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
dc.contributor.author | Saver, Barry G. | |
dc.contributor.author | Gustafson, David | |
dc.contributor.author | Taylor, Thomas R. | |
dc.contributor.author | Hawkins, Robert P. | |
dc.contributor.author | Woods, Nancy F. | |
dc.contributor.author | Dinauer, Susan | |
dc.contributor.author | Casey, Susan | |
dc.contributor.author | MacLaren-Loranger, Aileen | |
dc.date | 2022-08-11T08:09:23.000 | |
dc.date.accessioned | 2022-08-23T16:29:07Z | |
dc.date.available | 2022-08-23T16:29:07Z | |
dc.date.issued | 2007-05-01 | |
dc.date.submitted | 2012-08-17 | |
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.issn | 0738-3991 (Linking) | |
dc.identifier.doi | 10.1016/j.pec.2006.12.004 | |
dc.identifier.pmid | 17317080 | |
dc.identifier.uri | http://hdl.handle.net/20.500.14038/37172 | |
dc.description.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. | |
dc.language.iso | en_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.url | http://dx.doi.org/10.1016/j.pec.2006.12.004 | |
dc.subject | Aged | |
dc.subject | Computer-Assisted Instruction | |
dc.subject | Conflict (Psychology) | |
dc.subject | *Decision Support Techniques | |
dc.subject | Estrogen Replacement Therapy | |
dc.subject | Female | |
dc.subject | Health Knowledge, Attitudes, Practice | |
dc.subject | Humans | |
dc.subject | Internet | |
dc.subject | Middle Aged | |
dc.subject | Pamphlets | |
dc.subject | Patient Education as Topic | |
dc.subject | *Patient Satisfaction | |
dc.subject | Perimenopause | |
dc.subject | Postmenopause | |
dc.subject | Questionnaires | |
dc.subject | Risk Assessment | |
dc.subject | Teaching Materials | |
dc.subject | Uncertainty | |
dc.subject | United States | |
dc.subject | Women | |
dc.subject | Community Health and Preventive Medicine | |
dc.subject | Health Services Research | |
dc.subject | Primary Care | |
dc.title | 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 | |
dc.type | Journal Article | |
dc.source.journaltitle | Patient education and counseling | |
dc.source.volume | 66 | |
dc.source.issue | 2 | |
dc.identifier.legacycoverpage | https://escholarship.umassmed.edu/meyers_pp/571 | |
dc.identifier.contextkey | 3229914 | |
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.submissionpath | meyers_pp/571 | |
dc.contributor.department | Department of Family Medicine and Community Health | |
dc.contributor.department | Meyers Primary Care Institute | |
dc.source.pages | 211-22 |