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A randomized controlled trial of a decision aid for women at increased risk of ovarian cancer.
Med Decis Making. 2006 Jul-Aug; 26(4):360-72.MD

Abstract

PURPOSE

To carry out a randomized controlled trial of a decision aid for women at increased risk of developing ovarian cancer to facilitate decision making regarding risk management options.

METHODS

This randomized trial, conducted through 6 familial cancer centers, compared the efficacy of tailored decision aid to that of a general educational pamphlet in preparing women for decision making.

PARTICIPANTS

131 women with a family history of breast and/or ovarian cancer or of hereditary nonpolyposis colorectal cancer.

OUTCOME MEASURES

Decisional conflict, knowledge about ovarian cancer risk management options, and psychological adjustment were reassessed at 3 time points.

RESULTS

Compared to those who received the pamphlet (control), women who received the decision aid (intervention) were significantly more likely to report a high degree of acceptability of the educational material at both follow-up assessment time points. Findings indicate neither group experienced significant increases in psychological distress at either follow-up assessment time points relative to baseline. Two weeks postintervention, the intervention group demonstrated a significant decrease in decisional conflict compared to the control group (t = 2.4, P < 0.025) and a trend for a greater increase in knowledge about risk management options (t = 2.1, P = 0.037). No significant differences were found 6 months postintervention.

CONCLUSION

This form of educational material is successful in increasing knowledge about risk management options and in reducing decisional conflict in the shorter term. The decision aid is an effective and acceptable strategy for patient education to facilitate an inclusive and informed decision-making process about managing ovarian cancer risk.

Authors+Show Affiliations

Department of Medical Oncology, Prince of Wales Hospital, Sydney, Australia. Tiller@sesiahs.health.nswNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Randomized Controlled Trial
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

16855125

Citation

Tiller, K, et al. "A Randomized Controlled Trial of a Decision Aid for Women at Increased Risk of Ovarian Cancer." Medical Decision Making : an International Journal of the Society for Medical Decision Making, vol. 26, no. 4, 2006, pp. 360-72.
Tiller K, Meiser B, Gaff C, et al. A randomized controlled trial of a decision aid for women at increased risk of ovarian cancer. Med Decis Making. 2006;26(4):360-72.
Tiller, K., Meiser, B., Gaff, C., Kirk, J., Dudding, T., Phillips, K. A., Friedlander, M., & Tucker, K. (2006). A randomized controlled trial of a decision aid for women at increased risk of ovarian cancer. Medical Decision Making : an International Journal of the Society for Medical Decision Making, 26(4), 360-72.
Tiller K, et al. A Randomized Controlled Trial of a Decision Aid for Women at Increased Risk of Ovarian Cancer. Med Decis Making. 2006;26(4):360-72. PubMed PMID: 16855125.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - A randomized controlled trial of a decision aid for women at increased risk of ovarian cancer. AU - Tiller,K, AU - Meiser,B, AU - Gaff,C, AU - Kirk,J, AU - Dudding,T, AU - Phillips,K-A, AU - Friedlander,M, AU - Tucker,K, PY - 2006/7/21/pubmed PY - 2006/12/21/medline PY - 2006/7/21/entrez SP - 360 EP - 72 JF - Medical decision making : an international journal of the Society for Medical Decision Making JO - Med Decis Making VL - 26 IS - 4 N2 - PURPOSE: To carry out a randomized controlled trial of a decision aid for women at increased risk of developing ovarian cancer to facilitate decision making regarding risk management options. METHODS: This randomized trial, conducted through 6 familial cancer centers, compared the efficacy of tailored decision aid to that of a general educational pamphlet in preparing women for decision making. PARTICIPANTS: 131 women with a family history of breast and/or ovarian cancer or of hereditary nonpolyposis colorectal cancer. OUTCOME MEASURES: Decisional conflict, knowledge about ovarian cancer risk management options, and psychological adjustment were reassessed at 3 time points. RESULTS: Compared to those who received the pamphlet (control), women who received the decision aid (intervention) were significantly more likely to report a high degree of acceptability of the educational material at both follow-up assessment time points. Findings indicate neither group experienced significant increases in psychological distress at either follow-up assessment time points relative to baseline. Two weeks postintervention, the intervention group demonstrated a significant decrease in decisional conflict compared to the control group (t = 2.4, P < 0.025) and a trend for a greater increase in knowledge about risk management options (t = 2.1, P = 0.037). No significant differences were found 6 months postintervention. CONCLUSION: This form of educational material is successful in increasing knowledge about risk management options and in reducing decisional conflict in the shorter term. The decision aid is an effective and acceptable strategy for patient education to facilitate an inclusive and informed decision-making process about managing ovarian cancer risk. SN - 0272-989X UR - https://www.unboundmedicine.com/medline/citation/16855125/A_randomized_controlled_trial_of_a_decision_aid_for_women_at_increased_risk_of_ovarian_cancer_ L2 - http://journals.sagepub.com/doi/full/10.1177/0272989X06290486?url_ver=Z39.88-2003&amp;rfr_id=ori:rid:crossref.org&amp;rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -