Employee’s Preferences for Access to Mindfulness-Based Cognitive Therapy to Reduce the Risk of Depressive Relapse—A Discrete Choice Experiment
- 529 Downloads
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.
KeywordsMindfulness-based cognitive therapy Depression Stated preferences Discrete choice experiment
- 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. Google Scholar
- Australian Psychological Society. (2011). Code of ethics. Melbourne: Australian Psychological Society.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.
- 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
- 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.
- 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
- 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.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
- 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
- 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
- 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.PubMedCrossRefGoogle Scholar