A systematic review of menopausal symptom management decision aid trials

Janet Carpenter, Jamie L. Studts, Margaret M. Byrne

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

Objective: To systematically review the literature regarding the effects of menopausal symptom management decision aids. Methods: Using pre-designated inclusion and exclusion criteria, relevant articles were located using the PubMed.gov online search engine and reviewing reference lists of relevant articles. Full-text, English-language, peer-reviewed articles relevant to testing decision aids in uncontrolled trials (UCT) and randomized controlled trials (RCT) were reviewed. Results: The 18 articles represented 15 trials focused on natural health products decision aids (1 UCT, 1 RCT) or hormone therapy decision aids (1 UCT, 12 RCT). Whereas the natural health products aid was intended for women deciding about menopausal symptom management strategies, decision aids for hormone therapy were intended for a broader group of menopausal women and included indications for symptom management, prevention of heart disease, and prevention of osteoporosis. Many trials occurred prior to two pivotal events: the 2002 announcement of the Women's Health Initiative findings and the 2006 publication of the International Patient Decision Aids Standards. Study limitations may help explain contradictory findings for outcomes such as decisional conflict, decisional confidence, decisional satisfaction, knowledge and values, and decisions. Conclusions: There is a relatively scant contemporary literature related to menopausal symptom management decision aids. Additional methodologically sound studies are needed to develop and subsequently test decision aids that are based on (a) contemporary knowledge regarding the wide array of available therapies and (b) international standards for decision aids that include consideration of women's values and preferences.

Original languageEnglish
Pages (from-to)11-21
Number of pages11
JournalMaturitas
Volume69
Issue number1
DOIs
StatePublished - May 2011

Fingerprint

Decision Support Techniques
Health
Hormones
Randomized Controlled Trials
Search engines
Acoustic waves
Literature
Search Engine
Testing
Women's Health
PubMed
Osteoporosis
Publications
Heart Diseases
Language
Therapeutics

Keywords

  • Decision
  • Decision aid
  • Decision support systems
  • Menopause

ASJC Scopus subject areas

  • Obstetrics and Gynecology
  • Biochemistry, Genetics and Molecular Biology(all)

Cite this

A systematic review of menopausal symptom management decision aid trials. / Carpenter, Janet; Studts, Jamie L.; Byrne, Margaret M.

In: Maturitas, Vol. 69, No. 1, 05.2011, p. 11-21.

Research output: Contribution to journalArticle

Carpenter, Janet ; Studts, Jamie L. ; Byrne, Margaret M. / A systematic review of menopausal symptom management decision aid trials. In: Maturitas. 2011 ; Vol. 69, No. 1. pp. 11-21.
@article{358b795585e944ce83b226bcaea42734,
title = "A systematic review of menopausal symptom management decision aid trials",
abstract = "Objective: To systematically review the literature regarding the effects of menopausal symptom management decision aids. Methods: Using pre-designated inclusion and exclusion criteria, relevant articles were located using the PubMed.gov online search engine and reviewing reference lists of relevant articles. Full-text, English-language, peer-reviewed articles relevant to testing decision aids in uncontrolled trials (UCT) and randomized controlled trials (RCT) were reviewed. Results: The 18 articles represented 15 trials focused on natural health products decision aids (1 UCT, 1 RCT) or hormone therapy decision aids (1 UCT, 12 RCT). Whereas the natural health products aid was intended for women deciding about menopausal symptom management strategies, decision aids for hormone therapy were intended for a broader group of menopausal women and included indications for symptom management, prevention of heart disease, and prevention of osteoporosis. Many trials occurred prior to two pivotal events: the 2002 announcement of the Women's Health Initiative findings and the 2006 publication of the International Patient Decision Aids Standards. Study limitations may help explain contradictory findings for outcomes such as decisional conflict, decisional confidence, decisional satisfaction, knowledge and values, and decisions. Conclusions: There is a relatively scant contemporary literature related to menopausal symptom management decision aids. Additional methodologically sound studies are needed to develop and subsequently test decision aids that are based on (a) contemporary knowledge regarding the wide array of available therapies and (b) international standards for decision aids that include consideration of women's values and preferences.",
keywords = "Decision, Decision aid, Decision support systems, Menopause",
author = "Janet Carpenter and Studts, {Jamie L.} and Byrne, {Margaret M.}",
year = "2011",
month = "5",
doi = "10.1016/j.maturitas.2011.02.005",
language = "English",
volume = "69",
pages = "11--21",
journal = "Maturitas",
issn = "0378-5122",
publisher = "Elsevier Ireland Ltd",
number = "1",

