Can computerized decision support help patients make complex treatment decisions? A randomized controlled trial of an individualized menopause decision aid

Medical Decision Making

Volumn 27, Issue 5, 2007, Pages 585-598

  Col, Nananda F ^a,f   Ngo, Long ^b   Fortin, Jennifer M ^c   Goldberg, Robert J ^d   O'Connor, Annette M ^e  

^a BROWN UNIVERSITY   (United States)

^b HARVARD MEDICAL SCHOOL   (United States)

^c BRIGHAM AND WOMEN S HOSPITAL   (United States)

^d UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL   (United States)

^e OTTAWA HOSPITAL RESEARCH INSTITUTE   (Canada)

^f MAINE MEDICAL CENTER   (United States)

Author keywords

Clinical applications; Coached care; Decision aid; Decision analysis; Menopause; Randomized clinical trial

Indexed keywords

ADULT; AGED; ARTICLE; CLINICAL PRACTICE; CLINICAL TRIAL; CONFLICT; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; DECISION SUPPORT SYSTEM; FEMALE; FOLLOW UP; HUMAN; HUMAN EXPERIMENT; INSTRUMENTATION; MEDICAL DECISION MAKING; MEDICAL DOCUMENTATION; MENOPAUSE; NORMAL HUMAN; PATIENT SATISFACTION; PRIMARY MEDICAL CARE; RANDOMIZATION; RANDOMIZED CONTROLLED TRIAL; SATISFACTION;

DECISION SUPPORT SYSTEMS, CLINICAL; DISSENT AND DISPUTES; FEMALE; HEALTH KNOWLEDGE, ATTITUDES, PRACTICE; HUMANS; MENOPAUSE; MIDDLE AGED; PATIENT EDUCATION AS TOPIC; PATIENT PARTICIPATION; QUESTIONNAIRES; USER-COMPUTER INTERFACE;

EID: 35148820032     PISSN: 0272989X     EISSN: 1552681X     Source Type: Journal    
DOI: 10.1177/0272989X07306781     Document Type: Article

References (56)

