Journal Article Ahead of print
PubMed: 41927326 DOI: 10.1136/archdischild-2025-329155
Parents' preferences for interventions to improve aspects of children's current and future health: two discrete choice experiments.
Arch Dis Child
Authors: Katie McBain, Susan A Clifford, Dorothea Dumuid, Ann Livingstone, Tim Olds, Melissa Wake
Affiliations
- Murdoch Children's Research Institute, Parkville, Victoria, Australia. The University of Melbourne Department of Paediatrics, Parkville, Victoria, Australia.
- Murdoch Children's Research Institute, Parkville, Victoria, Australia.
- The University of Melbourne Department of Paediatrics, Parkville, Victoria, Australia.
- University of South Australia Allied Health & Human Performance Academic Unit, Adelaide, South Australia, Australia.
- Deakin University Institute for Health Transformation, Deakin Health Economics, School of Health and Social Development, Geelong, Victoria, Australia.
- Murdoch Children's Research Institute, Parkville, Victoria, Australia.
Abstract
OBJECTIVE
Large new children's cohorts now allow embedded trials for prevention and early intervention, offering rare opportunities to reduce the burden of childhood and future chronic disease. We explored parents' preferences for interventions targeting children's current and future health, to guide measurement and intervention choices in such cohorts.
DESIGN
Two discrete choice experiments (DCEs) were conducted between February and July 2024. Parents made pairwise choices between hypothetical childhood interventions aimed at preventing or mitigating eight high-burden chronic conditions (DCE1: eight diseases of ageing; DCE2: the four most important from DCE1 plus four common childhood conditions). We analysed mean (range 1-8, 1 being highest) and median rankings, using inverse probability weighting to estimate to all Generation Victoria (GenV) parents (n>70 000).
PARTICIPANTS
Convenience samples of parents of children aged 6-24 months in GenV, Australia's largest population-representative interventional cohort.
RESULTS
1866 parents completed DCE1 and 1343 completed DCE2, with response rates of 11.4% and 9.8%, respectively. In DCE1, 'cardiovascular health' ranked highest (mean=3.2), followed by 'cognition', 'lung health', 'blood sugar levels', 'bone and muscle strength', 'vision and eye health', 'kidney health' and 'hearing' (mean=5.8). In DCE2, 'anxiety and/or depression' ranked highest (mean=3.6), followed by 'cardiovascular health', 'autism' and 'asthma'. Rankings changed only marginally on weighting.
CONCLUSIONS
Parents' priorities are wide-ranging. While low response rates limit translation to policy, rankings weighted to adjust for missing data emerge with compelling themes for future work to triangulate with other consultation methods.
MeSH
Pediatrics, Child