The effect of decision aids on the agreement between women's and physicians' decisional conflict about hormone replacement therapy.
The aim of this secondary analysis was to compare the effects of a tailored decision aid (DA) with those of a pamphlet on the agreement between women's and physicians' decisional conflict about hormone replacement therapy (HRT). A total of 40 physicians and 184 women provided data. The agreement between women's and physicians' decisional conflict scores was measured using the intraclass correlation coefficient (ICC). The ICC was higher for dyads in the DA group (ICC=0.44; 95% confidence interval (CI)=0.25-0.59) compared to the pamphlet group (ICC=0.28; 95% CI=0.06-0.47). When the average score of decisional conflict of women nested within a physician and of each physician were used, the ICC for the DA group and the pamphlet group was 0.41 (95% CI=-0.04 to 0.72) and 0.06 (95% CI=-0.41 to 0.49), respectively. Compared to pamphlets, DAs appear to improve the agreement between women's and physicians' decisional conflict about HRT.
Légaré
France
F
Clinical Epidemiology Unit, Ottawa Hospital, Civic Campus C4, 1053 Carling Avenue, Ont., K1Y 4E9, Ottawa, Canada. flegare@ohri.ca
O'Connor
Annette M
AM
Graham
Ian D
ID
Wells
Georges A
GA
Jacobsen
Mary Jane
MJ
Elmslie
Tom
T
Drake
Elizabeth R
ER
D000328:Adult; D001291:Attitude of Health Personnel; D003220:Conflict, Psychological; D003657:Decision Making; D003661:Decision Support Techniques; D034462:Dissent and Disputes; D015914:Estrogen Replacement Therapy / Q000009:adverse effects / Q000523:psychology*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009864:Ontario; D010174:Pamphlets; D010353:Patient Education as Topic / Q000379:methods*; D010358:Patient Participation / Q000523:psychology; D018579:Patient Selection; D010817:Physician-Patient Relations; D010821:Physicians, Family / Q000523:psychology*; D013664:Teaching Materials / Q000592:standards*; D014930:Women / Q000523:psychology*