TY - JOUR
T1 - Patient decision aid on natural health products for menopausal symptoms
T2 - Randomized controlled trial
AU - Légaré, France
AU - Leblanc, Annie
AU - Tapp, Sylvie
AU - Dodin, Sylvie
AU - Stacey, Dawn
N1 - Funding Information:
We would like to thank Monique Richer, who, at the time of this study, was Dean of the Faculty of Pharmacy, Université Laval, for facilitating the collaboration of pharmacy owners with this study, Claire Dubé of the Service d'information en contraception et sexualité de Québec who generously supplied the general information brochure, as well as all the women who agreed to participate in the study. This study was approved by the Medical Ethics Committee of the Centre Hospitalier Universitaire de Québec, Hôpital St-François d'Assise. Its trial registration identifier is NCT00325923 ( www.clinicaltrials.gov ). This study was funded by the Canada Research Chair in Implementation of Shared Decision Making in Primary Care and the André et Lucie Chagnon Chair for an Integrated Approach to Health Promotion, Université Laval, Québec.
Copyright:
Copyright 2016 Elsevier B.V., All rights reserved.
PY - 2008/9
Y1 - 2008/9
N2 - To evaluate the impact of a patient decision aid (PDA) regarding the use of natural health products (NHPs) at menopause on decisional conflict, knowledge of NHPs, congruence between values and choice, persistence with an option, intention to disclose the use of NHPs to a physician or a pharmacist and intention to use decision support interventions in the future. A randomized controlled trial in which 90 women, aged 45–64 years, facing a decision about using NHPs for menopausal symptoms, received a PDA (experimental group) or a general information brochure about menopause (control group). Decisional conflict. Women were evaluated at baseline and after a two-week period using the decisional conflict scale (DCS). Analysis of covariance was used to determine the differences between both groups on the DCS. Both groups experienced a statistically significant reduction on the DCS (−0.55 ± 0.59, P < 0.0001 versus −0.52 ± 0.73, P < 0.0001). However, there was no statistically significant difference between the groups (P = 0.32). Both groups experienced a statistically significant improvement in knowledge of NHPs (0.86 ± 1.77, P = 0.002 versus 0.51 ± 1.47, P = 0.031). However, there was no statistically significant difference between the groups (P = 0.162). A PDA regarding the use of NHPs for menopausal symptoms impacted favourably on women's decisional conflict, but was not superior to a general information brochure on menopause.
AB - To evaluate the impact of a patient decision aid (PDA) regarding the use of natural health products (NHPs) at menopause on decisional conflict, knowledge of NHPs, congruence between values and choice, persistence with an option, intention to disclose the use of NHPs to a physician or a pharmacist and intention to use decision support interventions in the future. A randomized controlled trial in which 90 women, aged 45–64 years, facing a decision about using NHPs for menopausal symptoms, received a PDA (experimental group) or a general information brochure about menopause (control group). Decisional conflict. Women were evaluated at baseline and after a two-week period using the decisional conflict scale (DCS). Analysis of covariance was used to determine the differences between both groups on the DCS. Both groups experienced a statistically significant reduction on the DCS (−0.55 ± 0.59, P < 0.0001 versus −0.52 ± 0.73, P < 0.0001). However, there was no statistically significant difference between the groups (P = 0.32). Both groups experienced a statistically significant improvement in knowledge of NHPs (0.86 ± 1.77, P = 0.002 versus 0.51 ± 1.47, P = 0.031). However, there was no statistically significant difference between the groups (P = 0.162). A PDA regarding the use of NHPs for menopausal symptoms impacted favourably on women's decisional conflict, but was not superior to a general information brochure on menopause.
KW - Menopause
KW - natural health products
KW - patient decision aids
KW - randomized controlled trial
KW - women's health
UR - http://www.scopus.com/inward/record.url?scp=56149084855&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=56149084855&partnerID=8YFLogxK
U2 - 10.1258/mi.2008.008014
DO - 10.1258/mi.2008.008014
M3 - Article
C2 - 18714075
AN - SCOPUS:56149084855
SN - 1754-0453
VL - 14
SP - 105
EP - 110
JO - Menopause International
JF - Menopause International
IS - 3
ER -