Related Experiment Videos
Treatment preference patterns during a videotape decision aid for benign prostatic hyperplasia (BPH)
Celia E Wills1, Margaret Holmes-Rovner, David Rovner
1College of Nursing, Michigan State University, G38 North Hubbard Hall, East Lansing, 48825, USA. cwills@msu.edu
Patient Education and Counseling
|March 15, 2006
Summary
Men with benign prostatic hyperplasia (BPH) often prefer watchful waiting for treatment. New information can influence preferences, especially for men with less education, highlighting the need for patient-centered counseling.
Area of Science:
- Urology
- Medical Decision Making
- Health Services Research
Background:
- Benign prostatic hyperplasia (BPH) affects a significant number of men.
- Treatment decisions for BPH involve various options with differing risks and benefits.
- Understanding patient preferences is crucial for effective shared decision-making.
Purpose of the Study:
- To assess men's preferences for benign prostatic hyperplasia (BPH) treatment options.
- To evaluate the impact of a videotape decision aid on these preferences.
- To identify factors influencing treatment preference stability.
Main Methods:
- 160 men, stratified by race and education, participated.
- Semi-structured interviews were used to assess treatment preferences.
- A videotape decision aid was utilized to observe preference shifts.
Main Results:
- Most men initially and ultimately preferred watchful waiting.
- 56.6% of men did not change their preference rank order after viewing the aid.
- Lower education levels correlated with a higher likelihood of preference changes (r = -.30, p < .001).
- Increased BPH knowledge was weakly associated with fewer preference shifts (r = -.19, p < .05).
Conclusions:
- Treatment conservatism for BPH is influenced by contextual factors, including new information.
- Provider-patient counseling should address the diverse factors affecting men's BPH treatment preferences.