TY - JOUR
KW - Adult
KW - Attitude to Health
KW - Female
KW - Game Theory
KW - Health Status
KW - Hepatitis C, Chronic/complications/psychology/therapy
KW - Humans
KW - Male
KW - Methadone/therapeutic use
KW - Narcotics/therapeutic use
KW - New York City
KW - Opioid-Related Disorders/complications/drug therapy
KW - Qualitative Research
KW - Risk Assessment/methods/standards
KW - Self-Assessment
KW - Social Values
KW - Surveys and Questionnaires
KW - Treatment Outcome
AU - P. A. Teixeira
AU - B. R. Schackman
A1 - 
AB - OBJECTIVE: To assess the ability of methadone maintenance treatment (MMT) patients to use two standardized health assessment tools to value health states related to chronic hepatitis C virus (HCV) infection and HCV treatment-associated side effects. An estimated 65-90% of MMT patients are chronically infected with HCV. METHODS: We employed qualitative methods to explore how patients completed computerized rating scale assessments and standard gamble utility assessments by (1) having them discuss their responses in a think-aloud interview immediately after each health state assessment, and (2) allowing them the opportunity to recalibrate prior responses after considering subsequent health states. RESULTS: MMT patients used the rating scale boundaries appropriately and used the standard gamble to rank the health states in an a priori logical order. A guided assessment approach that allowed recalibration provided additional insight into values assigned to the health states presented. CONCLUSION: MMT patients are able to perform the tasks associated with rating scale assessments and standard gamble utility assessments of HCV health states. PRACTICE IMPLICATIONS: These assessment methods should be considered as a means to elicit MMT patients' values for HCV treatment, since the treatment outcome is uncertain but it is likely that side effects will adversely affect current health.
BT - Patient education and counseling
C5 - Opioids & Substance Use; Measures
CP - 2
CY - Ireland
DO - 10.1016/j.pec.2008.01.010
IS - 2
JF - Patient education and counseling
N2 - OBJECTIVE: To assess the ability of methadone maintenance treatment (MMT) patients to use two standardized health assessment tools to value health states related to chronic hepatitis C virus (HCV) infection and HCV treatment-associated side effects. An estimated 65-90% of MMT patients are chronically infected with HCV. METHODS: We employed qualitative methods to explore how patients completed computerized rating scale assessments and standard gamble utility assessments by (1) having them discuss their responses in a think-aloud interview immediately after each health state assessment, and (2) allowing them the opportunity to recalibrate prior responses after considering subsequent health states. RESULTS: MMT patients used the rating scale boundaries appropriately and used the standard gamble to rank the health states in an a priori logical order. A guided assessment approach that allowed recalibration provided additional insight into values assigned to the health states presented. CONCLUSION: MMT patients are able to perform the tasks associated with rating scale assessments and standard gamble utility assessments of HCV health states. PRACTICE IMPLICATIONS: These assessment methods should be considered as a means to elicit MMT patients' values for HCV treatment, since the treatment outcome is uncertain but it is likely that side effects will adversely affect current health.
PP - Ireland
PY - 2008
SN - 0738-3991; 0738-3991
SP - 302
EP - 307
EP - 
T1 - Can urban methadone patients complete health utility assessments?
T2 - Patient education and counseling
TI - Can urban methadone patients complete health utility assessments?
U1 - Opioids & Substance Use; Measures
U2 - 18314295
U3 - 10.1016/j.pec.2008.01.010
VL - 71
VO - 0738-3991; 0738-3991
Y1 - 2008
ER -