Armitage G D, Suter E, Verhoef M J, Bockmuehl C, Bobey M
Health Systems and Workforce Research Unit, Calgary Health Region, Calgary, AB, Canada.
Climacteric. 2007 Jun;10(3):215-24. doi: 10.1080/13697130701342475.
To identify the information needs of women regarding complementary and alternative medicine (CAM) treatment options to alleviate menopausal symptoms.
Self-administered questionnaires were mailed to women responding to notices posted in family physicians' offices and a women's health center. Survey questions addressed preferred topics, formats and sources of information; experiences with information searching; and what signified good, trustworthy information.
The women in this study (n = 413) indicated several challenges including a lack of time to gather information, gaps in, and lack of, relevant information, and poor information quality. They expressed interest in information about the menopausal process, conventional and CAM treatment options, and the safety of treatments. Personal consultation with health-care professionals was the preferred way for obtaining information. The majority of women preferred evidence-based information but there was also a substantial number of women who chose to rely on 'softer' evidence such as personal accounts. These results suggested two different subgroups; however, the data indicate that these are not mutually exclusive since many respondents showed a preference for both types of information.
Women feel they are not sufficiently informed to make safe decisions regarding CAM treatment options to alleviate menopausal symptoms. Family physicians are a trusted information source and have an important role in providing women with that information. Brochures containing evidence-based information and a list of newsletters or books that include personal accounts, available in physician's offices and during personal consultations at women's health centers, are offered as a possible solution. A website is another possibility for distributing this information.
确定女性对于缓解更年期症状的补充和替代医学(CAM)治疗方案的信息需求。
自行填写的调查问卷被邮寄给那些回应张贴在家庭医生办公室和一家妇女健康中心的通知的女性。调查问题涉及偏好的主题、信息格式和来源;信息搜索经历;以及什么构成了良好、可信的信息。
本研究中的女性(n = 413)指出了几个挑战,包括缺乏收集信息的时间、相关信息的空白和不足以及信息质量差。她们对有关更年期过程、传统和补充替代医学治疗方案以及治疗安全性的信息表示感兴趣。与医疗保健专业人员进行个人咨询是获取信息的首选方式。大多数女性更喜欢基于证据的信息,但也有相当数量的女性选择依赖“较软”的证据,如个人经历。这些结果表明存在两个不同的亚组;然而,数据表明这并非相互排斥,因为许多受访者对这两种类型的信息都有偏好。
女性觉得自己没有得到足够的信息来就缓解更年期症状的补充替代医学治疗方案做出安全的决定。家庭医生是一个可信赖的信息来源,在为女性提供此类信息方面具有重要作用。作为一种可能的解决方案,建议在医生办公室和妇女健康中心的个人咨询期间提供包含基于证据的信息的宣传册以及包含个人经历的时事通讯或书籍清单。网站也是传播此类信息的另一种可能性。