Women's responses to a mailed hormone replacement therapy workbook
Women's responses to a mailed hormone replacement therapy workbook
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DOI：
10.1097/00042192-200109000-00011
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发表时间：
2001-09-01
影响因子：
2.7
通讯作者：
Anderson, LA
中科院分区：
文献类型：
--
作者：
Newton, KM;LaCroix, AZ;Anderson, LA
目的：有效地传达有关中年妇女面临的复杂决定的信息，包括是否使用激素替代疗法（HRT），是一个持续的挑战。虽然有许多决策工具，但很少得到评价。本研究的目的是研究妇女使用的工作簿，旨在促进知情HRT decision-making. Design：我们开发了一个工作簿，准备妇女讨论HRT，骨质疏松症，心脏病，乳腺癌与他们的供应商。为了评估工作手册，45 - 65岁的妇女被随机分配到三组之一：（1）工作手册加基线和6个月的调查，（2）工作手册和6个月的调查，或（3）没有工作手册与两个调查。结果基于第1组和第2组580名女性的回答结果：在6个月时，79%的妇女回忆起收到了工作手册，其中51%的人阅读了全部或大部分，35%略读或阅读了部分，14%没有阅读。58%乳腺癌; 57%的HRT的优点和缺点;和52%的HRT的个人偏好。作为工作手册的结果，10%的人与他们的提供者预约，12%的人与他们的提供者讨论HRT。使用的工作簿是没有关联的更年期症状，态度或使用HRT，子宫切除术，或供应商讨论更年期和HRT. Conclusion：这种简单的方法，使用邮寄的工作簿作为一个成功的机制，准备妇女讨论HRT和其他相关的健康问题与他们的供应商。
Objective: Effectively communicating information about the complex decisions that face women at midlife, including whether to use hormone replacement therapy (HRT), is an ongoing challenge. Although numerous decision-making tools exist, few have been evaluated. The objective of this study was to examine women's use of a workbook designed to promote informed HRT decision-making.Design: We developed a workbook to prepare women to discuss HRT, osteoporosis, heart disease, and breast cancer with their providers. To evaluate the workbook, women aged 45-65 years were randomly assigned to one of three groups: (1) workbook plus baseline and 6-month surveys, (2) workbook and 6-month survey, or (3) no workbook with both surveys. Results are based on the responses of 580 women in groups 1 and 2 (response rate, 84.2%).Results: At 6 months, 79% of women recalled receiving the workbook, of whom 51% read all or most of it, 35% skimmed or read part of it, and 14% did not read it. The percentages of women completing self-assessments were 55% osteoporosis; 56% heart disease; 58% breast cancer; 57% advantages and disadvantages of HRT; and 52% personal preferences about HRT. As a result of the workbook, 10% made an appointment with their providers, and 12% had a discussion about HRT with their providers. Use of the workbook was not associated with menopause symptoms, attitudes about or use of HRT, hysterectomy, or provider discussions about menopause and HRT.Conclusion: This simple approach of using a mailed workbook holds promise as a successful mechanism to prepare women to discuss HRT and other related health issues with their providers.