Légaré France, O'Connor Annette M, Graham Ian D, Wells Georges A, Jacobsen Mary Jane, Elmslie Tom, Drake Elizabeth R
Clinical Epidemiology Unit, Ottawa Hospital, Civic Campus C4, 1053 Carling Avenue, Ont., K1Y 4E9, Ottawa, Canada.
Patient Educ Couns. 2003 Jun;50(2):211-21. doi: 10.1016/s0738-3991(02)00129-5.
The aim of this secondary analysis was to compare the effects of a tailored decision aid (DA) with those of a pamphlet on the agreement between women's and physicians' decisional conflict about hormone replacement therapy (HRT). A total of 40 physicians and 184 women provided data. The agreement between women's and physicians' decisional conflict scores was measured using the intraclass correlation coefficient (ICC). The ICC was higher for dyads in the DA group (ICC=0.44; 95% confidence interval (CI)=0.25-0.59) compared to the pamphlet group (ICC=0.28; 95% CI=0.06-0.47). When the average score of decisional conflict of women nested within a physician and of each physician were used, the ICC for the DA group and the pamphlet group was 0.41 (95% CI=-0.04 to 0.72) and 0.06 (95% CI=-0.41 to 0.49), respectively. Compared to pamphlets, DAs appear to improve the agreement between women's and physicians' decisional conflict about HRT.
这项二次分析的目的是比较定制决策辅助工具（DA）与宣传册对女性和医生在激素替代疗法（HRT）决策冲突方面达成一致的影响。共有40名医生和184名女性提供了数据。使用组内相关系数（ICC）来衡量女性和医生决策冲突得分之间的一致性。与宣传册组（ICC = 0.28；95%置信区间（CI）= 0.06 - 0.47）相比，DA组中二元组的ICC更高（ICC = 0.44；95% CI = 0.25 - 0.59）。当使用嵌套在医生中的女性和每位医生的决策冲突平均得分时，DA组和宣传册组的ICC分别为0.41（95% CI = -0.04至0.72）和0.06（95% CI = -0.41至0.49）。与宣传册相比，DA似乎能改善女性和医生在HRT决策冲突方面的一致性。
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