate parent preferences for treatment of young, medication naïve children with ADHD

Daniel A. Waschbusch, Charles E. Cunningham, William E. Pelham, Heather L. Rimas, Andrew R. Greiner, Elizabeth M. Gnagy, James Waxmonsky, Gregory A. Fabiano, Jessica A. Robb, Isa Burrows-Maclean, Mindy Scime, Martin T. Hoffman

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Abstract

The current study examined treatment preferences of 183 parents of young (average age=5.8 years, SD=0.6), medication naive children with ADHD. Preferences were evaluated using a discrete choice experiment in which parents made choices between different combinations of treatment characteristics, outcomes, and costs. Latent class analysis yielded two segments of parents: (a) medication avoidant parents constituted 70.5% of the sample whose treatment decisions were strongly influenced by a desire to avoid medication, and (b) outcome oriented parents constituted 29.5% of the sample whose treatment decisions were most influenced by a desire for positive treatment outcomes Parents in the outcome oriented segment were more stressed and depressed, had lower socioeconomic status and education, were more likely to be single parents, and had more disruptive and impaired children. Simulations predicted that parents would prefer treatments with behavior therapy over treatments with stimulant medication only.

Original languageEnglish (US)
Pages (from-to)546-561
Number of pages16
JournalJournal of Clinical Child and Adolescent Psychology
Volume40
Issue number4
DOIs
StatePublished - Jul 2011

All Science Journal Classification (ASJC) codes

  • Developmental and Educational Psychology
  • Clinical Psychology

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    Waschbusch, D. A., Cunningham, C. E., Pelham, W. E., Rimas, H. L., Greiner, A. R., Gnagy, E. M., Waxmonsky, J., Fabiano, G. A., Robb, J. A., Burrows-Maclean, I., Scime, M., & Hoffman, M. T. (2011). A discrete choice conjoint experiment to evaluate parent preferences for treatment of young, medication naïve children with ADHD. Journal of Clinical Child and Adolescent Psychology, 40(4), 546-561. https://doi.org/10.1080/15374416.2011.581617