A randomized preference trial to inform personalization of a parent training program implemented in community mental health clinics.
Incorporating participant preferences into intervention decision-making may optimize health outcomes by improving participant engagement. We describe the rationale for a preference-based approach to the personalization of community-based interventions. Compensating for the limitations of traditional randomized controlled trials (RCTs) and partially randomized preference trials (PRPTs), we employed a doubly randomized preference trial in the present study. Families (N = 129) presenting to community mental health clinics for child conduct problems were randomized to choice or no-choice conditions. Within each condition, parents were again randomized, or offered choices between home- and clinic-based, individual and group versions of a parent training program or services-as-usual. Participants were assessed at baseline, and treatment retention data were gathered. Families assigned to the choice condition were significantly less likely to drop out of treatment than those in the no-choice condition. In the choice condition, in-home treatment was the preferred modality, and across conditions, families were less likely to be retained in group and clinic modalities. Research on preferences may boost participant engagement and inform shared decision-making.
['He|Yaliu|Y|', 'Gewirtz|Abigail|A|http://orcid.org/0000-0001-7376-2952', 'Lee|Susanne|S|', 'Morrell|Nicole|N|', 'August|Gerald|G|']
D000328:Adult D002648:Child D003151:Community Health Centers D005260:Female D006801:Humans D008297:Male D001523:Mental Disorders D010290:Parents D010352:Patient Dropouts D057240:Patient Preference D010865:Pilot Projects
Preference Personalization Parent training Treatment retention