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Related Experiment Videos

Patient knowledge about hormone replacement therapy: implications for treatment.

M T Connelly1, D Rusinak, W Livingston

  • 1Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, Massachusetts, USA.

Menopause (New York, N.Y.)
|July 29, 2000
PubMed
Summary

Women's self-assessed knowledge of hormone replacement therapy (HRT) aligns with their actual understanding. Increased HRT knowledge reduces decision conflict but does not influence future use intention.

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Area of Science:

  • Women's Health
  • Medical Decision-Making
  • Health Literacy

Background:

  • Accurate knowledge of hormone replacement therapy (HRT) is crucial for informed decision-making.
  • Self-assessment of knowledge may not always reflect actual understanding of complex medical treatments like HRT.

Purpose of the Study:

  • To evaluate the correlation between women's self-perceived knowledge of HRT and their objective test performance.
  • To examine relationships between HRT knowledge, personal factors, decision conflict, and future HRT use intention.

Main Methods:

  • A preintervention telephone survey was conducted with 156 women participating in a randomized trial of HRT decision aids.
  • Data collected included self-assessed knowledge, explicit HRT knowledge test scores, demographic information, decision conflict, and intention to use HRT.

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Main Results:

  • Women's self-assessed HRT knowledge correlated positively with their performance on an explicit knowledge test (Spearman's rho = 0.52, p < 0.0001).
  • Higher income, white race, and provider discussions were associated with greater HRT knowledge.
  • Increased knowledge was linked to reduced decision conflict (Spearman's rho = -0.32, p < 0.0001) but not with intention to use HRT a year later.

Conclusions:

  • A simple global question effectively identifies women needing more education on HRT and menopause.
  • Enhanced HRT knowledge can decrease decision-related conflict for women.
  • Prior discussions with primary care providers correlate with improved HRT knowledge.