The Henrietta Szold Hadassah-Hebrew University School of Nursing, Hadassah Medical Organization, POB 12000, Kiryat Hadassah, Jerusalem 91120, Israel.
Eur J Oncol Nurs. 2012 Jul;16(3):233-7. doi: 10.1016/j.ejon.2011.06.005. Epub 2011 Jul 20.
Much research has examined women's decision-making behaviour in breast cancer care. Patient age has shaped preferences, values, decision style and participation in treatment decisions. The aim of this study was to test the validity of the Michigan Assessment of Decision Style (MADS) (Pierce, 1995) in an older cohort and provide information on decision styles to identify areas of tailored decision support necessary for Israeli women.
This study examined the decision-making styles of older Israeli women receiving routine mammography screening. Fifty two women over 65 years of age, attending a routine mammography screening, were administered a questionnaire containing demographic information and the MADS to determine hypothetical treatment decision-making. The MADS is a 16-item questionnaire assessing decision-making behaviour by characterizing four factors: avoiding, deferring, information-seeking and deliberation.
Age, family history of breast cancer, and having a current mammography were not significantly associated with any of the four MADS factors. Deliberation and Deferring had the highest mean scores, followed closely by Information-Seeking and Avoidance. Correlations among the factors indicate a significant, positive correlation between Deliberation and Information-Seeking and a significant negative correlation between Deliberation and Deferring, consistent with previous studies.
These findings indicate that older Israeli women's decision style is characterized by information seeking and deliberation reflecting a disposition towards engagement. The findings contribute to clinicians' understanding of women's preferences by countering the traditionally accepted stereotype that older women will employ a passive role when faced with an important health care decision.
大量研究考察了女性在乳腺癌护理中的决策行为。患者年龄影响了偏好、价值观、决策风格和对治疗决策的参与度。本研究旨在检验密歇根决策风格评估量表（MADS）（Pierce，1995）在老年患者中的有效性，并提供决策风格信息，以确定需要为以色列女性提供个性化决策支持的领域。
本研究考察了接受常规乳房 X 光筛查的老年以色列女性的决策风格。对 52 名 65 岁以上、参加常规乳房 X 光筛查的女性进行了问卷调查，问卷内容包括人口统计学信息和 MADS，以确定假设的治疗决策。MADS 是一个包含 16 个项目的问卷，通过四个因素来评估决策行为：避免、推迟、寻求信息和深思熟虑。
年龄、乳腺癌家族史和当前进行乳房 X 光检查与 MADS 的四个因素均无显著相关性。深思熟虑和推迟的平均得分最高，其次是寻求信息和避免。因素之间的相关性表明，深思熟虑和寻求信息之间存在显著的正相关，而深思熟虑和推迟之间存在显著的负相关，与先前的研究一致。
这些发现表明，老年以色列女性的决策风格以寻求信息和深思熟虑为特征，反映了积极参与的倾向。这些发现有助于临床医生了解女性的偏好，因为它们反驳了传统上认为老年女性在面临重要的医疗保健决策时会采取被动角色的观点。
