What factors are associated with a woman's decision to take hormone replacement therapy? Evaluated in the context of a decision aid

Datos Bibliográficos

ID19505877
AutoresHeather D Clark (0000-0002-4252-2531, Ottawa Hospital), Annette M O’Connor (0000-0003-0604-7822, Ottawa Hospital), Annette M O'Connor, Ian D Graham (0000-0002-3669-1216, University of Ottawa), George A Wells (0000-0002-2289-9139, University of Ottawa)
Año2003
Volumen6
Número2
Páginas110-117
Fecha de publicación2003-06-01
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaHealth Expectations (JOURNAL)
Identificadores de la revistaISSN: 1369-6513 • E-ISSN: 1369-7625
EditorialWiley (PUBLISHER • GB)
DOI10.1046/j.1369-6513.2003.00216.x
PMID12752739
OpenAlexW1876191460
IdiomaEN
Citas recibidas1
Referencias citadas17

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

Cancer · Geography · Hormone therapy · Computer Science · Healthcare Decision-Making and Restraints · Medicine · Menopause: Health Impacts and Treatments · Patient-Provider Communication in Healthcare · Psychology · Internal Medicine