A world of choices: preference elicitation methods for improving the delivery and uptake of HIV prevention and treatment
- PMID: 36409315
- PMCID: PMC9772083
- DOI: 10.1097/COH.0000000000000776
A world of choices: preference elicitation methods for improving the delivery and uptake of HIV prevention and treatment
Abstract
Purpose of review: Despite the growing availability of effective HIV prevention and treatment interventions, there are large gaps in their uptake and sustained use across settings. It is crucial to elicit and apply patients' and stakeholders' preferences to maximize the impact of existing and future interventions. This review summarizes quantitative preference elicitation methods (PEM) and how they can be applied to improve the delivery and uptake of HIV prevention and treatment interventions.
Recent findings: PEM are increasingly applied in HIV implementation research; however, discrete choice experiments (DCEs) have predominated. Beyond DCEs, there are other underutilized PEM that may improve the reach and effectiveness of HIV prevention and treatment interventions among individuals by prioritizing their barriers to engagement and determining which attributes of interventions and delivery strategies are most valued. PEM can also enhance the adoption and sustained implementation of strategies to deliver HIV prevention and treatment interventions by assessing which attributes are the most acceptable and appropriate to key stakeholders.
Summary: Greater attention to and incorporation of patient's and stakeholders' preferences for HIV prevention and treatment interventions and their delivery has the potential to increase the number of persons accessing and retained in HIV prevention and treatment services.
Copyright © 2022 Wolters Kluwer Health, Inc. All rights reserved.
Conflict of interest statement
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This systematic review identified all studies applying preference elicitation methods for HIV prevention and testing interventions. This article highlighted the relatively limited number of preference elicitation methods that been in HIV prevention research to-date.
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This synthetic review identified discrete choice experiments that evaluated preferences for different HIV treatment service features. It showed that across diverse settings, patients strongly preferred patient-centered, friendly healthcare workers and that to access this service feature, they would be willing to trade time and money.
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