Obtaining preference scores for an abbreviated self-completion version of the Teen-Addiction Severity Index (ASC T-ASI) to value therapy outcomes of systemic family interventions: a discrete choice experiment

Saskia Schawo; Renske Hoefman; Vivian Reckers-Droog; Liesbet Lawerman-van de Wetering; Yifrah Kaminer; Werner Brouwer; Leona Hakkaart-van Roijen

doi:10.1007/s10198-023-01633-3

Obtaining preference scores for an abbreviated self-completion version of the Teen-Addiction Severity Index (ASC T-ASI) to value therapy outcomes of systemic family interventions: a discrete choice experiment

Saskia Schawo
, Renske Hoefman
, Vivian Reckers-Droog^*
, Liesbet Lawerman-van de Wetering
, Yifrah Kaminer
, Werner Brouwer
, Leona Hakkaart-van Roijen

^*Corresponding author for this work

University of Connecticut

Research output: Contribution to journal › Article › Academic › peer-review

3 Citations (Scopus)

34 Downloads (Pure)

Abstract

Background:

Systemic family interventions for adolescents with problems of substance use and/or delinquency are increasingly focused subject of economic evaluations. Treatment effects go beyond improvements in commonly measured health-related quality of life (HRQOL). The Teen-Addiction Severity Index (T-ASI) was identified as capable of capturing these broad outcomes. However, it lacks preference-based scores. An abbreviated self-completion version (ASC T-ASI) was created and validated, covering the T-ASI domains substance use, school, work, family, social relationships, justice, and mental health. This study aimed to obtain societal preference scores for the ASC T-ASI.

Methods:

Preferences were elicited in a sample of the Dutch general adult population (n = 1500), using a web-based Discrete Choice Experiment. Choice tasks included two unlabeled alternatives with attributes and levels corresponding to the domains and levels of the ASC T-ASI. A pilot study (n = 106) informed priors, optimal presentation, and number of choice tasks applied in the main study. Data were analyzed using a mixed multinomial logit model.

Results:

Preference scores were logically ordered, with lower scores for worse ASC T-ASI states. Scores were most influenced by reductions in problems concerning the domains substance use, mental health, justice, and family. Tariffs were calculated for each ASC T-ASI state, ranging from 0 (worst situation) to 1 (best situation). '

Conclusions:

The tariffs enable preference-based assessments of the broad effects of systemic family interventions for adolescents with problems of substance use and/or delinquency. The outcome reflects addiction-related rather than health-related utility and can be used next to generic HRQOL instruments in relevant economic evaluations. Given the source used for the preferences, interpretations and valuation of scores require attention.

Original language	English
Pages (from-to)	903-913
Number of pages	11
Journal	European Journal of Health Economics
Volume	25
Issue number	5
DOIs	https://doi.org/10.1007/s10198-023-01633-3
Publication status	Published - 27 Sept 2023

Bibliographical note

Funding Information:
Financial support for this study was provided entirely by a grant from The Netherlands Organisation for Health Research and Development (ZonMw), grant number 157004007. The funding agreement ensured the authors’ independence in designing the study, interpreting the data, writing, and publishing the report.

Publisher Copyright:
© 2023, The Author(s).

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

SDG 3 Good Health and Well-being

Access to Document

10.1007/s10198-023-01633-3Licence: CC BY

Obtaining preference scores for an abbreviated self-completion version of the Teen-Addiction Severity Index (ASC T-ASI) to value therapy outcomes of systemic family interventionsFinal published version, 754 KBLicence: CC BY

Fingerprint

Dive into the research topics of 'Obtaining preference scores for an abbreviated self-completion version of the Teen-Addiction Severity Index (ASC T-ASI) to value therapy outcomes of systemic family interventions: a discrete choice experiment'. Together they form a unique fingerprint.

