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Employee’s Preferences for Access to Mindfulness-Based Cognitive Therapy to Reduce the Risk of Depressive Relapse—A Discrete Choice Experiment

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Abstract

Disseminating mindfulness-based cognitive therapy (MBCT), an evidence-based group treatment, in the workplace may help employees who have recovered from depression to prevent depressive relapse and stay well. Employees’ potential confidentiality concerns about participating in a group-based workplace MBCT intervention may be alleviated by delivering MBCT in alternative formats that would maintain the employees’ anonymity. The aim of the current study was to determine the stated preferences of employees from large healthcare organizations for four different MBCT delivery methods (i.e., group, online group, individual, and individual via the telephone). We determined the stated preferences of 151 health authority employees for the four MBCT delivery methods using a discrete choice experiment comprised of 18 choice sets of five attributes. A latent class model was used to evaluate the heterogeneity of respondents' preferences. This analysis suggested that four classes existed in the sample. The most important preferences were the effectiveness of MBCT, the type of interaction, face-to-face delivery, and receipt of MBCT on their own time. These results suggest strong preferences for the four different MBCT delivery methods. The presence of latent classes also shows that preferences for alternative modes of delivery vary in association with differences in sociodemographic variables between groups of employees. The overall findings of this study have the potential to influence the development of institutional programs that could make workplace MBCT more appealing to a greater number of employees, thereby improving participant uptake, decreasing the potential for depressive relapse, and minimizing absenteeism.

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References

  • American Psychological Association. (2010). Ethical principles of psychologists and code of conduct. Washington, DC. http://www.apa.org/ethics/code/index.aspx. Accessed: 19 June 2011.

  • Attridge, M. (2008). A quiet crisis: the business case for managing employee mental health—human solutions report. Wilson Banwell PROACT Human Solutions.

  • Australian Psychological Society. (2011). Code of ethics. Melbourne: Australian Psychological Society.

    Google Scholar 

  • Berti Ceroni, G., Neri, C., & Pezzoli, A. (1984). Chronicity in major depression. A naturalistic perspective. Journal of Affective Disorders, 7(2), 123–132.

    Article  PubMed  Google Scholar 

  • Chang, S. M., Hong, J. P., & Cho, M. J. (2011). Economic burden of depression in South Korea. Social Psychiatry and Psychiatric Epidemiology. doi:10.1007/s00127-011-0382-8.

  • Coelho, H. F., Canter, P. H., & Ernst, E. (2007). Mindfulness-based cognitive therapy: evaluating current evidence and informing future research. Journal of Consulting and Clinical Psychology, 75, 1000–1005.

    Article  PubMed  Google Scholar 

  • Cooper, C., Bebbington, P., King, M., Brugha, T., Meltzer, H., Bhugra, D., et al. (2007). Why people do not take their psychotropic drugs as prescribed: results of the 2000 National Psychiatric Morbidity Survey. Acta Psychiatrica Scandinavica, 116, 47–53.

    Article  PubMed  Google Scholar 

  • Dewa, C. C., Lesage, A., Goering, P., & Caveen, M. (2004). Nature and prevalence of mental illness in the workplace. Healthcare Papers, 5, 12–25.

    PubMed  Google Scholar 

  • Farrar, S., Ryan, M., Ross, D., & Ludbrook, A. (2000). Using discrete choice modelling in priority setting: an application to clinical service developments. Social Science & Medicine, 50(1), 63–75.

    Article  Google Scholar 

  • Greenberg, P. E., Kessler, R. C., Birnbaum, H. G., Leong, S. A., Lowe, S. W., Berglund, P. A., et al. (2003). The economic burden of depression in the United States: how did it change between 1990 and 2000? The Journal of Clinical Psychiatry, 64, 1465–1475.

    Article  PubMed  Google Scholar 

  • Guimaraes, C., Marra, C. A., Colley, L., Gill, S., Simpson, S. H., Meneilly, G. S., et al. (2009). A valuation of patients' willingness-to-pay for insulin delivery in diabetes. International Journal of Technology Assessment in Health Care, 25(3), 359–66.

    Article  PubMed  Google Scholar 

  • Guimaraes, C., Marra, C. A., Gill, S., Simpson, S., Meneilly, G., Queiroz, R. H., et al. (2011). A discrete choice experiment evaluation of patients' preferences for different risk, benefit, and delivery attributes of insulin therapy for diabetes management. Patient Preference and Adherence, 4, 433–40.

    Google Scholar 

  • Healthcare Benefit Trust. (2007). Provincial Health Services Authority report on employee workplace health survey. Vancouver: Author.

