Top

International Urogynecology Journal

Published in:

01-09-2010 | Original Article

Treatment decision-making and information-seeking preferences in women with pelvic floor disorders

Authors: Vivian W. Sung, Christina A. Raker, Deborah L. Myers, Melissa A. Clark

Published in: International Urogynecology Journal | Issue 9/2010

Abstract

Introduction and hypothesis

The Autonomy Preference Index (API) and Control Preferences Scale (CPS) measure information-seeking and decision-making preferences. Our objective was to validate these scales in women with pelvic floor disorders (PFDs) and identify variables associated with decision-making preferences.

Methods

Women seeking care for PFDs completed the API and the CPS. Psychometric properties were determined. Multivariable analyses were used to identify correlates of information-seeking and decision-making preferences.

Results

One hundred ten women were recruited. Both scales demonstrated good psychometric properties (intraclass correlation coefficient = 0.5 to 0.7; Cronbach’s alpha = 0.8 for the API, and r = −0.3 between the API and CPS). Based on scores, women had strong preferences to be well informed, but were more neutral in their decision-making preferences. In multivariable analyses, higher education levels were associated with a stronger desire for seeking medical information.

Conclusions

Women seeking care for PFDs vary in their preferences for participating in treatment decisions.

Available only for authorised users

Improving the 21st Century Healthcare System. Crossing the Quality Chasm: A New Healthcare System for the 21st Century (2001). National Academy Press, Washington, DC

Sheridan SL, Harris RP, Woolf SH (2004) Shared decision making about screening and chemoprevention. A suggested approach from the U.S. preventive services task force. Am J Prev Med 26:56–66CrossRefPubMed

Hexzen-Klemens I, Lapinska E (1984) Doctor–patient interaction, patients’ health behavior and effects of treatment. Soc Sci Med 19:9–18CrossRef

Kaplan SH, Greenfield S, Ware JE Jr (1989) Assessing the effects of physician–patient interactions on the outcomes of chronic disease. Med Care 27:S110–S127CrossRefPubMed

Crawford MJ, Rutter D, Manley C, Weaver T, Bhui K, Fulop N et al (2002) Systematic review of involving patients in the planning and development of health care. BMJ 325:1263CrossRefPubMed

ACOG Committee Opinion #320 (2005) Partnering with patients to improve safety. Obstet Gynecol 106:1123–1125

ACOG Committee Opinion No. 395 (2008) Surgery and patient choice. Obstet Gynecol 111:243–247

Elkadry EA, Kenton KS, Fitzgerald KS, Shott S, Brubaker L (2003) Patient-selected goals: a new perspective on surgical outcome. Am J Obstet Gynecol 189(6):1551–1557CrossRefPubMed

Hullfish KL, Bovbjerg VE, Steers WD (2004) Patient-centered goals for pelvic floor dysfunction surgery: long-term follow-up. Am J Obstet Gynecol 191(1):201–205CrossRefPubMed

10.

Kiesler DJ, Auerbach SM (2006) Optimal matches of patient preferences for information, decision-making and interpersonal behavior: evidence, models and interventions. Patient Educ Couns 61:319–341CrossRefPubMed

11.

Charles C, Gafni A, Whelan T (1999) Decision-making in the physician-patient encounter: revisiting the shared treatment decision-making model. Soc Sci Med 49:651–661CrossRefPubMed

12.

Deber RB (1994) Physicians in health care management: 7. The patient-physician partnership: changing roles and the desire for information. Cmaj 151:171–176PubMed

13.

Levy SM, Herberman RB, Lee JK, Lippman ME, D’Angelo T (1989) Breast conservation versus mastectomy: distress sequelae as a function of choice. J Clin Oncol 7:367–375PubMed

14.

Ende J, Kazis L, Ash A, Moskowitz MA (1989) Measuring patients’ desire for autonomy: decision making and information-seeking preferences among medical patients. J Gen Intern Med 4:23–30CrossRefPubMed

15.

Schneider A, Wensing M, Quinzler R, Bieber C, Szecsenyi J (2007) Higher preference for participation in treatment decisions is associated with lower medication adherence in asthma patients. Patient Educ Couns 67:57–62CrossRefPubMed

16.

