Finding the best fit: examining the decision-making of augmentative and alternative communication professionals in the UK using a discrete choice experiment.
augmentative and alternative communication
clinical decision making
discrete choice experiment
Journal
BMJ open
ISSN: 2044-6055
Titre abrégé: BMJ Open
Pays: England
ID NLM: 101552874
Informations de publication
Date de publication:
01 12 2019
01 12 2019
Historique:
entrez:
4
12
2019
pubmed:
4
12
2019
medline:
29
10
2020
Statut:
epublish
Résumé
Many children with varied disabilities, for example, cerebral palsy, autism, can benefit from augmentative and alternative communication (AAC) systems. However, little is known about professionals' decision-making when recommending symbol based AAC systems for children. This study examines AAC professionals' preferences for attributes of AAC systems and how they interact with child characteristics. AAC professionals answered a discrete choice experiment survey with AAC system and child-related attributes, where participants chose an AAC system for a child vignette. The survey was administered online in the UK. 155 UK-based AAC professionals were recruited between 20 October 2017 and 4 March 2018. The study outcomes were the preferences of AAC professionals' as quantified using a mixed logit model, with model selection performed using a step-wise procedure and the Bayesian Information Criterion. Significant differences were observed in preferences for AAC system attributes, and large interactions were seen between child attributes included in the child vignettes, for example, participants made more ambitious choices for children who were motivated to communicate using AAC, and predicted to progress in skills and abilities. These characteristics were perceived as relatively more important than language ability and previous AAC experience. AAC professionals make trade-offs between attributes of AAC systems, and these trade-offs change depending on the characteristics of the child for whom the system is being provided.
Identifiants
pubmed: 31791963
pii: bmjopen-2019-030274
doi: 10.1136/bmjopen-2019-030274
pmc: PMC6924798
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
e030274Subventions
Organisme : Department of Health
ID : 14/70/153
Pays : United Kingdom
Informations de copyright
© Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY. Published by BMJ.
Déclaration de conflit d'intérêts
Competing interests: None declared.
Références
Pharmacoeconomics. 2014 Sep;32(9):883-902
pubmed: 25005924
Augment Altern Commun. 2015 Jun;31(2):148-58
pubmed: 25860836
Augment Altern Commun. 2017 Sep;33(3):181-187
pubmed: 28695784
J Telemed Telecare. 2016 Jan;22(1):39-46
pubmed: 26026184
Augment Altern Commun. 2019 Mar;35(1):26-41
pubmed: 30648902
Augment Altern Commun. 2019 Sep;35(3):167-179
pubmed: 31290334
J Intellect Disabil. 2013 Jun;17(2):107-21
pubmed: 23525644
Clin Invest Med. 2006 Dec;29(6):351-64
pubmed: 17330451
Augment Altern Commun. 2012 Sep;28(3):148-59
pubmed: 22946990
Disabil Rehabil Assist Technol. 2010 May;5(3):209-22
pubmed: 20302418
Augment Altern Commun. 2006 Jun;22(2):85-99
pubmed: 17114167
Value Health. 2016 Jun;19(4):300-15
pubmed: 27325321
Augment Altern Commun. 2010 Dec;26(4):255-66
pubmed: 21091302
Am J Speech Lang Pathol. 2009 Feb;18(1):50-64
pubmed: 19106207
Pharmacoeconomics. 2019 Feb;37(2):201-226
pubmed: 30392040
Disabil Rehabil Assist Technol. 2019 Apr 23;:1-11
pubmed: 31012746
BMJ. 2004 Feb 14;328(7436):360-1
pubmed: 14962852
Augment Altern Commun. 2018 Mar;34(1):1-15
pubmed: 29355044
Augment Altern Commun. 2015 Jun;31(2):124-36
pubmed: 25892523
Int J Lang Commun Disord. 2012 Mar-Apr;47(2):115-29
pubmed: 22369053
Augment Altern Commun. 2008;24(2):123-38
pubmed: 18465366
Augment Altern Commun. 2014 Mar;30(1):1-18
pubmed: 30952185
Disabil Rehabil. 2015;37(17):1559-75
pubmed: 26087813
Dev Med Child Neurol. 2015 Mar;57(3):294-300
pubmed: 25349105
Lang Speech Hear Serv Sch. 2017 Jan 1;48(1):56-68
pubmed: 28114681
Augment Altern Commun. 2019 Mar;35(1):42-55
pubmed: 30648896
Augment Altern Commun. 2019 Jun;35(2):80-94
pubmed: 30767575
Lang Speech Hear Serv Sch. 2006 Jan;37(1):50-60
pubmed: 16615749
Am J Speech Lang Pathol. 2008 Aug;17(3):212-30
pubmed: 18663107
Augment Altern Commun. 2019 Mar;35(1):1-12
pubmed: 30648903
J Speech Lang Hear Res. 2006 Apr;49(2):248-64
pubmed: 16671842
Augment Altern Commun. 2006 Dec;22(4):284-99
pubmed: 17127616
Augment Altern Commun. 2007 Mar;23(1):30-43
pubmed: 17364486
Augment Altern Commun. 2011 Mar;27(1):16-25
pubmed: 21284562
Augment Altern Commun. 2013 Dec;29(4):299-309
pubmed: 24229334
Health Econ. 2012 Jun;21(6):730-41
pubmed: 21557381
Augment Altern Commun. 2012 Dec;28(4):278-88
pubmed: 23256859
Augment Altern Commun. 2019 Sep;35(3):180-192
pubmed: 31271046
Disabil Rehabil Assist Technol. 2019 Oct;14(7):710-731
pubmed: 30070927
Disabil Rehabil. 2015;37(17):1509-10
pubmed: 26160143
Augment Altern Commun. 2016 Jun;32(2):131-42
pubmed: 26852780
Augment Altern Commun. 2017 Dec;33(4):189-200
pubmed: 28934864