The determinants that are associated with women deciding to take long-term preventive hormone replacement evaluated in the context of the decision support framework.

Abstract

Objectives. (1) Primary, to identify factors influencing the decision to take long-term preventive hormone replacement therapy (LTP-HRT) assessed 2 months after the counseling interview with the physician. (2) Secondary, to identify factors influencing the decision to take LTP-HRT assessed after reviewing a decision support intervention and after a counseling interview with their physician and to identify the factors that are associated with women being uncertain regarding the decision to take LTP-HRT. Method. Data, collected from women who were participating in a RCT to evaluate the effectiveness of a decision support intervention, was used to develop multivariate statistical models at three specific time points. The time points were after reviewing the decision support intervention, after a counseling interview with their physician, and 2 months after the counseling interview. The physician was the unit of randomization in the original study and thus multivariate statistical modeling adjusting for correlated observations using Generalized Estimating Equations was utilized. (Abstract shortened by UMI.)