1. Deber RB, Kraetschmer N., Irvine J. What role do patients wish to play in treatment decision making? Arch Intern Med. 1996 ; 156: 1414 - 20.
2. Elwyn G., Edwards A., Gwyn R., Grol R. Towards a feasible model for shared decision making: focus group study with general practice registrars. BMJ. 1999 ; 319: 753 - 6.
3. Spangler N. Member behavior change. In: Kongstvedt P, ed. The Managed Care Handbook. 4 th ed. Gaithersburg (MD): Aspen ; 2001. Ch 34.
4. Elwyn G., Edwards A., Kinnersley P. Shared decision making: the neglected second half of the consultation. Br J Gen Pract. 1999 ; 49: 477 - 82.
5. O'Connor AM, Stacey D., Entwistle V., et al. Decision aids for people facing health treatment or screening decisions. The Cochrane Database of Systematic Reviews: Reviews 2003, Issue 1. Chichester (UK): John Wiley & Sons.
6. Available from: URL: http://www.euro.who.int/HEN/Syntheses/DecisionAids/ 20051116_2
7. Cranney A. Decision aids in clinical practice. BMJ. 2004 ; 329: 39 - 40.
8. Col NF, Pauker SG, Goldberg RJ, Eckman MH, Orr RK Wong JB Individualizing therapy to prevent the long-term consequences of estrogen deficiency in postmenopausal women. Arch Int Med. 1999 ; 159: 1458 - 66.
9. Col NF, Weber G., Stiggelbout A., Chuo J., D'Agostino R., Corso P. Short-term menopausal hormone therapy for symptom relief: an updated decision model. Arch Intern Med. 2004 ; 164: 1634 - 40.
10. Rothert ML, Holmes-Rovner M., Rovner D., et al. An educational intervention as decision support for menopausal women. Res Nurs Health. 997 ; 20: 377 - 87.
11. O'Connor AM, Tugwell P., Wells GA, et al. Randomized trial of a portable, self-administered decision aid for postmenopausal women considering long-term preventive hormone therapy. Med Decis Making. 1998 ; 18: 295 - 303.
12. Hampson SE, Hibbard JH Cross-talk about the menopause: enhancing provider-patient interactions about the menopause and hormone therapy. Patient Educ Couns. 1996 ; 27: 177 - 84.
13. McBride CM, Bastian LA, Halabi S., et al. A tailored intervention to aid decisionmaking about hormone replacement therapy. Am J Public Health. 2002 ; 92: 1112 - 4.
14. Murray E., Davis H., Tai SS, Coulter A., Gray A., Haines A. A randomized controlled trial of an interactive multimedia decision aid on hormone replacement therapy in primary care. British Med J. 2001 ; 323: 490 - 3.
15. Dodin S., Legare F., Daudelin G., Tetroe J., O'Connor A. Making a decision about hormone replacement therapy. A randomized controlled trial. Can Fam Phys. 2001 ; 47: 1586 - 93.
16. O'Connor AM, Wells GA, Tugwell P., Laupacis A., Elmslie T., Drake E. The effects of an ''explicit'' values clarification exercise in a women's decision aid regarding postmenopausal hormone therapy. Health Expectations. 1999 ; 2: 21 - 32.
17. Is Hormone Therapy Right for You? [Brochure]. American College of Physicians and the American Society of Internal Medicine; July 1998.
18. Deber RB, Kraetschmer N., Irvine J. What role do patients wish to play in treatment decision making. Arch Intern Med. 1996 ; 156: 1414 - 20.
19. Fortin JM, Hirota LK, Bond BE, O'Connor AM, Col NF Identifying patient preferences for communicating risk estimates: A descriptive pilot study. BMC Medical Informatics and Decision Making. 2001 ; 1: 2.
20. Col NF, Hirota LK, Fortin JM, et al. Impact of a personalized decision support aid on menopausal women-results of a pilot study. J Gen Intern Med. 2000 ; 15 (S1): 59.
21. Col NF, Hirota LK, O'Connor AM, Fortin, RJ, Goldberg JM A personalized decision support aid to improve the quality of care of menopausal women. J Gen Intern Med. 2000 ; 15 (S1). 226.
22. Greenfield S., Kaplan S., Ware JE, Yano EM, Frank Hjl. Patients' participation in medical care: effects on blood sugar control and quality of life in diabetes. J Gen Intern Med. 1988 ; 3: 448 - 57.
23. Greenfield S., Kaplan S., Ware JE Expanding patient involvement in care. Effects on patient outcomes. Ann Intern Med. 1985 ; 102: 520 - 8.
24. Col NF, Eckman MH, Karas RH, et al. Patient-specific decisions about hormone replacement therapy in postmenopausal women. JAMA. 1997 ; 277: 1140 - 7.
25. Hulley S., Grady D., Bush T., et al. Randomized trial of estrogen plus progestin for secondary prevention of coronary heart disease in postmenopausal women. Heart and Estrogen/progestin Replacement Study (HERS) Research Group. JAMA. 1998: 280 (7). 605 - 13.
26. Rossouw JE, Anderson GL, Prentice RL, et al. Risks and benefits of estrogen plus progestin in healthy postmenopausal women: principal results from the Women's Health Initiative randomized controlled trial. JAMA. 2002 ; 288: 321 - 33.
27. O'Connor AM Validation of a decisional conflict scale. Med Decis Making. 1995 ; 15: 25 - 30.
28. O'Connor AM, Tugwell P., Wells GA, et al. A decision aid for women considering hormone therapy after menopause: Decision support framework and evaluation. Patient Educ Couns. 1998 ; 33: 267 - 79.
