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| Research article summary (published 30 May 2003): |
What factors are associated with a woman's decision to take hormone replacement therapy? Evaluated in the context of a decision aid.
Full Abstract
OBJECTIVES:
To understand the factors associated with a post-menopausal woman deciding to take hormone replacement therapy (HRT) after reviewing a decision aid (DA) and having a counselling visit with her physician as well as the factors associated with the act of taking HRT 2 months after the counselling interview.
DESIGN:
A secondary analysis of data collected for a randomized controlled trial evaluating two DAs.
MAIN OUTCOME RESULTS:
Although 28% of women were uncertain regarding their decision after the counselling interview, only 2.4% of women, at the assessment at 2 months, had not made a decision. The most significant factor associated with the decision to take HRT, after the physician visit, was the physician preference (OR:
62, 95%
CI:
13.3, 289.7). Physician preference (OR:
78, 95%
CI:
6.2, 975) remained the most significant factor for taking HRT 2 months after the counselling interview followed by low uncertainty about the decision (OR:
0.4, 95%
CI:
0.2, 0.7).
CONCLUSION:
Physician preference was the factor that was most associated with the woman's decision following counselling and 2 months later. Qualitative evaluation of the interview process involving the patient and physician would determine whether the patient and physician are reaching a shared decision or is the physician preference influencing the patient.
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Author information
Author/s: Clark, Heather D (HD); O'Connor, Annette M (AM); Graham, Ian D (ID); Wells, George A (GA);
Affiliation: Department of Medicine, Ottawa Hospital, Ottawa, Ontario, Canada. hclark(-atsign-)ohri.ca
Journal and publication information
Publication Type: Journal Article; Research Support, Non-U.S. Gov't
Journal: Health expectations : an international journal of public participation in health care and health policy (Health Expect), published in England. (Language: eng)
Reference: 2003-Jun; vol 6 (issue 2) : pp 110-7
Dates: Created 2003/05/19; Completed 2003/09/30; Revised 2007/11/15;
PMID: 12752739, status: MEDLINE (last retrieval date: 11/6/2008)
Sourced from the National Library of Medicine. Abstract text and other information may be subject to copyright.
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