Development and pilot testing of a decision aid for postmenopausal women with osteoporosis.
This study's aim was to develop and pilot test an evidence-based decision aid for postmenopausal women with osteoporosis who are considering options to prevent fractures. The aid was based on the Ottawa Decision Support Framework, and integrated evidence from our Cochrane systematic reviews. Following development by a panel of experts in osteoporosis and decision making, a user review panel of practitioners and women who had already made their decision about osteoporosis therapy reviewed the decision aid for acceptability. Then the decision aid was pilot tested using a before-after design in women at the point of decision making. Compared to baseline, there were statistically significant improvements in knowledge, realistic expectations and decreased decisional conflict. Our decision aid shows promise in preparing women for counseling about osteoporosis therapies. Long-term adherence to chosen therapy and quality of life will be evaluated in a randomized controlled trial.
Cranney
Ann
A
Department of Medicine, Ottawa Hospital, C4-CEU, 1053 Carling Avenue, Ontario, Canada K1Y4-E9. acranney@ottawahospital.on.ca
O'Connor
Annette M
AM
Jacobsen
Mary J
MJ
Tugwell
Peter
P
Adachi
Jonathan D
JD
Ooi
Daylily S
DS
Waldegger
Lisa
L
Goldstein
Rose
R
Wells
George A
GA
D000368:Aged; D000369:Aged, 80 and over; D003657:Decision Making; D003661:Decision Support Techniques; D005260:Female; D050723:Fractures, Bone / Q000209:etiology / Q000517:prevention & control*; D006293:Health Promotion; D006801:Humans; D008875:Middle Aged; D015663:Osteoporosis, Postmenopausal / Q000150:complications / Q000523:psychology* / Q000628:therapy; D010353:Patient Education as Topic / Q000379:methods*; D010358:Patient Participation; D010865:Pilot Projects