Cite this

Schawo, S., Hoefman, R., Reckers-Droog, V., Lawerman-van de Wetering, L., Kaminer, Y., Brouwer, W., & Hakkaart-van Roijen, L. (2023). Obtaining preference scores for an abbreviated self-completion version of the Teen-Addiction Severity Index (ASC T-ASI) to value therapy outcomes of systemic family interventions: a discrete choice experiment. European Journal of Health Economics, 25(5), 903-913. https://doi.org/10.1007/s10198-023-01633-3

@article{08980d1202274e27a5e9253f73739214,

title = "Obtaining preference scores for an abbreviated self-completion version of the Teen-Addiction Severity Index (ASC T-ASI) to value therapy outcomes of systemic family interventions: a discrete choice experiment",

abstract = "Background: Systemic family interventions for adolescents with problems of substance use and/or delinquency are increasingly focused subject of economic evaluations. Treatment effects go beyond improvements in commonly measured health-related quality of life (HRQOL). The Teen-Addiction Severity Index (T-ASI) was identified as capable of capturing these broad outcomes. However, it lacks preference-based scores. An abbreviated self-completion version (ASC T-ASI) was created and validated, covering the T-ASI domains substance use, school, work, family, social relationships, justice, and mental health. This study aimed to obtain societal preference scores for the ASC T-ASI. Methods: Preferences were elicited in a sample of the Dutch general adult population (n = 1500), using a web-based Discrete Choice Experiment. Choice tasks included two unlabeled alternatives with attributes and levels corresponding to the domains and levels of the ASC T-ASI. A pilot study (n = 106) informed priors, optimal presentation, and number of choice tasks applied in the main study. Data were analyzed using a mixed multinomial logit model. Results: Preference scores were logically ordered, with lower scores for worse ASC T-ASI states. Scores were most influenced by reductions in problems concerning the domains substance use, mental health, justice, and family. Tariffs were calculated for each ASC T-ASI state, ranging from 0 (worst situation) to 1 (best situation). 'Conclusions: The tariffs enable preference-based assessments of the broad effects of systemic family interventions for adolescents with problems of substance use and/or delinquency. The outcome reflects addiction-related rather than health-related utility and can be used next to generic HRQOL instruments in relevant economic evaluations. Given the source used for the preferences, interpretations and valuation of scores require attention.",

author = "Saskia Schawo and Renske Hoefman and Vivian Reckers-Droog and \{Lawerman-van de Wetering\}, Liesbet and Yifrah Kaminer and Werner Brouwer and \{Hakkaart-van Roijen\}, Leona",

note = "Funding Information: Financial support for this study was provided entirely by a grant from The Netherlands Organisation for Health Research and Development (ZonMw), grant number 157004007. The funding agreement ensured the authors{\textquoteright} independence in designing the study, interpreting the data, writing, and publishing the report. Publisher Copyright: {\textcopyright} 2023, The Author(s).",

year = "2023",

month = sep,

day = "27",

doi = "10.1007/s10198-023-01633-3",

language = "English",

volume = "25",

pages = "903--913",

journal = "European Journal of Health Economics",

issn = "1618-7598",

publisher = "Springer-Verlag",

number = "5",

}

Schawo, S, Hoefman, R, Reckers-Droog, V, Lawerman-van de Wetering, L, Kaminer, Y, Brouwer, W & Hakkaart-van Roijen, L 2023, 'Obtaining preference scores for an abbreviated self-completion version of the Teen-Addiction Severity Index (ASC T-ASI) to value therapy outcomes of systemic family interventions: a discrete choice experiment', European Journal of Health Economics, vol. 25, no. 5, pp. 903-913. https://doi.org/10.1007/s10198-023-01633-3

Obtaining preference scores for an abbreviated self-completion version of the Teen-Addiction Severity Index (ASC T-ASI) to value therapy outcomes of systemic family interventions: a discrete choice experiment. / Schawo, Saskia; Hoefman, Renske; Reckers-Droog, Vivian et al.
In: European Journal of Health Economics, Vol. 25, No. 5, 27.09.2023, p. 903-913.

Research output: Contribution to journal › Article › Academic › peer-review

TY - JOUR

T1 - Obtaining preference scores for an abbreviated self-completion version of the Teen-Addiction Severity Index (ASC T-ASI) to value therapy outcomes of systemic family interventions

T2 - a discrete choice experiment

AU - Schawo, Saskia

AU - Hoefman, Renske

AU - Reckers-Droog, Vivian

AU - Lawerman-van de Wetering, Liesbet

AU - Kaminer, Yifrah

AU - Brouwer, Werner

AU - Hakkaart-van Roijen, Leona

N1 - Funding Information: Financial support for this study was provided entirely by a grant from The Netherlands Organisation for Health Research and Development (ZonMw), grant number 157004007. The funding agreement ensured the authors’ independence in designing the study, interpreting the data, writing, and publishing the report. Publisher Copyright: © 2023, The Author(s).

