Adult, adolescent, and caregiver preferences for attributes of topical treatments for mild-to-moderate atopic dermatitis: a discrete-choice experiment

AbstractPurpose: Topical treatments for mild-to-moderate (MM) atopic dermatitis (AD) include emollients, corticosteroids, calcineurin inhibitors, a Janus kinase inhibitor, and a phosphodiesterase 4 inhibitor, which differ in multiple ways. This study aimed to quantify the conditional relative import...

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Main Authors: Steven R. Feldman, Jacob P. Thyssen, Marco Boeri, Robert Gerber, Maureen P. Neary, Amy Cha, Brett Hauber, Joseph C. Cappelleri, Jason Xenakis, Colton Leach, Joshua Zeichner
Format: Article
Language:English
Published: Taylor & Francis Group 2024-12-01
Series:Journal of Dermatological Treatment
Subjects:
Online Access:https://www.tandfonline.com/doi/10.1080/09546634.2024.2304020
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author Steven R. Feldman
Jacob P. Thyssen
Marco Boeri
Robert Gerber
Maureen P. Neary
Amy Cha
Brett Hauber
Joseph C. Cappelleri
Jason Xenakis
Colton Leach
Joshua Zeichner
author_facet Steven R. Feldman
Jacob P. Thyssen
Marco Boeri
Robert Gerber
Maureen P. Neary
Amy Cha
Brett Hauber
Joseph C. Cappelleri
Jason Xenakis
Colton Leach
Joshua Zeichner
author_sort Steven R. Feldman
collection DOAJ
description AbstractPurpose: Topical treatments for mild-to-moderate (MM) atopic dermatitis (AD) include emollients, corticosteroids, calcineurin inhibitors, a Janus kinase inhibitor, and a phosphodiesterase 4 inhibitor, which differ in multiple ways. This study aimed to quantify the conditional relative importance (CRI) of attributes of topical treatments for MM AD among adult and adolescent patients and caregivers of children with MM AD.Materials and methods: A discrete-choice experiment (DCE) survey was administered to US adults and adolescents with MM AD and caregivers of children with MM AD. Each choice task comprised 2 hypothetical topical treatments characterized by efficacy, adverse events, vehicle, and application frequency. Data were analyzed using a random-parameters logit model to calculate the CRI of each attribute.Results and conclusions: 300 adults, 331 adolescents, and 330 caregivers completed the DCE. Avoiding changes in skin color (CRI 29.0) and time until itch improves (26.6) were most important to adults, followed by time until clear/almost clear skin (17.8). Application frequency (3.0) did not have a statistically significant impact on adults’ choices. Adolescents were less concerned about changes in skin color than adults or caregivers; caregivers were less concerned about time until clear/almost clear skin than patients. Physicians should consider age-relevant aspects of preferences in treatment discussions with patients and caregivers.
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spelling doaj.art-381c24a10916409ba5aff352aa5817bc2024-01-15T07:08:30ZengTaylor & Francis GroupJournal of Dermatological Treatment0954-66341471-17532024-12-0135110.1080/09546634.2024.2304020Adult, adolescent, and caregiver preferences for attributes of topical treatments for mild-to-moderate atopic dermatitis: a discrete-choice experimentSteven R. Feldman0Jacob P. Thyssen1Marco Boeri2Robert Gerber3Maureen P. Neary4Amy Cha5Brett Hauber6Joseph C. Cappelleri7Jason Xenakis8Colton Leach9Joshua Zeichner10Department of Dermatology, Wake Forest School of Medicine, Winston-Salem, NC, USABispebjerg Hospital, University of Copenhagen, Copenhagen, DenmarkRTI Health Solutions, Belfast, UKPfizer Inc, Groton, CT, USAPfizer Inc, Collegeville, PA, USAPfizer Inc, New York, NY, USAPfizer Inc, New York, NY, USAPfizer Inc, Groton, CT, USAPfizer Inc, New York, NY, USARTI Health Solutions, NC, USADepartment of Dermatology, Mount Sinai Hospital, New York, NY, USAAbstractPurpose: Topical treatments for mild-to-moderate (MM) atopic dermatitis (AD) include emollients, corticosteroids, calcineurin inhibitors, a Janus kinase inhibitor, and a phosphodiesterase 4 inhibitor, which differ in multiple ways. This study aimed to quantify the conditional relative importance (CRI) of attributes of topical treatments for MM AD among adult and adolescent patients and caregivers of children with MM AD.Materials and methods: A discrete-choice experiment (DCE) survey was administered to US adults and adolescents with MM AD and caregivers of children with MM AD. Each choice task comprised 2 hypothetical topical treatments characterized by efficacy, adverse events, vehicle, and application frequency. Data were analyzed using a random-parameters logit model to calculate the CRI of each attribute.Results and conclusions: 300 adults, 331 adolescents, and 330 caregivers completed the DCE. Avoiding changes in skin color (CRI 29.0) and time until itch improves (26.6) were most important to adults, followed by time until clear/almost clear skin (17.8). Application frequency (3.0) did not have a statistically significant impact on adults’ choices. Adolescents were less concerned about changes in skin color than adults or caregivers; caregivers were less concerned about time until clear/almost clear skin than patients. Physicians should consider age-relevant aspects of preferences in treatment discussions with patients and caregivers.https://www.tandfonline.com/doi/10.1080/09546634.2024.2304020Atopic dermatitispreferencespatientcaregiverdiscrete-choice experiment
spellingShingle Steven R. Feldman
Jacob P. Thyssen
Marco Boeri
Robert Gerber
Maureen P. Neary
Amy Cha
Brett Hauber
Joseph C. Cappelleri
Jason Xenakis
Colton Leach
Joshua Zeichner
Adult, adolescent, and caregiver preferences for attributes of topical treatments for mild-to-moderate atopic dermatitis: a discrete-choice experiment
Journal of Dermatological Treatment
Atopic dermatitis
preferences
patient
caregiver
discrete-choice experiment
title Adult, adolescent, and caregiver preferences for attributes of topical treatments for mild-to-moderate atopic dermatitis: a discrete-choice experiment
title_full Adult, adolescent, and caregiver preferences for attributes of topical treatments for mild-to-moderate atopic dermatitis: a discrete-choice experiment
title_fullStr Adult, adolescent, and caregiver preferences for attributes of topical treatments for mild-to-moderate atopic dermatitis: a discrete-choice experiment
title_full_unstemmed Adult, adolescent, and caregiver preferences for attributes of topical treatments for mild-to-moderate atopic dermatitis: a discrete-choice experiment
title_short Adult, adolescent, and caregiver preferences for attributes of topical treatments for mild-to-moderate atopic dermatitis: a discrete-choice experiment
title_sort adult adolescent and caregiver preferences for attributes of topical treatments for mild to moderate atopic dermatitis a discrete choice experiment
topic Atopic dermatitis
preferences
patient
caregiver
discrete-choice experiment
url https://www.tandfonline.com/doi/10.1080/09546634.2024.2304020
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