Most women are not satisfied with the counseling they receive about menopause. To improve menopausal counseling and help menopausal women more actively participate in the decision-making process, the applicant has developed a novel prototype web-based decision aid. The immediate goal of this project 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. The main hypotheses of this study 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.
The specific aims are to: 1) develop and optimize the utilization of MIDAS; 2) evaluate the impact of MIDAS on the decision-making process, including decisional conflict, knowledge, risk perception, anxiety, patient-physician communication, satisfaction with decision-making, the quality of menopause counseling, and medical errors related to menopausal therapy; and 3) evaluate the long-term impact of MIDAS on outcomes related to menopause. These endpoints include compliance with a chosen menopausal plan, quality of life, and providers' ability to manage menopausal patients. The applicant proposes a two-phase study conducted over three 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. The impact of MIDAS on the decision-making process will be measured, 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.

Agency
National Institute of Health (NIH)
Institute
Agency for Healthcare Research and Quality (AHRQ)
Type
Research Project (R01)
Project #
5R01HS013329-02
Application #
6669137
Study Section
Health Care Technology and Decision Science (HTDS)
Program Officer
Correa-DE-Araujo, Rosaly
Project Start
2002-09-30
Project End
2004-08-01
Budget Start
2003-09-30
Budget End
2004-08-01
Support Year
2
Fiscal Year
2003
Total Cost
Indirect Cost
Name
Brigham and Women's Hospital
Department
Type
DUNS #
030811269
City
Boston
State
MA
Country
United States
Zip Code
02115
Col, Nananda F; Guthrie, Janet R; Politi, Mary et al. (2009) Duration of vasomotor symptoms in middle-aged women: a longitudinal study. Menopause 16:453-7
Politi, Mary C; Schleinitz, Mark D; Col, Nananda F (2008) Revisiting the duration of vasomotor symptoms of menopause: a meta-analysis. J Gen Intern Med 23:1507-13