Informed choice assistance for women making uterine fibroid treatment decisions: a practical clinical trial

Medical Decision Making : an International Journal of the Society for Medical Decision Making
Leif I SolbergLouise H Anderson

Abstract

There is limited evidence about how to ensure that patients are helped to make informed medical care decisions. To test a decision support intervention for uterine fibroid treatments. Practical clinical trial to test informed choice assistance in 4 randomly assigned gynecology clinics compared to 5 others providing a pamphlet. Three hundred women facing a treatment decision for fibroids over a 13-month period. Mailed DVD and brochure about fibroid treatments plus the Ottawa decision guide and an offer of counseling soon after an index visit. Mailed survey 6 to 8 weeks later asking about knowledge, preferences, and satisfaction with decision support. In total, 244 surveys were completed for an adjusted response rate of 85.4%. On a 5-point scale, intervention subjects reported more treatment options being mentioned (3.0 v. 2.4), had a higher knowledge score (3.3 v. 2.8), and were more likely to report being adequately informed (4.4 v. 4.0), and their decision was both more satisfactory (4.3 v. 4.0) and more consistent with their personal values (4.5 v. 4.2). Neither knowledge nor use of the intervention was associated with greater concordance between preferences and decisions. Implementation of intervention may not have been well...Continue Reading

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Citations

Dec 20, 2012·BMC Medical Informatics and Decision Making·Janet JullUNKNOWN Minwaashin Lodge, The Aboriginal Women's Support Centre
Jan 1, 2013·BMC Medical Informatics and Decision Making·Kirsten J McCafferyStacey L Sheridan
Jan 1, 2013·BMC Medical Informatics and Decision Making·Dawn StaceyRichard L Street
Jan 31, 2014·Reproductive Health·Luiz Gustavo Oliveira BritoFrancisco José Candido-Dos-Reis
Apr 19, 2015·BMC Medical Informatics and Decision Making·Janet JullDawn Stacey
Jul 9, 2013·The Cochrane Database of Systematic Reviews·Paul KinnersleyAdrian G K Edwards
Apr 13, 2018·Praxis·Alison G AbrahamAndreas L Serra
Jul 19, 2019·Journal of Patient-reported Outcomes·Kiyomi Tanno, Seiji Bito
Apr 13, 2017·The Cochrane Database of Systematic Reviews·Dawn StaceyLyndal Trevena
Jun 20, 2019·Obstetrical & Gynecological Survey·Jenna EmersonKatina Robison
Feb 25, 2017·BMC Medical Informatics and Decision Making·Amanda M CliffordArlene McCurtin
Mar 25, 2021·Medical Decision Making : an International Journal of the Society for Medical Decision Making·Anne Christin RahnDawn Stacey

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