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An educational intervention as decision support for menopausal women

M L Rothert1, M Holmes-Rovner, D Rovner

  • 1College of Nursing, Michigan State University, East Lansing 48824-1317, USA.

Research in Nursing & Health
|October 23, 1997
PubMed
Summary

Decision support interventions improve women's knowledge and adherence regarding menopause and hormone replacement therapy (HRT). Personalized decision exercises showed the highest adherence rates over 12 months.

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Area of Science:

  • Women's Health
  • Decision Science
  • Health Communication

Background:

  • Midlife women face complex decisions regarding menopause and hormone replacement therapy (HRT).
  • Informed decision-making and adherence to treatment plans are crucial for managing menopausal symptoms and long-term health.
  • Existing decision support interventions may vary in effectiveness based on format and intensity.

Purpose of the Study:

  • To develop and evaluate a decision support intervention (DSI) for women making informed choices about menopause and HRT.
  • To assess the impact of different intervention formats (written information, guided discussion, personalized decision exercise) on women's knowledge, decision conflict, satisfaction, and self-efficacy.
  • To measure women's adherence to their self-determined health plans over a 12-month period.

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Main Methods:

  • A randomized controlled trial involving 248 midlife women.
  • Three intervention groups: written information only, guided discussion, and personalized decision exercise.
  • Data collection over 12 months, assessing knowledge, decisional conflict, satisfaction, self-efficacy, and adherence.

Main Results:

  • All intervention groups showed significant improvements in knowledge, decisional conflict, satisfaction, and self-efficacy, maintained for 12 months.
  • Adherence to personal health plans varied: 59% for exercise, 76% for calcium intake, and 89% for HRT.
  • Well-written information effectively enhanced knowledge, adherence, and satisfaction in motivated women.

Conclusions:

  • Women can comprehend complex health information, including treatment option tradeoffs.
  • Decision support interventions are effective in improving women's health decision-making and adherence.
  • Consumer-generated plans may serve as a more appropriate benchmark for adherence than provider-generated plans.