Women's views of two interventions designed to assist in the prophylactic oophorectomy decision: a qualitative pilot evaluation.
Abstract Introduction A qualitative pilot evaluation of two different decision interventions for the prophylactic oophorectomy (PO) decision: a Decision Chart and a computerized clinical guidance programme (CGP) was undertaken. The Decision Chart, representing current practice in decision interventi...
| Publicado en: | Health Expectations Vol. 5; no. 2; pp. 156 - 172 |
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| Autores principales: | , , , , |
| Formato: | research Journal Article |
| Publicado: |
Wiley-Blackwell
Jun2002
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106097271&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 106097271 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 13696513 EVY jtl: Health Expectations issn: 13696513 maglogo: Y pubinfo: dt: Jun2002 vid: 5 iid: 2 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 106097271 106097271 2009448320 10.1046/j.1369-6513.2002.00177.x NLM12031056 106097271 ppf: 156 ppct: 16 formats: fmt: @attributes: type: P tig: atl: Women's views of two interventions designed to assist in the prophylactic oophorectomy decision: a qualitative pilot evaluation. aug: au: Bhavnani V Clarke A Dowie J Kennedy A Pell I sug: subj: Attitude to Health Consumer Participation Methods Decision Support Techniques Oophorectomy Adolescent-Family Inventory of Life Events and Changes Adult Female Hysterectomy Life Table Method Middle Age Patient Education Methods Physician-Patient Relations Pilot Studies Probability Research Instruments Human Adult: 19-44 years Middle Aged: 45-64 years Female ab: Abstract Introduction A qualitative pilot evaluation of two different decision interventions for the prophylactic oophorectomy (PO) decision: a Decision Chart and a computerized clinical guidance programme (CGP) was undertaken. The Decision Chart, representing current practice in decision interventions, presents population-based information. The CGP elicits individual values to allow for quality-adjusted life years to be calculated and an explicit guidance statement is given. Prophylactic oophorectomy involves removal of the ovaries as an adjunct to hysterectomy to prevent ovarian cancer. The decision is complex because the operation can affect a number of long-term outcomes including breast cancer, coronary heart disease and osteoporosis. Methods Both interventions were based on the evidence and were administered by a facilitator. The Decision Chart is a file, which progressively reveals information in the form of bar charts. The CGP is a decision-analysis based program integrating the results from a cluster of Markov cycle trees. The research evidence is incorporated with woman's individual risk factors, values and preferences. A purposive sample of 19 women awaiting hysterectomy used the decision interventions (10 CGP, nine Decision Chart). In-depth semi-structured interviews were undertaken. Interviews were transcribed and analysed to derive themes. Results Reactions to the different decision interventions were mixed. Both were seen as clarifying the decision. Some women found some of the tasks difficult (e.g. rating health status). Some were surprised by the 'individualized' guidance, which the CGP offered. The Decision Chart provided some with a sense of empowerment, although some found that it provided too much information. Conclusions Women were able to use both decision interventions. Both provided decision clarification. Problems were evident with both interventions, which give useful pointers for future development. These included the... pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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