Treatment decision-making and information-seeking preferences in women with pelvic floor disorders

Int Urogynecol J. 2010 Sep;21(9):1071-8. doi: 10.1007/s00192-010-1155-8. Epub 2010 Apr 28.

Abstract

Introduction and hypothesis: The Autonomy Preference Index (API) and Control Preferences Scale (CPS) measure information-seeking and decision-making preferences. Our objective was to validate these scales in women with pelvic floor disorders (PFDs) and identify variables associated with decision-making preferences.

Methods: Women seeking care for PFDs completed the API and the CPS. Psychometric properties were determined. Multivariable analyses were used to identify correlates of information-seeking and decision-making preferences.

Results: One hundred ten women were recruited. Both scales demonstrated good psychometric properties (intraclass correlation coefficient = 0.5 to 0.7; Cronbach's alpha = 0.8 for the API, and r = -0.3 between the API and CPS). Based on scores, women had strong preferences to be well informed, but were more neutral in their decision-making preferences. In multivariable analyses, higher education levels were associated with a stronger desire for seeking medical information.

Conclusions: Women seeking care for PFDs vary in their preferences for participating in treatment decisions.

Publication types

  • Comparative Study
  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Decision Making*
  • Female
  • Gynecologic Surgical Procedures / psychology*
  • Humans
  • Information Seeking Behavior*
  • Middle Aged
  • Patient Preference / psychology*
  • Patient Satisfaction
  • Pelvic Floor / surgery*
  • Reproducibility of Results
  • Surveys and Questionnaires
  • Urinary Incontinence / surgery*
  • Uterine Prolapse / surgery*