Patient Educ Couns. 2003 Jun;50(2):211-21.

The effect of decision aids on the agreement between women's and physicians' decisional conflict about hormone replacement therapy.

Légaré F, O'Connor AM, Graham ID, Wells GA, Jacobsen MJ, Elmslie T, Drake ER.

Source

Clinical Epidemiology Unit, Ottawa Hospital, Civic Campus C4, 1053 Carling Avenue, Ont., K1Y 4E9, Ottawa, Canada. flegare@ohri.ca

Abstract

The aim of this secondary analysis was to compare the effects of a tailored decision aid (DA) with those of a pamphlet on the agreement between women's and physicians' decisional conflict about hormone replacement therapy (HRT). A total of 40 physicians and 184 women provided data. The agreement between women's and physicians' decisional conflict scores was measured using the intraclass correlation coefficient (ICC). The ICC was higher for dyads in the DA group (ICC=0.44; 95% confidence interval (CI)=0.25-0.59) compared to the pamphlet group (ICC=0.28; 95% CI=0.06-0.47). When the average score of decisional conflict of women nested within a physician and of each physician were used, the ICC for the DA group and the pamphlet group was 0.41 (95% CI=-0.04 to 0.72) and 0.06 (95% CI=-0.41 to 0.49), respectively. Compared to pamphlets, DAs appear to improve the agreement between women's and physicians' decisional conflict about HRT.

PMID:: 12781936; [PubMed - indexed for MEDLINE]

LinkOut - more resources

Full Text Sources

Other Literature Sources

Medical

Supplemental Content

Save items

Related citations in PubMed

A tale of two studies: the importance of setting, subjects and context in two randomized, controlled trials of a web-based decision support for perimenopausal and postmenopausal health decisions. [Patient Educ Couns. 2007]
A tale of two studies: the importance of setting, subjects and context in two randomized, controlled trials of a web-based decision support for perimenopausal and postmenopausal health decisions.
Saver BG, Gustafson D, Taylor TR, Hawkins RP, Woods NF, Dinauer S, Casey S, MacLaren-Loranger A. Patient Educ Couns. 2007 May; 66(2):211-22. Epub 2007 Feb 20.
Use of a decision aid for prenatal testing of fetal abnormalities to improve women's informed decision making: a cluster randomised controlled trial [ISRCTN22532458]. [BJOG. 2008]
Use of a decision aid for prenatal testing of fetal abnormalities to improve women's informed decision making: a cluster randomised controlled trial [ISRCTN22532458].
Nagle C, Gunn J, Bell R, Lewis S, Meiser B, Metcalfe S, Ukoumunne OC, Halliday J. BJOG. 2008 Feb; 115(3):339-47.
Randomized trial of a portable, self-administered decision aid for postmenopausal women considering long-term preventive hormone therapy. [Med Decis Making. 1998]
Randomized trial of a portable, self-administered decision aid for postmenopausal women considering long-term preventive hormone therapy.
O'Connor AM, Tugwell P, Wells GA, Elmslie T, Jolly E, Hollingworth G, McPherson R, Drake E, Hopman W, Mackenzie T. Med Decis Making. 1998 Jul-Sep; 18(3):295-303.
Review An evidence-based approach to managing women's decisional conflict. [J Obstet Gynecol Neonatal Nurs...]
Review An evidence-based approach to managing women's decisional conflict.
O'Connor AM, Jacobsen MJ, Stacey D. J Obstet Gynecol Neonatal Nurs. 2002 Sep-Oct; 31(5):570-81.
Review Women's decision making about the use of hormonal and nonhormonal remedies for the menopausal transition. [J Obstet Gynecol Neonatal Nurs...]
Review Women's decision making about the use of hormonal and nonhormonal remedies for the menopausal transition.
Theroux R, Taylor K. J Obstet Gynecol Neonatal Nurs. 2003 Nov-Dec; 32(6):712-23.

See reviews... See all...

Cited by 6 PubMed Central articles

Fostering shared decision making by occupational therapists and workers involved in accidents resulting in persistent musculoskeletal disorders: A study protocol. [Implement Sci. 2011]
Fostering shared decision making by occupational therapists and workers involved in accidents resulting in persistent musculoskeletal disorders: A study protocol.
Coutu MF, Légaré F, Durand MJ, Corbière M, Stacey D, Loisel P, Bainbridge L. Implement Sci. 2011 Mar 17; 6:22. Epub 2011 Mar 17.
Arduous implementation: does the Normalisation Process Model explain why it's so difficult to embed decision support technologies for patients in routine clinical practice. [Implement Sci. 2008]
Arduous implementation: does the Normalisation Process Model explain why it's so difficult to embed decision support technologies for patients in routine clinical practice.
Elwyn G, Légaré F, van der Weijden T, Edwards A, May C. Implement Sci. 2008 Dec 31; 3:57. Epub 2008 Dec 31.
Using decision aids in community-based primary care: a theory-driven evaluation with ethnically diverse patients. [Patient Educ Couns. 2008]
Using decision aids in community-based primary care: a theory-driven evaluation with ethnically diverse patients.
Frosch DL, Légaré F, Mangione CM. Patient Educ Couns. 2008 Dec; 73(3):490-6. Epub 2008 Sep 3.

See all...

Related information

Related Citations
Calculated set of PubMed citations closely related to the selected article(s) retrieved using a word weight algorithm. Related articles are displayed in ranked order from most to least relevant, with the “linked from” citation displayed first.
Cited in PMC
Full-text articles in the PubMed Central Database that cite the current articles.

Recent activity

Clear Turn Off Turn On

The effect of decision aids on the agreement between women's and physicians' dec...
The effect of decision aids on the agreement between women's and physicians' decisional conflict about hormone replacement therapy.
Patient Educ Couns. 2003 Jun ;50(2):211-21.

PubMed
Patient and physician factors predict patients' comprehension of health informat...
Patient and physician factors predict patients' comprehension of health information.
Patient Educ Couns. 2003 Jun ;50(2):201-10.

PubMed
Effects of psychosocial interventions on quality of life in adult cancer patient...
Effects of psychosocial interventions on quality of life in adult cancer patients: meta analysis of 37 published controlled outcome studies.
Patient Educ Couns. 2003 Jun ;50(2):179-86.

PubMed
A meta-analysis of randomized controlled trials that compared neoadjuvant chemor...
A meta-analysis of randomized controlled trials that compared neoadjuvant chemoradiation and surgery to surgery alone for resectable esophageal cancer.
Am J Surg. 2003 Jun ;185(6):538-43.

PubMed
The inhibition of degradation of 3-hydroxy-3-methylglutaryl coenzyme A (HMG-CoA)...
The inhibition of degradation of 3-hydroxy-3-methylglutaryl coenzyme A (HMG-CoA) reductase by sterol regulatory element binding protein cleavage-activating protein requires four phenylalanine residues in span 6 of HMG-CoA reductase transmembrane domain.
Arch Biochem Biophys. 2003 Jun 15 ;414(2):232-43.

PubMed

Your browsing activity is empty.

Activity recording is turned off.

Turn recording back on

PubMed

Result Filters

Display Settings:

Send to:

The effect of decision aids on the agreement between women's and physicians' decisional conflict about hormone replacement therapy.

Source

Abstract

Publication Types, MeSH Terms

Publication Types

MeSH Terms

LinkOut - more resources

Full Text Sources

Other Literature Sources

Medical

Supplemental Content

Save items

Related citations in PubMed

Cited by 6 PubMed Central articles

Related information

Recent activity

Simple NCBI Directory

Getting Started

Resources

Popular

Featured

NCBI Information