Trial reportHealth expectations : an international journal of public participation in health care and health policy2003
Factors associated with the difference in score between women's and doctors' decisional conflict about hormone therapy: a multilevel regression analysis.
Trial report in Health expectations : an international journal of public participation in health care and health policy, 2003. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 3 of them syntheses that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
7 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Decision coaching for people making healthcare decisions.The Cochrane database of systematic reviews · 2021Pooled it
- Where is the evidence? A systematic review of shared decision making and patient outcomes.Medical decision making : an international journal of the Society for Medical Decision Making · 2015Pooled it
- Instruments to assess the perception of physicians in the decision-making process of specific clinical encounters: a systematic review.BMC medical informatics and decision making · 2007Pooled it
- Association of shared decision making with inpatient satisfaction: a cross-sectional study.BMC medical informatics and decision making · 2021Article
- End-of-Life Decision Making and Communication of Bereaved Family Members of African Americans with Serious Illness.Journal of palliative medicine · 2016Article
- Patient preference for involvement, experienced involvement, decisional conflict, and satisfaction with physician: a structural equation model test.BMC health services research · 2013Article
- Using decision aids in community-based primary care: a theory-driven evaluation with ethnically diverse patients.Patient education and counseling · 2008Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo explore factors associated with the difference in score between women's and doctors' decisional conflict about hormone therapy (HT).
designSecondary analysis. SETTING AND
participantsfamily doctors were randomized to prepare women for counselling about HT using either a decision aid or a pamphlet. MAIN VARIABLES STUDIED: After each counselling session, decisional conflict was assessed in women and doctors using the Decisional Conflict Scale (DCS) and the Provider Decision Process Assessment Instrument (PDPAI), respectively. The difference in score between the DCS and PDPAI was computed and entered as the dependent variable in a multilevel regression analysis. MAIN OUTCOME
resultsA total of 40 doctors and 167 women were included in the analysis. The intra-doctor correlation coefficient was 0.25. Factors associated with women experiencing higher decisional conflict than their doctor were: age of doctor >45 years, women who were undecided about the best choice after the counselling session, women with a university degree and women who said that their doctor usually does not give them control over treatment decision. Factors associated with doctors experiencing more decisional conflict than women were: doctors who were undecided about the quality of the decision, length of visit <30 min and women who thought that the decision was shared with their doctor.
conclusionIn order to reduce the disparities between women's and doctors' decisional conflict about HT, interventions aimed at raising awareness of doctors about shared decision-making should be encouraged.
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