Authors: Clark H.D.; O'Connor A.M.; Graham I.D.; Wells G.A.

Source: Health Expectations, Volume 6, Number 2, June 2003 , pp. 110-117(8)

Publisher: Wiley-Blackwell

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.

Keywords: decision-making; decision support techniques; hormone replacement therapy; menopause; women education

Document Type: Research article

DOI: http://dx.doi.org/10.1046/j.1369-6513.2003.00216.x

Affiliations: 1: Department of Epidemiology and Community Medicine, University of Ottawa, Ottawa, Ontario, Canada

Publication date: 2003-06-01

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