    Google Scholar 

  • Hole, A. R. (2008). Modelling heterogeneity in patients' preferences for the attributes of a general practitioner appointment. Journal of Health Economics, 27(4), 1078–94.

    Article  PubMed  Google Scholar 

  • Ipsos Reid. (2007). Mental health in the workplace: Largest study ever conducted of Canadian workplace mental health and depression. http://www.ipsos-na.com/news-polls/pressrelease.aspx?id=3724. Accessed: 13 June 2011.

  • Judd, L. J. (1997). The clinical course of unipolar major depressive disorders. Archives of General Psychiatry, 54, 989–991.

    Article  PubMed  Google Scholar 

  • Keller, M. B., Lavori, P. W., Lewis, C. E., & Klerman, G. L. (1983). Predictors of relapse in major depressive disorder. Journal of the American Medical Association, 250(24), 3299–3304.

    Article  PubMed  Google Scholar 

  • Kessler, R. C., Kessler, R. C., Akiskal, H. S., Ames, M., et al. (2006). Prevalence and effects of mood disorders on work performance in a nationally representative sample of U.S. workers. American Journal of Psychiatry, 163, 1561–1568.

    Article  PubMed  Google Scholar 

  • Kuyken, W., Byford, S., Taylor, R. S., Watkins, E., Holden, E., White, K., et al. (2008). Mindfulness-based cognitive therapy to prevent relapse in recurrent depression. Journal of Consulting and Clinical Psychology, 76(6), 966–978.

    Article  PubMed  Google Scholar 

  • Kwan, B. M., Dimidjian, S., & Rizvi, S. L. (2010). Treatment preference, engagement, and clinical improvement in pharmacotherapy versus psychotherapy for depression. Behavioral Research Therapy, 48, 799–804. doi:10.1016/j.brat.2010.04.003.

    Article  Google Scholar 

  • Lancsar, E., & Louvier, J. (2006). Deleting irrational responses from discrete choice experiments: a case of investigating or imposing preferences? Journal of Health Economics, 18, 797–812.

    Google Scholar 

  • Lang, A. J. (2005). Mental health treatment preferences of primary care patients. Journal of Behavioral Medicine, 28, 581–586. doi:10.1007/s10865-005-9019-2.

    Article  PubMed  Google Scholar 

  • Lau, M. A., Grabovac, A., & Willett, B. (2010). Mindfulness-based cognitive therapy for the prevention of depressive relapse in the workplace. Paper presented as part of a symposium entitled “Mental Health in the Workplace: An Initiative of the Great West Life Innovation Fund of the FCPA” at the 60th Canadian Psychiatric Association Annual Conference, Toronto, Canada.

  • Ma, S. H., & Teasdale, J. D. (2004). Mindfulness-based cognitive therapy for depression: replication and exploration of differential relapse prevention effects. Journal of Consulting and Clinical Psychology, 72, 31–40.

    Article  PubMed  Google Scholar 

  • Marcotte, E. M., Pellegrini, M., & Thompson, M. J. (1999). A combined algorithm for genome-wide prediction of protein function. Nature, 402, 83–86.

    Article  PubMed  Google Scholar 

  • Mark, T. L., & Swait, J. (2004). Using stated preference and revealed preference modeling to evaluate prescribing decisions. Health Economics, 13(6), 563–73.

    Article  PubMed  Google Scholar 

  • McFadden, D., & Train, L. (2000). Mixed MNL models for discrete response. Journal of Applied Econometrics, 15, 447–70.

    Article  Google Scholar 

  • McTaggart-Cowan, H. M., Shi, P., Fitzgerald, J. M., Anis, A. H., Kopec, J., Bai, T., et al. (2008). An evaluation of patients' willingness to trade off symptom-free days for asthma-related treatment risks: a discrete choice experiment. The Journal of Asthma, 45, 630–38.

    Article  PubMed  Google Scholar 

  • Murphy, J. M., Laird, N. M., Monson, R. R., Sobol, A. M., & Leighton, A. H. (2000). Incidence of depression in the Stiling County Study: historical and comparative perspectives. Psychological Medicine, 30(3), 505–514.

    Article  PubMed  Google Scholar 

  • National Health Services. (2011). About NHS: NHS core principles. http://www.nhs.uk/NHSEngland/thenhs/about/Pages/nhscoreprinciples.aspx. Accessed: 21 June 2011.

  • National Institute for Clinical Excellence (NICE). (2009). Management of depression in primary and secondary care. London: National Institute for Clinical Excellence.

