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The role of choice in health education intervention trials: a review and case study

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Author Info

  • Janevic, Mary R.
  • Janz, Nancy K.
  • Dodge, Julia A.
  • Lin, Xihong
  • Pan, Wenqin
  • Sinco, Brandy R.
  • Clark, Noreen M.
Registered author(s):

    Abstract

    Although the randomized, controlled trial (RCT) is considered the gold standard in research for determining the efficacy of health education interventions, such trials may be vulnerable to "preference effects"; that is, differential outcomes depending on whether an individual is randomized to his or her preferred treatment. In this study, we review theoretical and empirical literature regarding designs that account for such effects in medical research, and consider the appropriateness of these designs to health education research. To illustrate the application of a preference design to health education research, we present analyses using process data from a mixed RCT/preference trial comparing two formats (Group or Self-Directed) of the "Women take PRIDE" heart disease management program. Results indicate that being able to choose one's program format did not significantly affect the decision to participate in the study. However, women who chose the Group format were over 4 times as likely to attend at least one class and were twice as likely to attend a greater number of classes than those who were randomized to the Group format. Several predictors of format preference were also identified, with important implications for targeting disease-management education to this population.

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    File URL: http://www.sciencedirect.com/science/article/B6VBF-460J464-1/2/8835f4509b35fbeb24b6a7dd99501c7c
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    Bibliographic Info

    Article provided by Elsevier in its journal Social Science & Medicine.

    Volume (Year): 56 (2003)
    Issue (Month): 7 (April)
    Pages: 1581-1594

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    Handle: RePEc:eee:socmed:v:56:y:2003:i:7:p:1581-1594

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    Related research

    Keywords: USA Research design Heart disease Women's health Randomized controlled trials Preference trials;

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    Cited by:
    1. Long, Qi & Little, Roderick J. & Lin, Xihong, 2008. "Causal Inference in Hybrid Intervention Trials Involving Treatment Choice," Journal of the American Statistical Association, American Statistical Association, vol. 103, pages 474-484, June.

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