A discrete choice experiment to understand depression intervention treatment preferences of Kenyan pregnant adolescents
Kumar, M.; Tele, A.; Kathono, J.; Nyongesa, V.; Yator, O.; Mwaniga, S.; Huang, K. Y.; McKay, M.; Lai, J.; Levy, M.; Cuijpers, P.; Quaife, M.; Unutzer, J.
Show abstract
BackgroundUnderstanding mental health treatment preferences of adolescents and youth is particularly important for interventions to be acceptable and successful. Person-centered care mandates empowering individuals to take charge of their own health rather than being passive recipients of services. MethodsWe conducted a discrete choice experiment to quantitatively measure adolescent treatment preferences for different care characteristics and explore tradeoffs between these. A total of 153 pregnant adolescents were recruited from two primary healthcare facilities in the informal urban settlement of Nairobi. We selected eight attributes of depression treatment option models drawn from literature review and previous qualitative work. We created a balanced and orthogonal design to identify main term effects. A total of ten choice tasks were solicited per respondent. We evaluated mean preferences using mixed logit models to adjust for within subject correlation and account for unobserved heterogeneity. ResultsRespondents showed a positive preference that caregivers be provided with information sheets, as opposed to co-participation with caregivers. With regards to treatment options, the respondents showed a positive preference for 8 sessions as compared to 4 sessions. With regards to intervention delivery agents, the respondents had a positive preference for facility nurses as compared to community health volunteers. In terms of support, the respondents showed positive preference for parenting skills as compared to peer support. Our respondents expressed negative preferences of ANC service combined with older mothers as compared to adolescent friendly services and of being offered refreshments alone. A positive preference was revealed for combined refreshments and travel allowance over travel allowance or refreshments alone. ConclusionThis study highlights unique needs of this population. Pregnant adolescents value depression care services offered by nurses Participants shared a preference for longer psychotherapy sessions and their preference was to have adolescent centered maternal mental health and child health services within primary care.
Matching journals
The top 2 journals account for 50% of the predicted probability mass.
Similar papers in this journal
- Developing and validating the Nepalese Abuse Assessment Screen (N-AAS) for identifying domestic violence among pregnant women in Nepal 96%
- Mental health care in the city of Lubumbashi, Democratic Republic of the Congo: Analysis of demand, supply and operational response capacity of the health district of Tshamilemba 96%
- Level of completion along continuum of care for maternal and child health services and factors associated with it among women in Arba Minch Zuria Woreda, Gamo Zone, Southern Ethiopia: a community based cross-sectional study 95%
Similar papers in this journal
- Community-based newborn care intervention fidelity and its implementation drivers in South Wollo Zone, North-east Ethiopia 96%
- Examining National Health Insurance Fund Members’ preferences and trade-offs for the attributes of contracted outpatient facilities in Kenya: a discrete choice experiment 96%
- Facilitators and barriers for healthcare workers' adherence to the national nutritional guidelines for people living with HIV in Dar-es-Salaam: A mixed-method study 96%
Similar papers in this journal
- The Menstrual Practice Needs Scale Short Form (MPNS-SF) and Rapid (MPNS-R): Development in Khulna, Bangladesh, and validation in cross-sectional surveys from Bangladesh and Uganda 95%
- Symptoms of common mental disorders and adherence to antiretroviral therapy among adults living with HIV in rural Zimbabwe: a cross-sectional study 95%
- Scalability of mobile technology interventions in the prevention and management of HIV among adolescents in low- and middle-income countries: protocol for a systematic review 95%
Similar papers in this journal
- What are the mechanisms of effect of group antenatal care? A systematic realist review and synthesis of the literature 94%
- Informal coercion during childbirth: risk factors and prevalence estimates from a nationwide survey among women in Switzerland 94%
- Maternal Postpartum Stress Scale: Translation and validation study of the Chinese version 94%
"Similar papers" are the closest papers from that journal in the model's embedding space. They show what the match is built on, but the ranking comes mostly from a classifier over the whole training set, not from these examples alone.