}

TY - JOUR

T1 - A systematic review of menopausal symptom management decision aid trials

AU - Carpenter, Janet

AU - Studts, Jamie L.

AU - Byrne, Margaret M.

PY - 2011/5

Y1 - 2011/5

N2 - Objective: To systematically review the literature regarding the effects of menopausal symptom management decision aids. Methods: Using pre-designated inclusion and exclusion criteria, relevant articles were located using the PubMed.gov online search engine and reviewing reference lists of relevant articles. Full-text, English-language, peer-reviewed articles relevant to testing decision aids in uncontrolled trials (UCT) and randomized controlled trials (RCT) were reviewed. Results: The 18 articles represented 15 trials focused on natural health products decision aids (1 UCT, 1 RCT) or hormone therapy decision aids (1 UCT, 12 RCT). Whereas the natural health products aid was intended for women deciding about menopausal symptom management strategies, decision aids for hormone therapy were intended for a broader group of menopausal women and included indications for symptom management, prevention of heart disease, and prevention of osteoporosis. Many trials occurred prior to two pivotal events: the 2002 announcement of the Women's Health Initiative findings and the 2006 publication of the International Patient Decision Aids Standards. Study limitations may help explain contradictory findings for outcomes such as decisional conflict, decisional confidence, decisional satisfaction, knowledge and values, and decisions. Conclusions: There is a relatively scant contemporary literature related to menopausal symptom management decision aids. Additional methodologically sound studies are needed to develop and subsequently test decision aids that are based on (a) contemporary knowledge regarding the wide array of available therapies and (b) international standards for decision aids that include consideration of women's values and preferences.

AB - Objective: To systematically review the literature regarding the effects of menopausal symptom management decision aids. Methods: Using pre-designated inclusion and exclusion criteria, relevant articles were located using the PubMed.gov online search engine and reviewing reference lists of relevant articles. Full-text, English-language, peer-reviewed articles relevant to testing decision aids in uncontrolled trials (UCT) and randomized controlled trials (RCT) were reviewed. Results: The 18 articles represented 15 trials focused on natural health products decision aids (1 UCT, 1 RCT) or hormone therapy decision aids (1 UCT, 12 RCT). Whereas the natural health products aid was intended for women deciding about menopausal symptom management strategies, decision aids for hormone therapy were intended for a broader group of menopausal women and included indications for symptom management, prevention of heart disease, and prevention of osteoporosis. Many trials occurred prior to two pivotal events: the 2002 announcement of the Women's Health Initiative findings and the 2006 publication of the International Patient Decision Aids Standards. Study limitations may help explain contradictory findings for outcomes such as decisional conflict, decisional confidence, decisional satisfaction, knowledge and values, and decisions. Conclusions: There is a relatively scant contemporary literature related to menopausal symptom management decision aids. Additional methodologically sound studies are needed to develop and subsequently test decision aids that are based on (a) contemporary knowledge regarding the wide array of available therapies and (b) international standards for decision aids that include consideration of women's values and preferences.

KW - Decision

KW - Decision aid

KW - Decision support systems

KW - Menopause

UR - http://www.scopus.com/inward/record.url?scp=79954628144&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=79954628144&partnerID=8YFLogxK

U2 - 10.1016/j.maturitas.2011.02.005

DO - 10.1016/j.maturitas.2011.02.005

M3 - Article

C2 - 21367544

AN - SCOPUS:79954628144

VL - 69

SP - 11

EP - 21

JO - Maturitas

JF - Maturitas

SN - 0378-5122

IS - 1

ER -