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dc.contributor.authorSaver, Barry G.
dc.contributor.authorGustafson, David
dc.contributor.authorTaylor, Thomas R.
dc.contributor.authorHawkins, Robert P.
dc.contributor.authorWoods, Nancy F.
dc.contributor.authorDinauer, Susan
dc.contributor.authorCasey, Susan
dc.contributor.authorMacLaren-Loranger, Aileen
dc.date2022-08-11T08:09:23.000
dc.date.accessioned2022-08-23T16:29:07Z
dc.date.available2022-08-23T16:29:07Z
dc.date.issued2007-05-01
dc.date.submitted2012-08-17
dc.identifier.citation<p>Patient Educ Couns. 2007 May;66(2):211-22. Epub 2007 Feb 20. <a href="http://dx.doi.org/10.1016/j.pec.2006.12.004" target="_blank">Link to article on publisher's site</a></p>
dc.identifier.issn0738-3991 (Linking)
dc.identifier.doi10.1016/j.pec.2006.12.004
dc.identifier.pmid17317080
dc.identifier.urihttp://hdl.handle.net/20.500.14038/37172
dc.description.abstractOBJECTIVE: 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.
dc.language.isoen_US
dc.relation<a href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&list_uids=17317080&dopt=Abstract">Link to Article in PubMed</a>
dc.relation.urlhttp://dx.doi.org/10.1016/j.pec.2006.12.004
dc.subjectAged
dc.subjectComputer-Assisted Instruction
dc.subjectConflict (Psychology)
dc.subject*Decision Support Techniques
dc.subjectEstrogen Replacement Therapy
dc.subjectFemale
dc.subjectHealth Knowledge, Attitudes, Practice
dc.subjectHumans
dc.subjectInternet
dc.subjectMiddle Aged
dc.subjectPamphlets
dc.subjectPatient Education as Topic
dc.subject*Patient Satisfaction
dc.subjectPerimenopause
dc.subjectPostmenopause
dc.subjectQuestionnaires
dc.subjectRisk Assessment
dc.subjectTeaching Materials
dc.subjectUncertainty
dc.subjectUnited States
dc.subjectWomen
dc.subjectCommunity Health and Preventive Medicine
dc.subjectHealth Services Research
dc.subjectPrimary Care
dc.titleA 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
dc.typeJournal Article
dc.source.journaltitlePatient education and counseling
dc.source.volume66
dc.source.issue2
dc.identifier.legacycoverpagehttps://escholarship.umassmed.edu/meyers_pp/571
dc.identifier.contextkey3229914
html.description.abstract<p>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.</p> <p>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.</p> <p>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.</p> <p>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.</p> <p>PRACTICE IMPLICATIONS: Decision aids should be targeted to patients actively trying to make a decision.</p>
dc.identifier.submissionpathmeyers_pp/571
dc.contributor.departmentDepartment of Family Medicine and Community Health
dc.contributor.departmentMeyers Primary Care Institute
dc.source.pages211-22


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