BMC Med Inform Decis Mak - Values clarification in a decision aid about fertility preservation: does it add to information provision?

Tópicos

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Resumo

CKGROUND: We aimed to evaluate the effect of a decision aid (DA) with information only compared to a DA with values clarification exercise (VCE), and to study the role of personality and information seeking style in DA-use, decisional conflict (DC) and knowledge.METHODS: Two scenario-based experiments were conducted with two different groups of healthy female participants. Dependent measures were: DC, knowledge, and DA-use (time spent, pages viewed, VCE used). Respondents were randomized between a DA with information only (VCE-) and a DA with information plus a VCE(VCE+) (experiment 1), or between information only (VCE-), information plus VCE without referral to VCE(VCE+), and information plus a VCE with specific referral to the VCE, requesting participants to use the VCE(VCE++) (experiment 2). In experiment 2 we additionally measured personality (neuroticism/conscientiousness) and information seeking style (monitoring/blunting).RESULTS: Experiment 1. There were no differences in DC, knowledge or DA-use between VCE- (n=70) and VCE+ (n=70). Both DAs lead to a mean gain in knowledge from 39% at baseline to 73% after viewing the DA. Within VCE+, VCE-users (n=32, 46%) reported less DC compared to non-users. Since there was no difference in DC between VCE- and VCE+, this is likely an effect of VCE-use in a self-selected group, and not of the VCE per se. Experiment 2. There were no differences in DC or knowledge between VCE- (n=65), VCE+ (n=66), VCE++ (n=66). In all groups, knowledge increased on average from 42% at baseline to 72% after viewing the DA. Blunters viewed fewer DA-pages (R=0.38, p<.001). More neurotic women were less certain (R=0.18, p<.01) and felt less supported in decision making (R=0.15, p<.05); conscientious women felt more certain (R=-0.15, p<.05) and had more knowledge after viewing the DA (R=0.15, p<.05).CONCLUSIONS: Both DAs lead to increased knowledge in healthy populations making hypothetical decisions, and use of the VCE did not improve knowledge or DC. Personality characteristics were associated to some extent with DA-use, information seeking styles with aspects of DC. More research is needed to make clear recommendations regarding the need for tailoring of information provision to personality characteristics, and to assess the effect of VCE use in actual patients.

Resumo Limpo

ckground aim evalu effect decis aid da inform compar da valu clarif exercis vce studi role person inform seek style daus decision conflict dc knowledgemethod two scenariobas experi conduct two differ group healthi femal particip depend measur dc knowledg daus time spent page view vce use respond random da inform vce da inform plus vcevc experi inform vce inform plus vce without referr vcevc inform plus vce specif referr vce request particip use vcevc experi experi addit measur person neuroticismconscienti inform seek style monitoringbluntingresult experi differ dc knowledg daus vce n vce n das lead mean gain knowledg baselin view da within vce vceuser n report less dc compar nonus sinc differ dc vce vce like effect vceus selfselect group vce per se experi differ dc knowledg vce n vce n vce n group knowledg increas averag baselin view da blunter view fewer dapag r p neurot women less certain r p felt less support decis make r p conscienti women felt certain r p knowledg view da r pconclus das lead increas knowledg healthi popul make hypothet decis use vce improv knowledg dc person characterist associ extent daus inform seek style aspect dc research need make clear recommend regard need tailor inform provis person characterist assess effect vce use actual patient

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