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Preferences for involvement in treatment decision-making among Norwegian women with urinary incontinence.

Abstract：

BACKGROUND:Current health policies advocate patient participation in treatment decision-making. Objective. To explore whether role preferences among women with urinary incontinence (UI) change depending on the treatment decision-making context. We also explore what factors are associated with role preferences and changes in role preferences. METHODS:A national telephone survey of 265 women with UI identified from 1,000 randomly selected Norwegian women aged 18 or over. The interview included questions on socioeconomic factors, general health status, UI-related factors, and role preferences. Women were categorised as preferring an 'active', 'collaborative', or 'passive' role in treatment decision-making based on their selection of a response from the Control Preferences Scale. RESULTS:Women's preferences changed significantly when considering UI treatment decision-making compared to treatment decision-making generally (p<0.001). A total of 60% preferred an active role in UI treatment decisions compared to 38% when considering treatment decision-making generally. Multivariable analyses found that higher education was significantly associated with preferring an active role in general treatment decision-making. For UI treatment decision-making, women aged 60 or over and those who were married or had a partner were less likely to prefer an active compared to a collaborative role. CONCLUSIONS:Women with UI prefer a more active role when considering UI treatment decision-making compared to treatment decision-making generally. Factors associated with role preferences vary depending on the decision-making context, with older women and those who were married or had a partner less [corrected] likely to prefer an active role when considering UI treatment decision-making.

journal_name

Acta Obstet Gynecol Scand

journal_title

Acta obstetricia et gynecologica Scandinavica

authors

O'Donnell M,Hunskaar S

doi

10.1080/00016340701622310

subject

Has Abstract

pub_date

2007-01-01 00:00:00

pages

1370-6

issue

11

eissn

0001-6349

issn

1600-0412

pii

781815195

journal_volume

86

pub_type

杂志文章

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