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

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

Medical Decision Making, 1998, vol. 18, issue 3, 295-303

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

Date: 1998
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Persistent link: https://EconPapers.repec.org/RePEc:sae:medema:v:18:y:1998:i:3:p:295-303

DOI: 10.1177/0272989X9801800307

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