{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,10]],"date-time":"2026-06-10T08:03:06Z","timestamp":1781078586579,"version":"3.54.1"},"reference-count":42,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2026,1,9]],"date-time":"2026-01-09T00:00:00Z","timestamp":1767916800000},"content-version":"vor","delay-in-days":8,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"Arthritis Society Doctoral Award"},{"name":"Canadian Behavioural Trials and Interventions Network"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,3,18]]},"abstract":"Abstract<\/jats:title>\n \n Objectives<\/jats:title>\n To quantify patient preferences for key joint protection program (JPP) delivery components and identify preference segments to inform a patient-centred, technology-enabled program.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n Attributes and levels were developed via three focus groups with 16 people living with hand osteoarthritis (HOA). A discrete choice experiment (six attributes with two levels each; 16 choice tasks; three unlabelled alternatives; no opt-out) was fielded online. Choices were analysed using latent class choice models with effects coding. One to six class solutions were compared by Akaike Information Criterion\/Bayesian Information Criterion and segment sizes. Within-class relative attribute importance was calculated from part-worth ranges and overall (class-adjusted) importance was computed using class membership probabilities.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n A total of 150 participants with HOA completed the survey (89% women; mean age 68\u2009years). Latent class modelling identified five distinct preference segments (segment sizes: 34%, 18%, 10.7%, 21.3% and 16%). Across segments, clinician-led question and answer (Q&A; class-adjusted importance 23.7%) and clinician-delivered exercise demonstrations (21.5%) consistently drove choices. Other features showed marked heterogeneity: one large segment strongly preferred short (2\u20137\u2009min) videos (importance 56.1%) while others were indifferent to video length; interaction mode split respondents between asynchronous forums and live monthly meetings; and lived-experience guest speakers were valued by some segments but actively traded off by others. Quizzes were conflicting, adding value in some classes and reducing it in others.<\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n Delivery preferences were heterogeneous, but clinician involvement Q&A and clinician-led demonstrations anchored preferences. The remaining features functioned as tuneable options. A configurable JPP that preserves clinician touchpoints and allows patients to select preferred formats is best aligned with revealed preferences.<\/jats:p>\n <\/jats:sec>","DOI":"10.1093\/rap\/rkaf151","type":"journal-article","created":{"date-parts":[[2026,1,6]],"date-time":"2026-01-06T12:25:34Z","timestamp":1767702334000},"source":"Crossref","is-referenced-by-count":0,"title":["Co-designing a joint protection program for hand osteoarthritis: a latent-class discrete choice experiment of patient preferences"],"prefix":"10.1093","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-0730-0610","authenticated-orcid":false,"given":"Dimitra V","family":"Pouliopoulou","sequence":"first","affiliation":[{"name":"School of Physical Therapy, Health and Rehabilitation Sciences, Western University , London, Ontario,","place":["Canada"]},{"name":"Roth | McFarlane Hand and Upper Limb Centre, St Joseph\u2019s Healthcare Centre , London, 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