Treatment preference patterns during a videotape decision aid for benign prostatic hyperplasia (BPH).
Treatment preference patterns during a videotape decision aid for benign prostatic hyperplasia (BPH).
复制标题
良性前列腺增生 (BPH) 录像决策辅助期间的治疗偏好模式。
DOI：
10.1016/j.pec.2005.01.013
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发表时间：
2006
期刊：
影响因子：
--
通讯作者：
Williams,Gilbert
中科院分区：
文献类型：
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作者：
Wills,CeliaE;Holmes-Rovner,Margaret;Rovner,David;Lillie,Janet;Kelly-Blake,Karen;Bonham,Vence;Williams,Gilbert
作为男性对录像带决策辅助的反应研究的一部分[Rovner DR，Wills CE，博纳姆V，威廉姆斯G，Lillie J，Kelly-Blake K，威廉姆斯MV，Holmes-Rovner M.良性前列腺增生的决策辅助：跨种族和教育的适用性。Med Decis Making 2004;24：359-66]，对BPH治疗方案的偏好进行了评估。方法：按种族和教育程度分层的160名男性完成了一个半结构化的访谈，其中包括对治疗偏好的评估。在治疗风险避免、疗效和专家意见因素的背景下，BPH严重程度经常被引用为首选顺序的原因。受教育程度越低，改变偏好的可能性越大（r=-0.30，p<.001），并且BPH知识在录像前到录像后的百分比增加与较少的非显性偏好转变弱相关（r=-0.19，p<0.05）。结论BPH治疗的保守性受特定环境因素的影响，包括新的信息。实践意义在提供者-患者伙伴关系模式中的咨询应该解决男性治疗偏好差异的两个来源。
OBJECTIVEAs part of a study of men's responses to a videotape decision aid [Rovner DR, Wills CE, Bonham V, Williams G, Lillie J, Kelly-Blake K, Williams MV, Holmes-Rovner M. Decision aids for benign prostatic hyperplasia: applicability across race and education. Med Decis Making 2004;24:359–66], preferences for BPH treatment options were assessed.METHODSOne hundred and sixty men stratified by race and education completed a semi-structured interview that included assessments of treatment preferences.RESULTSMost men initially and ultimately favored watchful waiting over other options, and 56.6% never changed their preference rank orders while viewing the videotape. BPH severity in context of treatment risk avoidance, efficacy, and expert opinion factors were frequently cited reasons for preference orders. Lesser education was associated with higher likelihood of changing preferences (r=−.30, p<.001), and percent increase in BPH knowledge pre- to post-videotape was weakly associated with fewer non-dominant preference shifts (r=−.19, p<.05).CONCLUSIONConservatism regarding BPH treatment is moderated by context-specific factors, including new information.PRACTICE IMPLICATIONCounseling in a provider–patient partnership model should address both sources of variance in men's treatment preferences.