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Related Experiment Videos

[Making a decision about hormone replacement therapy. A randomized controlled trial].

S Dodin1, F Légaré, G Daudelin

  • 1Centre Ménopause Québec. Sylvie.dodin@ogy.ulaval.ca

Canadian Family Physician Medecin De Famille Canadien
|September 20, 2001
PubMed
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A new six-step decision-making aid improved women's understanding of hormone replacement therapy (HRT) risks and benefits. It also fostered more realistic expectations and aligned choices with personal values, outperforming standard information documents.

Area of Science:

  • Women's Health
  • Medical Decision Making
  • Health Communication

Background:

  • Hormone replacement therapy (HRT) decisions involve complex risk-benefit assessments.
  • Standard patient information may not adequately support informed decision-making for HRT.
  • Evaluating decision support tools is crucial for improving patient outcomes.

Purpose of the Study:

  • To compare a novel six-step decision-making aid against a standard information document from the Society of Obstetricians and Gynaecians of Canada (SOGC).
  • To assess the efficacy of these interventions on women's decisions regarding hormone replacement therapy (HRT).

Main Methods:

  • A randomized clinical trial was conducted in the Quebec city region.
  • Menopausal women aged 45-69 received either a six-step decision-making aid (manual and audiocassette) or the SOGC information document.

Related Experiment Videos

  • Outcomes measured included anxiety, knowledge of HRT risks/benefits, expectations, values, and views on HRT.

    • Main Results:

    • Both interventions reduced anxiety, with no significant difference between groups.
    • The six-step aid significantly increased women's general knowledge of HRT risks and benefits (P < .003).
    • The experimental group showed significantly higher realistic expectations (P < .0001) and better congruence between values and decisions (P <= .003).

    Conclusions:

    • The six-step decision-making approach is more effective than the SOGC document for enhancing HRT knowledge.
    • This aid promotes more realistic expectations and better alignment of HRT decisions with personal values.
    • Decision-making aids can improve the quality of patient choices in hormone replacement therapy discussions.