» Articles » PMID: 17317080

A Tale of Two Studies: the Importance of Setting, Subjects and Context in Two Randomized, Controlled Trials of a Web-based Decision Support for Perimenopausal and Postmenopausal Health Decisions

Overview
Publisher Elsevier
Specialties Health Services
Nursing
Date 2007 Feb 24
PMID 17317080
Citations 11
Authors
Affiliations
Soon will be listed here.
Abstract

Objective: Knowledge relevant to women's peri- and postmenopausal health decisions has been evolving rapidly. Web-based decision supports can be rapidly updated and have the potential to improve the quality of patients' decisions. We developed and tested a web-based decision support for peri- and postmenopausal health decisionmaking.

Methods: We recruited 409 women aged 45-75 for one randomized, controlled trial and 54 women with an upcoming clinic appointment for a subsequent trial. Women were randomized to use the web-based decision support versus a printed brochure (first trial) and usual care (second trial). Outcomes were changes in decisional satisfaction, decisional conflict, and knowledge, both within each trial and compared across the trials.

Results: Intervention subjects had greater increases in decisional satisfaction in the second trial and knowledge in both trials. A high dropout rate among women randomized to the website in the first trial effectively negated benefits in that trial, but not in the second.

Conclusions: The utility of this web-based decision support in two trials depended on a number of factors that appear related to the urgency of making a decision.

Practice Implications: Decision aids should be targeted to patients actively trying to make a decision.

Citing Articles

Decision aids for people facing health treatment or screening decisions.

Stacey D, Lewis K, Smith M, Carley M, Volk R, Douglas E Cochrane Database Syst Rev. 2024; 1:CD001431.

PMID: 38284415 PMC: 10823577. DOI: 10.1002/14651858.CD001431.pub6.


Current situation of shared decision making in osteoporosis: A comprehensive literature review of patient decision aids and decision drivers.

Nogues X, Carbonell M, Canals L, Lizan L, Palacios S Health Sci Rep. 2022; 5(6):e849.

PMID: 36425899 PMC: 9679236. DOI: 10.1002/hsr2.849.


A technology-based information and coaching/support program and self-efficacy of Asian American breast cancer survivors.

Im E, Yi J, Kim H, Chee W Res Nurs Health. 2020; 44(1):37-46.

PMID: 32729970 PMC: 9221258. DOI: 10.1002/nur.22059.


Decreasing menopausal symptoms of Asian American breast cancer survivors through a technology-based information and coaching/support program.

Im E, Kim S, Lee C, Chee E, Mao J, Chee W Menopause. 2018; 26(4):373-382.

PMID: 30461556 PMC: 6435386. DOI: 10.1097/GME.0000000000001249.


SurvivorCHESS to increase physical activity in colon cancer survivors: can we get them moving?.

Mayer D, Landucci G, Awoyinka L, Atwood A, Carmack C, Demark-Wahnefried W J Cancer Surviv. 2017; 12(1):82-94.

PMID: 28994035 PMC: 5911378. DOI: 10.1007/s11764-017-0647-7.