Máire O'Donnell1, Steinar Hunskaar. 1. Section for General Practice, Department of Public Health and Primary Health Care, University of Bergen, Bergen, Norway. maire.odonnell@isf.uib.no
Abstract
OBJECTIVE: To explore whether preferences for involvement in treatment decision-making change depending on the context and factors associated with preferences. METHODS: A national telephone survey of 1000 randomly selected Norwegian women aged 18 years or over using the Control Preferences Scale (CPS) to assess preferences. RESULTS: More women preferred an active role when asked about hormone replacement therapy (HRT) and urinary incontinence (UI) treatment decision-making specifically than when asked a question about preferences for involvement when generally making treatment decisions. Higher education and very good general health were significantly associated with preferring an active role in HRT and UI treatment decision-making. A negative attitude towards HRT was also significantly associated with preferring an active role when considering HRT. Women with higher educational levels were significantly more likely to choose an option from the CPS that indicated a preference for wanting more involvement in HRT decision-making compared to treatment decision-making generally. CONCLUSIONS: Women's preferences for involvement in treatment decision-making change depending on the context as do factors associated with role preferences. PRACTICE IMPLICATIONS: Health care professionals need to be aware that patients' preferences may change depending on the context of the treatment decision.
OBJECTIVE: To explore whether preferences for involvement in treatment decision-making change depending on the context and factors associated with preferences. METHODS: A national telephone survey of 1000 randomly selected Norwegian women aged 18 years or over using the Control Preferences Scale (CPS) to assess preferences. RESULTS: More women preferred an active role when asked about hormone replacement therapy (HRT) and urinary incontinence (UI) treatment decision-making specifically than when asked a question about preferences for involvement when generally making treatment decisions. Higher education and very good general health were significantly associated with preferring an active role in HRT and UI treatment decision-making. A negative attitude towards HRT was also significantly associated with preferring an active role when considering HRT. Women with higher educational levels were significantly more likely to choose an option from the CPS that indicated a preference for wanting more involvement in HRT decision-making compared to treatment decision-making generally. CONCLUSIONS:Women's preferences for involvement in treatment decision-making change depending on the context as do factors associated with role preferences. PRACTICE IMPLICATIONS: Health care professionals need to be aware that patients' preferences may change depending on the context of the treatment decision.
Authors: Jasvinder A Singh; Jeff A Sloan; Pamela J Atherton; Tenbroeck Smith; Thomas F Hack; Mashele M Huschka; Teresa A Rummans; Matthew M Clark; Brent Diekmann; Lesley F Degner Journal: Am J Manag Care Date: 2010-09 Impact factor: 2.229