29. Ottawa Health Decision Centre at the Ottawa Health Research Institute (University of Ottawa). User manual-Decisional conflict. [Accessed 4 Feb 2007]. Available from: URL: http://decisionaid.ohri.ca/docs/Eval_Meas/User_Manuals/ UM_DecConflict2006.pdf
30. Hilditch JR, Lewis J., Peter A., et al. Corrigendum to ''A menopause-specific quality of life questionnaire: development and psychometric properties.'' Maturitas. 1996 ; 25: 161 - 75.
31. Rost K., Burnam MA, Smith GR Development of screeners for depressive disorders and substance disorder history. Med Care. 1993 ; 3 (3). 189 - 200.
32. Ware J., Kosinski M., Keller SD SF-12: a 12-item short-form health survey: construction of scales and preliminary tests of reliability and validity. Med Care. 1996 ; 34: 220 - 33.
33. Ware JE SF-12: how to score the SF-12 Physical and Mental Health Summary Scales. Boston (MA): The Health Institute, New England Medical Center ; 1995.
34. SAS/STAT user's guide. Version 9. Cary (NC): SAS Institute; 2003.
35. O'Connor AM, Bennett C., Stacey D., et al. Patient decision aids for people facing health screening or treatment decisions: A systematic review and meta-analysis. Med Decis Making. 2007, in press.
36. O'Connor AM, Rostom A., Fiset V., et al. Decision aids for patients facing health treatment or screening decisions: systematic review. BMJ. 1999 ; 319: 731 - 4.
37. Cassell MM, Jackson C., Cheuvront B. Health communication on the Internet: an effective channel for health behavior change ? J Health Comm. 1998 ; 3 (1). 71 - 9.
38. Revere D., Dunbar PJ Review of computer-generated outpatient health behavior interventions: Clinical encounters ''in absentia.'' J Am Med Inform Assoc. 2001 ; 8: 62 - 79.
39. Prochaska, JO, Velicer WF, Rossi JS, et al. Stages of change and decisional balance for 12 problem behaviors. Health Psych. 1994 ; 13: 39 - 46.
40. Prochaska JO, DiClemente CC, Velicer WF, Rossi JS Standardized, individualized, interactive and personalized self-help programs for smoking cessation. Health Psych. 1993 ; 12: 399 - 405.
41. Kasper JF, Mulley AG Jr, Wennberg JE Developing shared decision-making programs to improve the quality of health care. Qrb Quality Review Bulletin. 1992 ; 18 (6). 183 - 90.
42. Spunt BS, Deyo RA, Taylor VM, Leek KM, Goldberg HI, Mulley AG An interactive videodisc program for low back pain patients. Health Ed Res. 1996 ; 11: 535 - 41.
43. Ubel PA, Jepson C., Baron J. The inclusion of patient testimonials in decision aids: effects on treatment choices. Med Decis Making. 2001 ; 21: 60 - 8.
44. Kennedy Adm, Sculpher MJ, Coulter A., et al. Effects of decision aids for menorrhagia on treatment choices, health outcomes, and costs. A randomized controlled trial. JAMA 2002 ; 288: 2701 - 8.
45. Dennerstein L., Dudley EC, Hopper JL, et al. A prospective population-based study of menopausal symptoms. Obstet Gynecol. 2000 ; 96: 351 - 8.
46. Bromberger JT, Meyer PM, Kravitz HM, et al. Psychologic distress and natural menopause: a multiethnic community study. Am J Public Health. 2001 ; 91: 1435 - 42.
47. Roussouw JE, Prentice RL, Manson JE, et al. Postmenopausal hormone therapy and risk of cardiovascular disease by age and years since menopause. JAMA. 2007 ; 297 (13). 1465 - 77.
48. Rainie L. and Packel D. More online, doing more. 2001 [accessed 28 Aug 2006] ; available from: URL: http://www.pewinternet.org/report_display.asp?r=30
49. Fox S. The online health care revolution: how the Web helps Americans take better care of themselves. 2000 [accessed 28 Aug 2006 ]; available from: URL: www.pewinternet.org/PPF/r/26/report_display.asp
50. Utian WH, Schiff I. North American Menopause Society. Gallup survey on women's knowledge, information sources, and attitudes to menopause and hormone replacement therapy. Menopause. 1994 ; 1: 39.
51. Management of menopause: Informed choices. The state of managed care quality 2001. NCQA\publications\SOMC ; 2001.
52. Braddock CH III, Edwards KA, Hasenberg NM, Laidley TL, Levinson W. Informed decision making in outpatient practice: time to get back to basics. JAMA 1999 ; 282: 2313 - 20.
53. Braddock CH, Fihn SD, Levinson W., Jonsen AR, Pearlman RA How doctors and patients discuss routine clinical decisions: informed decision making in the outpatient setting. J Gen Int Med. 1997 ; 12: 339 - 45.
54. Johnston ME, Langton KB, Haynes RB, Mathieu A. Effects of computer-based clinical decision support systems on clinician performance and patient outcome. A critical appraisal of research. Ann Intern Med. 1994 ; 120: 135 - 42.
55. Estabrooks C., Goel V., Thiel E., Pinfold P., Sawka C., Williams I. Decision aids: are they worth it? A systematic review. J Health Serv Res Policy. 2001 ; 6 (3). 170 - 82.
56. Graham ID, Logan J., O'Connor A., et al. A qualitative study of physicians' perceptions of three decision aids. Patient Educ Couns. 2003 ; 50: 279 - 83.