Spies CD, Schulz CM, Weiss-Gerlach E, Neuner B, Neumann T, von Dossow V et al (2006) Preferences for shared decision making in chronic pain patients compared with patients during a premedication visit. Acta Anaesthesiol Scand 50:1019–1026CrossRefPubMed

17.

Degner LF, Sloan JA, Venkatesh P (1997) The control preferences scale. Can J Nurs Res 29:21–43PubMed

18.

Beaver K, Luker KA, Owens RG, Leinster SJ, Degner LF, Sloan JA (1996) Treatment decision making in women newly diagnosed with breast cancer. Cancer Nurs 19:8–19CrossRefPubMed

19.

Kremer H, Ironson G, Schneiderman N, Hautzinger M (2007) “It’s my body”: does patient involvement in decision making reduce decisional conflict? Med Decis Making 27:522–532CrossRefPubMed

20.

Chapple H, Shah S, Caress AL, Kay EJ (2003) Exploring dental patients’ preferred roles in treatment decision-making—a novel approach. Br Dent J 194:321–327, discussion 317CrossRefPubMed

21.

Barber MD, Walters MD, Bump RC (2005) Short forms of two condition-specific quality-of-life questionnaires for women with pelvic floor disorders (PFDI-20 and PFIQ-7). Am J Obstet Gynecol 193:103–113CrossRefPubMed

22.

Cohen J (1988) Statistical power analysis for the behavioral sciences, 2nd edn. Lawrence Erlbaum Associations, Inc., NJ

23.

Walter SD, Eliasziw M, Donner A (1998) Sample size and optimal designs for reliability studies. Stat Med 17:101–110CrossRefPubMed

24.

Bump RC, Mattiasson A, Bo K, Brubaker LP, DeLancey JO, Klarskov P et al (1996) The standardization of terminology of female pelvic organ prolapse and pelvic floor dysfunction. Am J Obstet Gynecol 175:10–17CrossRefPubMed

25.

Levinson W, Kao A, Kuby A, Thisted RA (2005) Not all patients want to participate in decision making. A national study of public preferences. J Gen Intern Med 20:531–535CrossRefPubMed

26.

Street RL Jr, Millay B (2001) Analyzing patient participation in medical encounters. Health Commun 13:61–73CrossRefPubMed

27.

Hack TF, Degner LF, Dyck DG (1994) Relationship between preferences for decisional control and illness information among women with breast cancer: a quantitative and qualitative analysis. Soc Sci Med 39:279–289CrossRefPubMed

28.

O’Donnell M, Hunskaar S (2007) Preferences for involvement in treatment decision-making among Norwegian women with urinary incontinence. Acta Obstet Gynecol Scand 86:1370–1376CrossRefPubMed

29.

O’Donnell M, Hunskaar S (2007) Preferences for involvement in treatment decision-making generally and in hormone replacement and urinary incontinence treatment decision-making specifically. Patient Educ Couns 68:243–251CrossRefPubMed

30.

O’Donnell M, Monz B, Hunskaar S (2007) General preferences for involvement in treatment decision making among European women with urinary incontinence. Soc Sci Med 64:1914–1924CrossRef

Title: Treatment decision-making and information-seeking preferences in women with pelvic floor disorders
Authors: Vivian W. Sung
Christina A. Raker
Deborah L. Myers
Melissa A. Clark
Publication date: 01-09-2010
Publisher: Springer-Verlag
Published in: International Urogynecology Journal / Issue 9/2010
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-010-1155-8

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Treatment decision-making and information-seeking preferences in women with pelvic floor disorders

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

Please log in to get access to this content

Other articles of this Issue 9/2010

Magnetic resonance imaging-based three-dimensional model of anterior vaginal wall position at rest and maximal strain in women with and without prolapse

Predictive factors for overactive bladder symptoms after pelvic organ prolapse surgery

Do the Advantage slings work as well as the tension-free vaginal tapes?

The impact of simulated birth trauma and ovariectomy on the gene expression of detrusor muscarinic receptors in female rats

Effects of age on levator function and morphometry of the levator hiatus in women with pelvic floor disorders

In vivo assessment of anterior compartment compliance and its relation to prolapse