当前位置： SCI文献检索 > PATIENT EDUCATION AND COUNSELING期刊下所有文献 > 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.

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.

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.

journal_name

Patient Educ Couns

journal_title

Patient education and counseling

authors

Saver BG,Gustafson D,Taylor TR,Hawkins RP,Woods NF,Dinauer S,Casey S,MacLaren-Loranger A

doi

10.1016/j.pec.2006.12.004

subject

Has Abstract

pub_date

2007-05-01 00:00:00

pages

211-22

issue

2

eissn

0738-3991

issn

1873-5134

pii

S0738-3991(06)00423-X

journal_volume

66

pub_type

杂志文章,多中心研究,随机对照试验

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