School of Nursing, University of Ottawa, 451 Smyth Rd., Ottawa, ON K1H 8M5, Canada.
Maturitas. 2010 Apr;65(4):366-71. doi: 10.1016/j.maturitas.2009.12.005. Epub 2010 Jan 6.
To evaluate the effectiveness of a self-administered decision aid for menopausal women facing decisions about natural health products.
This pre-/post-test study included peri- or post-menopausal women, aged 45-64 considering the use of a natural health product for management of menopausal symptoms. They were recruited from a Women's Health Center.
The primary outcome was decisional conflict and secondary outcomes included knowledge, strength of values, and decision preference.
Of 24 women, the typical participant was 50-64 years of age, Caucasian, married, and well educated. Compared to baseline, after using the decision aid, women's total decisional conflict was reduced from 63% to 24% (p<0.001) and knowledge improved from 76% to 87% (p=0.001). Of the 24 women, 10 were unsure of their choice at baseline and 3-post use of the decision aid (p=0.015). There was a trend for women preferring natural health products (n=12) to be more likely to rate the non-chemical aspect as important and the cost of the natural health product as less important; women who preferred not to take natural health products (n=3) rated the non-chemical aspect as less important and the costs as more important.
The natural health product decision aid improved the quality of decisions by enhancing knowledge and reducing decisional conflict. As well, women were more likely to make a choice that was consistent with their values.
评估一种针对面临自然保健品选择的绝经后女性的自我管理决策辅助工具的效果。
这项预/后测试研究纳入了考虑使用自然保健品来管理绝经症状的 45-64 岁围绝经期或绝经后女性。她们是从妇女健康中心招募的。
主要结果是决策冲突，次要结果包括知识、价值观强度和决策偏好。
在 24 名女性中，典型参与者的年龄为 50-64 岁，白种人，已婚，受教育程度较高。与基线相比，使用决策辅助工具后，女性的总决策冲突从 63%降至 24%（p<0.001），知识从 76%提高到 87%（p=0.001）。在 24 名女性中，有 10 名在基线时不确定自己的选择，3 名在使用决策辅助工具后不确定（p=0.015）。有趋势表明，选择自然保健品的女性（n=12）更有可能认为非化学方面重要，而自然保健品的成本不重要；不选择自然保健品的女性（n=3）则认为非化学方面不重要，而成本更重要。
自然保健品决策辅助工具通过增强知识和减少决策冲突，提高了决策质量。此外，女性更有可能做出符合自己价值观的选择。
