A Menopause Interactive Decision Aid System
調査の概要
詳細な説明
Most women are not satisfied with the counseling they receive about menopause. To improve menopause counseling and help menopausal women more actively participate in the decision making process, we have developed a novel prototype web-based decision aid. Our immediate goal is to develop this prototype technology into a comprehensive Menopause Interactive Decision Aid System (MIDAS) that provides personalized feedback about menopausal symptoms, risks for common conditions, and the effects of different treatment options on the short- and long-term consequences of menopause.
Our main study hypotheses are that MIDAS can: 1) lead to better decisions and improve the quality of menopausal counseling; 2) improve compliance with a chosen menopausal plan; and 3) reduce medical errors associated with the use of menopausal therapies.
We propose a 2-phase study conducted over 3 years. Phase I will transform the prototype application into a comprehensive MIDAS, completing its content and risk assessment instruments, and exploring its optimal design. This will be accomplished through conduct of focus groups and usability tests. Phase II will formally evaluate the impact of MIDAS in a randomized, controlled, multi-center clinical trial involving diverse patient populations and clinician settings. We will measure the impact of MIDAS on the decision-making process as well as its effect on providers and outcome measures related to menopause, including compliance, quality of life, and medical errors related to menopausal therapy. Analyses will evaluate the extent to which the impact of MIDAS on these outcomes varies according to patient, practice, and physician characteristics.
研究の種類
入学
段階
- 適用できない
連絡先と場所
研究場所
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Massachusetts
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Boston、Massachusetts、アメリカ、02120
- Brigham and Women's Hospital
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Rhode Island
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Providence、Rhode Island、アメリカ、02903
- Rhode Island Hospital
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参加基準
適格基準
就学可能な年齢
健康ボランティアの受け入れ
受講資格のある性別
説明
Inclusion Criteria:
- English-speaking
- Between 45 and 65 years of age
- Patient at participating clinics
- Experience menopausal symptoms or being 6 months or more past last menstrual period
- Have an upcoming appointment for menopausal counseling or annual physical exam (only applicable for clinical trial participants)
Exclusion Criteria:
- Inability to give informed consent
- Dementia
- Age over 65 years
- Pre-existing terminal illness that limits life expectancy to less than 2 years
- History of breast cancer or cardiovascular disease
研究計画
研究はどのように設計されていますか?
デザインの詳細
- 主な目的:教育/カウンセリング/トレーニング
- 割り当て:ランダム化
- 介入モデル:並列代入
- マスキング:なし(オープンラベル)
この研究は何を測定していますか?
主要な結果の測定
結果測定 |
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うつ
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不安
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健康関連の生活の質
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意思決定の対立
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Knowledge of the benefits, risks and side effects of menopausal treatments
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Risk perception for breast cancer, CHD, and hip fracture
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Patient-physician communication
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Satisfaction with decision
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Quality of menopausal counseling
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Adherence to medication and lifestyle changes
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Menopause-specific quality of life
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協力者と研究者
スポンサー
捜査官
- 主任研究者:Nananda F Col, MD, MPH, MPP、Rhode Island Hospital
研究記録日
主要日程の研究
研究開始
試験登録日
最初に提出
QC基準を満たした最初の提出物
最初の投稿 (見積もり)
学習記録の更新
投稿された最後の更新 (見積もり)
QC基準を満たした最後の更新が送信されました
最終確認日
詳しくは
この情報は、Web サイト clinicaltrials.gov から変更なしで直接取得したものです。研究の詳細を変更、削除、または更新するリクエストがある場合は、register@clinicaltrials.gov。 までご連絡ください。 clinicaltrials.gov に変更が加えられるとすぐに、ウェブサイトでも自動的に更新されます。
Web-based decision aid systemの臨床試験
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University of VirginiaNational Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)完了