Publication:
A randomised controlled trial of a decision aid for women at increased risk of ovarian cancer

dc.contributor.author Tiller, K en_US
dc.contributor.author Meiser, Bettina en_US
dc.contributor.author Gaff, C en_US
dc.contributor.author Kirk, Judy en_US
dc.contributor.author Dudding, T en_US
dc.contributor.author Phillips, K en_US
dc.contributor.author Friedlander, Michael en_US
dc.contributor.author Tucker, Katherine en_US
dc.date.accessioned 2021-11-25T13:02:22Z
dc.date.available 2021-11-25T13:02:22Z
dc.date.issued 2006 en_US
dc.description.abstract Aim: 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. en_US
dc.identifier.uri http://hdl.handle.net/1959.4/38996
dc.language English
dc.language.iso EN en_US
dc.rights CC BY-NC-ND 3.0 en_US
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/3.0/au/ en_US
dc.source Legacy MARC en_US
dc.subject.other decision aid en_US
dc.subject.other risk management en_US
dc.subject.other hereditary ovarian cancer en_US
dc.subject.other randomized controlled trial en_US
dc.title A randomised controlled trial of a decision aid for women at increased risk of ovarian cancer en_US
dc.type Journal Article en
dcterms.accessRights metadata only access
dspace.entity.type Publication en_US
unsw.accessRights.uri http://purl.org/coar/access_right/c_14cb
unsw.identifier.doiPublisher http://dx.doi.org/10.1177/0272989X06290486 en_US
unsw.relation.faculty Medicine & Health
unsw.relation.ispartofissue 4 en_US
unsw.relation.ispartofjournal Medical Decision Making en_US
unsw.relation.ispartofpagefrompageto 360-372 en_US
unsw.relation.ispartofvolume 26 en_US
unsw.relation.originalPublicationAffiliation Tiller, K en_US
unsw.relation.originalPublicationAffiliation Meiser, Bettina, Prince of Wales Clinical School, Faculty of Medicine, UNSW en_US
unsw.relation.originalPublicationAffiliation Gaff, C en_US
unsw.relation.originalPublicationAffiliation Kirk, Judy en_US
unsw.relation.originalPublicationAffiliation Dudding, T en_US
unsw.relation.originalPublicationAffiliation Phillips, K en_US
unsw.relation.originalPublicationAffiliation Friedlander, Michael, Prince of Wales Clinical School, Faculty of Medicine, UNSW en_US
unsw.relation.originalPublicationAffiliation Tucker, Katherine, Prince of Wales Clinical School, Faculty of Medicine, UNSW en_US
unsw.relation.school Clinical School Prince of Wales Hospital *
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