Preference Elicitation Tool for Abnormal Uterine Bleeding Treatment: A Randomized Controlled Trial

Abstract

Background: It is estimated that one-third of women will experience abnormal menstrual

Interventions to improve access to care for abnormal uterine bleeding: A systematic scoping review

“…There were 10 experimental studies, including three quasi‐experimental studies 12,25,32 and seven randomized controlled studies 20,21,24,27–29,31 . There were five prospective studies 15–17,19,26 and six retrospective studies 13,14,18,20,22,23 .…”

“…Organizational interventions included one study creating a multidisciplinary team, 12 six bringing services together, 13–18 one developing a care pathway, 19 and five creating an outpatient setting for procedures 20–24 . Population‐based interventions comprised six studies targeting patient education and engagement using decision aids for shared decision making in physician consultations 25–29,31 . A single study piloted an educational intervention to improve awareness among school children regarding AUB and bleeding disorders 32 …”

“…Following title screening, we included 314 records, which was reduced to 91 after abstract screening. After full‐text screening, 21 papers 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 were included. Two papers 29 , 30 were from one study, so the total number of included studies was 20.…”

“…Ten studies 13 , 14 , 15 , 16 , 18 , 19 , 21 , 24 , 28 , 31 were conducted in the UK, five in the USA, 12 , 22 , 25 , 26 , 27 two each in Finland 23 , 29 and Canada, 20 , 32 and one in Denmark. 17 Seven studies 12 , 16 , 17 , 20 , 21 , 22 , 27 included women with AUB, nine 19 , 23 , 24 , 25 , 26 , 28 , 29 , 31 , 32 specifically included women with HMB, and four 13 , 14 , 15 , 18 included women with postmenopausal bleeding (PMB).…”

Brief Education and a Conjoint Valuation Survey May Reduce Decisional Conflict Regarding Lung Cancer Screening

“…12 In a preliminary manner, this study supports the value of the brief educational narrative and the conjoint valuation survey in reducing decisional conflict and supporting engagement with the LCS decision. The use of conjoint methods has been previously used in similar settings 37,54 to facilitate preference elicitation and consideration of cancer screening although results have not consistently demonstrated their utility. 36 In this vein, the conjoint exercise can serve multiple roles: 1) provide information, 2) support deliberation and reflection, and 3) provide preference feedback, if there is a mechanism to return the results directly, which may have the most powerful impact.…”