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
Nursing
Authors
Affiliations
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.
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.
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.
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.
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.