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Health Care Women Int. 2009 Sep;30(9):845-54. doi: 10.1080/07399330903066236.

The effects of hormone therapy decision support for women with mobility impairments.

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  • 1School of Nursing, University of Texas at Austin, Austin, Texas 78701, USA.


Deciding about hormone therapy (HT) use is particularly complex for women with mobility impairments. While HT controls menopausal symptoms, the potential increased risk of blood clots resulting from physical inactivity can contraindicate HT use. These women, therefore, may benefit from interventions to help them tailor standard information about HT. We randomly assigned women to receive either a tailored decision support intervention or standard menopausal information. Both groups (n = 176) significantly decreased their decisional conflict and uncertainty and increased knowledge after receiving the treatment materials. We interpret the findings in the context of limited medical information about HT for women with disabilities.

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