Enhancing Women's Decision-making Concerning the Use of Hormone Replacement Therapy PDF Download

Author: Jane Elizabeth Katra
Publisher:
ISBN:
Category : Estrogen
Languages : en
Pages : 396

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Book Description

Author: Susan K. Marten
Publisher:
ISBN:
Category : Decision making
Languages : en
Pages : 154

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Book Description

Author: Jay Schulkin
Publisher: Springer Science & Business Media
ISBN: 1402066864
Category : Medical
Languages : en
Pages : 184

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Book Description
The decision making process that underlies ovarian hormone therapy (HT) is fallible. Thus, the decision for women to go on HT remains controversial. At a time when confusion still permeates the decision making with regard to HT, this book bridges diverse features that surround the decision making concerning HT. The book is written for both specialists and generalists in the field.

Author: Angela Lapin
Publisher:
ISBN:
Category : Menopause
Languages : en
Pages : 420

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Author: Mindy J. Erchull
Publisher:
ISBN:
Category : Menopause
Languages : en
Pages : 382

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Book Description

Author: Karen Lee Scanlon
Publisher:
ISBN:
Category : Estrogen
Languages : en
Pages : 210

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Book Description

Author: David Neal Kerner
Publisher:
ISBN:
Category : Informed consent (Medical law)
Languages : en
Pages : 358

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Book Description
The application of medical treatments requires informed consent. However, lack of knowledge and information-processing limitations may limit the ability to make informed decisions. Decision aids address these issues, and may increase patients' ability to make informed choices. However, little research has examined decision aid effectiveness. One difficult decision faced by many women is whether to use hormone replacement therapy (HRT), which is associated with both potential risks and potential benefits. A tool designed to enhance HRT decision making could benefit many women. This paper presents the evaluation of an HRT videotape decision aid. The paper's primary goals are to (1) examine the impact of the decision aid on treatment-relevant knowledge, perceived knowledge, and perceived ability to make an informed choice about HRT; (2) determine the impact of the decision aid on HRT attitude; (3) examine whether the decision aid is perceived as useful; and (4) evaluate the influence of specific decision aid components on these issues. There were three phases to this project. First, several focus groups were convened to gain better understanding of women's knowledge and attitudes about HRT. Next, two pilot studies examined how altering the presentation of HRT-type information affects preference for hypothetical treatments. The third phase involved the evaluation of an HRT decision aid videotape. Female college students (n = 153) were randomly assigned to one of four conditions: (1) complete HRT video; (2) HRT video with patient testimonials excluded; (3) HRT video with decision aid data excluded; or (4) a control (non-HRT) video. All subjects completed pre- and post-video questionnaires examining HRT knowledge and attitudes. The HRT video was associated with increases in knowledge, perceived knowledge, and perceived ability to make an informed HRT decision. Actual knowledge and perceived knowledge were not related, and perceived ability was predicted by perceived knowledge rather than actual knowledge. The video was perceived as a useful tool for HRT decision making, although it did not increase positive attitude towards HRT. Results were similar for each version of the video, except that the version without patient testimonials was perceived more negatively. Implications of these findings are discussed.

Author: Evangeline O'Sullivan
Publisher:
ISBN:
Category : Consumer behavior
Languages : en
Pages : 296

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Author: Kathleen A. Carlson
Publisher:
ISBN:
Category : Decision making
Languages : en
Pages : 216

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Book Description

Author: National Research Council
Publisher: National Academies Press
ISBN: 0309157331
Category : Social Science
Languages : en
Pages : 428

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Book Description
In 1950 men and women in the United States had a combined life expectancy of 68.9 years, the 12th highest life expectancy at birth in the world. Today, life expectancy is up to 79.2 years, yet the country is now 28th on the list, behind the United Kingdom, Korea, Canada, and France, among others. The United States does have higher rates of infant mortality and violent deaths than in other developed countries, but these factors do not fully account for the country's relatively poor ranking in life expectancy. International Differences in Mortality at Older Ages: Dimensions and Sources examines patterns in international differences in life expectancy above age 50 and assesses the evidence and arguments that have been advanced to explain the poor position of the United States relative to other countries. The papers in this deeply researched volume identify gaps in measurement, data, theory, and research design and pinpoint areas for future high-priority research in this area. In addition to examining the differences in mortality around the world, the papers in International Differences in Mortality at Older Ages look at health factors and life-style choices commonly believed to contribute to the observed international differences in life expectancy. They also identify strategic opportunities for health-related interventions. This book offers a wide variety of disciplinary and scholarly perspectives to the study of mortality, and it offers in-depth analyses that can serve health professionals, policy makers, statisticians, and researchers.