Treatment preference patterns during a videotape decision aid for benign prostatic hyperplasia (BPH)

Patient Education and Counseling
Celia E WillsGilbert Williams

Abstract

As part of a study of men's responses to a videotape decision aid [Rovner DR, Wills CE, Bonham V, Williams G, Lillie J, Kelly-Blake K, Williams MV, Holmes-Rovner M. Decision aids for benign prostatic hyperplasia: applicability across race and education. Med Decis Making 2004;24:359-66], preferences for BPH treatment options were assessed. One hundred and sixty men stratified by race and education completed a semi-structured interview that included assessments of treatment preferences. Most men initially and ultimately favored watchful waiting over other options, and 56.6% never changed their preference rank orders while viewing the videotape. BPH severity in context of treatment risk avoidance, efficacy, and expert opinion factors were frequently cited reasons for preference orders. Lesser education was associated with higher likelihood of changing preferences (r = -.30, p < .001), and percent increase in BPH knowledge pre- to post-videotape was weakly associated with fewer non-dominant preference shifts (r = -.19, p < .05). Conservatism regarding BPH treatment is moderated by context-specific factors, including new information. Counseling in a provider-patient partnership model should address both sources of variance in men's ...Continue Reading

References

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Jul 24, 2004·Medical Decision Making : an International Journal of the Society for Medical Decision Making·David R RovnerMargaret Holmes-Rovner
Nov 25, 2004·JAMA : the Journal of the American Medical Association·Robert A McNutt

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Citations

Aug 14, 2008·The American Journal of Medicine·Joel DeCastro, Brian Stone
Aug 7, 2008·Nature Clinical Practice. Urology·Nicholas Hellenthal, Lars Ellison
Jul 27, 2014·The Urologic Clinics of North America·Lindsey Cox, William I Jaffe
Jul 6, 2010·Patient Education and Counseling·Lilisbeth Perestelo-PerezPedro Serrano-Aguilar
May 26, 2007·Health Expectations : an International Journal of Public Participation in Health Care and Health Policy·Jan PylarMargaret Holmes-Rovner
Apr 16, 2014·Medical Decision Making : an International Journal of the Society for Medical Decision Making·Purva AbhyankarHilary L Bekker

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