    Google Scholar 

  • Newman, S. C., & Bland, R. C. (1998). Incidence of mental disorders in Edmonton: estimates of rates and methodological issues. Journal of Psychiatric Research, 32(5), 273–282.

    Article  PubMed  Google Scholar 

  • Offord, D. R., Boyle, M. H., Campbell, D., Goering, P., Lin, E., Wong, M., et al. (1996). One year prevalence of psychiatric disorder in Ontarians 15 to 64 years of age. Canadian Journal of Psychiatry, 41, 559–563.

    Google Scholar 

  • Oteng, B., Marra, F., Lynd, L. D., Ogilvie, G., Patrick, D., & Marra, C. A. (2010). Evaluating societal preferences for human papillomavirus vaccine and cervical smear test screening programme. Sexually Transmitted Infections, 87(1), 52–7.

    Article  PubMed  Google Scholar 

  • Patten, S. B., Wang, J. L., Williams, J. V. A., Currie, S., Beck, C. A., Maxwell, C. J., et al. (2006). Descriptive epidemiology of major depression in Canada. Canadian Journal of Psychiatry, 51(5), 84–90.

    Google Scholar 

  • Ryan, M., & Gerard, K. (2003). Using discrete choice experiments to value health care programmes: current practice and future research reflections. Applied Health Economics and Health Policy, 2(1), 55–64.

    PubMed  Google Scholar 

  • Segal, Z. V., Williams, J. M. G., & Teasdale, J. D. (2002). Mindfulness-based cognitive therapy for depression: a new approach for preventing relapse. New York: Guilford Press.

    Google Scholar 

  • Segal, Z. V., Bieling, P., Young, T., MacQueen, G., Cooke, R., Lawrence, M., et al. (2010). Antidepressant monotherapy vs sequential pharmacotherapy and mindfulness-based cognitive therapy, or placebo, for relapse prophylaxis in recurrent depression. Archives of General Psychiatry, 67(12), 1256–1264.

    Article  PubMed  Google Scholar 

  • Sobocki, P., Jonsson, B., Angst, J., & Rehnberg, C. (2006). Cost of depression in Europe. The Journal of Mental Health Policy and Economics, 9, 87–98.

    PubMed  Google Scholar 

  • Swift, J. K., & Callahan, J. L. (2009). The impact of client treatment preferences on outcome: a meta-analysis. Journal of Clinical Psychology, 65, 368–381. doi:10.1002/jclp.20553.

    Article  PubMed  Google Scholar 

  • Swift, J. K., Callahan, J. L., & Vollmer, B. M. (2011). Preferences. Journal of Clinical Psychology, 67, 155–165. doi:10.1002/jclp.20759.

    Article  PubMed  Google Scholar 

  • Teasdale, J. D., Segal, Z. V., Williams, J. M. G., Ridgeway, V. A., Soulsby, J. M., & Lau, M. A. (2000). Prevention of relapse/recurrence in major depression by mindfulness-based cognitive therapy. Journal of Consulting and Clinical Psychology, 68, 615–623.

    Article  PubMed  Google Scholar 

  • Telser, H., & Zweifel, P. (2002). Measuring willingness-to-pay for risk reduction: an application of conjoint analysis. Health Economics, 11, 129–139.

    Article  PubMed  Google Scholar 

  • Wang, P. S., Beck, A. L., Berglund, P., McKenas, D. K., Pronk, N. P., Simon, G. E., et al. (2004). Effects of major depression on moment-in-time work performance. The American Journal of Psychiatry, 161, 1885–1891.

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Faculty of Pharmaceutical Sciences, University of British Columbia, Vancouver, British Columbia, Canada

    Lindsey Colley & Larry D. Lynd

  2. Centre for Health Evaluation and Outcome Sciences, Vancouver, British Columbia, Canada

    Lindsey Colley & Larry D. Lynd

  3. BC Mental Health and Addiction Services, Department of Psychiatry, University of British Columbia, Vancouver, British Columbia, Canada

    Mark A. Lau & Brandilyn R. Willett

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  1. Mark A. Lau
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  2. Lindsey Colley
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  3. Brandilyn R. Willett
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  4. Larry D. Lynd
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Correspondence to Larry D. Lynd.

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Lau, M.A., Colley, L., Willett, B.R. et al. Employee’s Preferences for Access to Mindfulness-Based Cognitive Therapy to Reduce the Risk of Depressive Relapse—A Discrete Choice Experiment. Mindfulness 3, 318–326 (2012). https://doi.org/10.1007/s12671-012-0108-3

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