PY - 2023/9/27

Y1 - 2023/9/27

N2 - Background: Systemic family interventions for adolescents with problems of substance use and/or delinquency are increasingly focused subject of economic evaluations. Treatment effects go beyond improvements in commonly measured health-related quality of life (HRQOL). The Teen-Addiction Severity Index (T-ASI) was identified as capable of capturing these broad outcomes. However, it lacks preference-based scores. An abbreviated self-completion version (ASC T-ASI) was created and validated, covering the T-ASI domains substance use, school, work, family, social relationships, justice, and mental health. This study aimed to obtain societal preference scores for the ASC T-ASI. Methods: Preferences were elicited in a sample of the Dutch general adult population (n = 1500), using a web-based Discrete Choice Experiment. Choice tasks included two unlabeled alternatives with attributes and levels corresponding to the domains and levels of the ASC T-ASI. A pilot study (n = 106) informed priors, optimal presentation, and number of choice tasks applied in the main study. Data were analyzed using a mixed multinomial logit model. Results: Preference scores were logically ordered, with lower scores for worse ASC T-ASI states. Scores were most influenced by reductions in problems concerning the domains substance use, mental health, justice, and family. Tariffs were calculated for each ASC T-ASI state, ranging from 0 (worst situation) to 1 (best situation). 'Conclusions: The tariffs enable preference-based assessments of the broad effects of systemic family interventions for adolescents with problems of substance use and/or delinquency. The outcome reflects addiction-related rather than health-related utility and can be used next to generic HRQOL instruments in relevant economic evaluations. Given the source used for the preferences, interpretations and valuation of scores require attention.

AB - Background: Systemic family interventions for adolescents with problems of substance use and/or delinquency are increasingly focused subject of economic evaluations. Treatment effects go beyond improvements in commonly measured health-related quality of life (HRQOL). The Teen-Addiction Severity Index (T-ASI) was identified as capable of capturing these broad outcomes. However, it lacks preference-based scores. An abbreviated self-completion version (ASC T-ASI) was created and validated, covering the T-ASI domains substance use, school, work, family, social relationships, justice, and mental health. This study aimed to obtain societal preference scores for the ASC T-ASI. Methods: Preferences were elicited in a sample of the Dutch general adult population (n = 1500), using a web-based Discrete Choice Experiment. Choice tasks included two unlabeled alternatives with attributes and levels corresponding to the domains and levels of the ASC T-ASI. A pilot study (n = 106) informed priors, optimal presentation, and number of choice tasks applied in the main study. Data were analyzed using a mixed multinomial logit model. Results: Preference scores were logically ordered, with lower scores for worse ASC T-ASI states. Scores were most influenced by reductions in problems concerning the domains substance use, mental health, justice, and family. Tariffs were calculated for each ASC T-ASI state, ranging from 0 (worst situation) to 1 (best situation). 'Conclusions: The tariffs enable preference-based assessments of the broad effects of systemic family interventions for adolescents with problems of substance use and/or delinquency. The outcome reflects addiction-related rather than health-related utility and can be used next to generic HRQOL instruments in relevant economic evaluations. Given the source used for the preferences, interpretations and valuation of scores require attention.

UR - https://www.scopus.com/pages/publications/85172867180

U2 - 10.1007/s10198-023-01633-3

DO - 10.1007/s10198-023-01633-3

M3 - Article

C2 - 37755542

AN - SCOPUS:85172867180

SN - 1618-7598

VL - 25

SP - 903

EP - 913

JO - European Journal of Health Economics

JF - European Journal of Health Economics

IS - 5

ER -

Schawo S, Hoefman R, Reckers-Droog V, Lawerman-van de Wetering L, Kaminer Y, Brouwer W et al. Obtaining preference scores for an abbreviated self-completion version of the Teen-Addiction Severity Index (ASC T-ASI) to value therapy outcomes of systemic family interventions: a discrete choice experiment. European Journal of Health Economics. 2023 Sept 27;25(5):903-913. doi: 10.1007/s10198-023-01633-3

Obtaining preference scores for an abbreviated self-completion version of the Teen-Addiction Severity Index (ASC T-ASI) to value therapy outcomes of systemic family interventions: a discrete choice experiment

Abstract

Bibliographical note

UN SDGs

Access to Document

Other files and links

Fingerprint

Cite this