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Randomized Trial of a Portable, Self-administered Decision Aid for Postmenopausal Women Considering Long-term Preventive Hormone Therapy

Author

Listed:
  • Annette M. O'Connor
  • Peter Tugwell
  • George A. Wells
  • Tom Elmslie
  • Elaine Jolly
  • Gary Hollingworth
  • Ruth Mcpherson
  • Elizabeth Drake
  • Wilma Hopman
  • Thomas Mackenzie

Abstract

Although practice guidelines suggest that postmenopausal women learn about the benefits and nsks and consider their values when deciding about hormone therapy, the optimal decision-support method has not been established. In a randomized controlled trial, the authors compared the efficacy of a general educational pamphlet with that of a tailored decision aid. The pamphlet briefly summarized benefits, risks, and likely beneficiaries in general terms. The decision aid, delivered via booklet and audiotape, provided: detailed benefits and risks using functional terms and probabilities tailored to clinical risk; and steps for considering the issue in a woman's own situation, including a value-clarification exercise. Compared with the pamphlet group, the decision-aid group had statistically significant (p

Suggested Citation

  • Annette M. O'Connor & Peter Tugwell & George A. Wells & Tom Elmslie & Elaine Jolly & Gary Hollingworth & Ruth Mcpherson & Elizabeth Drake & Wilma Hopman & Thomas Mackenzie, 1998. "Randomized Trial of a Portable, Self-administered Decision Aid for Postmenopausal Women Considering Long-term Preventive Hormone Therapy," Medical Decision Making, , vol. 18(3), pages 295-303, August.
    • Handle: RePEc:sae:medema:v:18:y:1998:i:3:p:295-303
    DOI: 10.1177/0272989X9801800307
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    References listed on IDEAS

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    1. Llewellyn-Thomas, H. A. & McGreal, M. J. & Thiel, E. C. & Fine, S. & Erlichman, C., 1991. "Patients' willingness to enter clinical trials: Measuring the association with perceived benefit and preference for decision participation," Social Science & Medicine, Elsevier, vol. 32(1), pages 35-42, January.
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    1. Logan Trenaman & Jesse Jansen & Jennifer Blumenthal-Barby & Mirjam Körner & Joanne Lally & Daniel Matlock & Lilisbeth Perestelo-Perez & Mary Ropka & Christine Stirling & Kathrene Valentine & Ha Vo & , 2021. "Are We Improving? Update and Critical Appraisal of the Reporting of Decision Process and Quality Measures in Trials Evaluating Patient Decision Aids," Medical Decision Making, , vol. 41(7), pages 954-959, October.
    2. Richard W. Martin & Stina Brogård Andersen & Mary Ann O’Brien & Paulina Bravo & Tammy Hoffmann & Karina Olling & Heather L. Shepherd & Kathrina Dankl & Dawn Stacey & Karina Dahl Steffensen, 2021. "Providing Balanced Information about Options in Patient Decision Aids: An Update from the International Patient Decision Aid Standards," Medical Decision Making, , vol. 41(7), pages 780-800, October.

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