Integration of physical and mental health services for children and young people with eating disorders and functional symptom disorders: discrete choice experiment
Abstract Background Given the increasing recognition of the value of greater integration of physical and mental health services for children and young people, we aimed to evaluate preferences among parents for the characteristics associated with integrated health service provision for two conditions...
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| Format: | Article |
| Language: | English |
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BMC
2025-01-01
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| Series: | BMC Health Services Research |
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| Online Access: | https://doi.org/10.1186/s12913-024-12157-8 |
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| author | Efthalia Massou Mike Basher Sophie D. Bennett Tamsin Ford Saheli Gandhi Isobel Heyman Josefine Magnusson Raj Mehta Pei Li Ng Sara O’Curry Angus I. G. Ramsay Naomi J. Fulop Stephen Morris |
| author_facet | Efthalia Massou Mike Basher Sophie D. Bennett Tamsin Ford Saheli Gandhi Isobel Heyman Josefine Magnusson Raj Mehta Pei Li Ng Sara O’Curry Angus I. G. Ramsay Naomi J. Fulop Stephen Morris |
| author_sort | Efthalia Massou |
| collection | DOAJ |
| description | Abstract Background Given the increasing recognition of the value of greater integration of physical and mental health services for children and young people, we aimed to evaluate preferences among parents for the characteristics associated with integrated health service provision for two conditions (eating disorders, functional symptom disorders). Methods Two discrete choice experiments (DCEs) were conducted, using electronic surveys. Participants were adult parents of children and young people. Choice scenarios were based on five attributes for the eating disorders study, and four attributes for the functional symptom disorders study. Results Two hundred parents participated in each DCE. For eating disorders, days missed from school in the last year was the attribute valued most highly, followed by days in hospital in the last year, costs to the NHS, functioning, and interaction with peers with eating disorders. Respondents were willing to trade £531 of costs to the NHS for one less day missed from school. For functional symptom disorders, time to diagnosis was valued most highly, followed by days missed from school while obtaining a diagnosis, reservations about seeing a mental health practitioner, and costs of diagnosis to the NHS. Respondents were willing to trade £4237 of costs to the NHS to wait one month less for a diagnosis. Conclusion Respondents’ preferences were largely consistent with the planned goals of integrating physical and mental health services. Our findings show the factors which ought to be considered when designing new integrated pathways and evaluating them. |
| format | Article |
| id | doaj-art-91c4089f58df4ea39139fecc1b90ed14 |
| institution | Kabale University |
| issn | 1472-6963 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Health Services Research |
| spelling | doaj-art-91c4089f58df4ea39139fecc1b90ed142025-01-05T12:12:37ZengBMCBMC Health Services Research1472-69632025-01-0125111310.1186/s12913-024-12157-8Integration of physical and mental health services for children and young people with eating disorders and functional symptom disorders: discrete choice experimentEfthalia Massou0Mike Basher1Sophie D. Bennett2Tamsin Ford3Saheli Gandhi4Isobel Heyman5Josefine Magnusson6Raj Mehta7Pei Li Ng8Sara O’Curry9Angus I. G. Ramsay10Naomi J. Fulop11Stephen Morris12Primary Care Unit, Department of Public Health and Primary Care, University of CambridgeCambridgeshire and Peterborough NHS Foundation Trust, Elizabeth HouseUCL Great Ormond Street Institute of Child HealthDepartment of Psychiatry, Hershel Smith Building Cambridge Biomedical CampusDepartment of Applied Health Research, University College LondonUCL Great Ormond Street Institute of Child HealthDepartment of Applied Health Research, University College LondonPatient representativeDepartment of Applied Health Research, University College LondonCambridge Children’s Hospital Project Team, Cambridge University Hospitals NHS Foundation TrustDepartment of Applied Health Research, University College LondonDepartment of Applied Health Research, University College LondonPrimary Care Unit, Department of Public Health and Primary Care, University of CambridgeAbstract Background Given the increasing recognition of the value of greater integration of physical and mental health services for children and young people, we aimed to evaluate preferences among parents for the characteristics associated with integrated health service provision for two conditions (eating disorders, functional symptom disorders). Methods Two discrete choice experiments (DCEs) were conducted, using electronic surveys. Participants were adult parents of children and young people. Choice scenarios were based on five attributes for the eating disorders study, and four attributes for the functional symptom disorders study. Results Two hundred parents participated in each DCE. For eating disorders, days missed from school in the last year was the attribute valued most highly, followed by days in hospital in the last year, costs to the NHS, functioning, and interaction with peers with eating disorders. Respondents were willing to trade £531 of costs to the NHS for one less day missed from school. For functional symptom disorders, time to diagnosis was valued most highly, followed by days missed from school while obtaining a diagnosis, reservations about seeing a mental health practitioner, and costs of diagnosis to the NHS. Respondents were willing to trade £4237 of costs to the NHS to wait one month less for a diagnosis. Conclusion Respondents’ preferences were largely consistent with the planned goals of integrating physical and mental health services. Our findings show the factors which ought to be considered when designing new integrated pathways and evaluating them.https://doi.org/10.1186/s12913-024-12157-8IntegrationEating disordersFunctional symptom disordersDiscrete choice experimentPreferences |
| spellingShingle | Efthalia Massou Mike Basher Sophie D. Bennett Tamsin Ford Saheli Gandhi Isobel Heyman Josefine Magnusson Raj Mehta Pei Li Ng Sara O’Curry Angus I. G. Ramsay Naomi J. Fulop Stephen Morris Integration of physical and mental health services for children and young people with eating disorders and functional symptom disorders: discrete choice experiment BMC Health Services Research Integration Eating disorders Functional symptom disorders Discrete choice experiment Preferences |
| title | Integration of physical and mental health services for children and young people with eating disorders and functional symptom disorders: discrete choice experiment |
| title_full | Integration of physical and mental health services for children and young people with eating disorders and functional symptom disorders: discrete choice experiment |
| title_fullStr | Integration of physical and mental health services for children and young people with eating disorders and functional symptom disorders: discrete choice experiment |
| title_full_unstemmed | Integration of physical and mental health services for children and young people with eating disorders and functional symptom disorders: discrete choice experiment |
| title_short | Integration of physical and mental health services for children and young people with eating disorders and functional symptom disorders: discrete choice experiment |
| title_sort | integration of physical and mental health services for children and young people with eating disorders and functional symptom disorders discrete choice experiment |
| topic | Integration Eating disorders Functional symptom disorders Discrete choice experiment Preferences |
| url | https://doi.org/10.1186/s12913-024-12157-8 |
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