TY - JOUR
T1 - Development and evaluation of an early menopause question prompt list
AU - Yeganeh, Ladan
AU - Khan, Nadia N.
AU - Boyle, Jacqueline A.
AU - Gibson-Helm, Melanie
AU - Teede, Helena
AU - Vincent, Amanda J.
PY - 2020/1
Y1 - 2020/1
N2 - OBJECTIVE: A question prompt list (QPL)-a structured list of questions-assists women in acquiring relevant information and facilitates communication with healthcare providers (HPs). This study aims to co-develop an early menopause (EM) QPL and assess its acceptability and feasibility. METHODS: This three-phase study consisted of a survey to inform QPL development, interviews to explore acceptability, and clinical pilot-testing to assess feasibility. Participants included: 263 survey respondents with EM, 18 women interviewed, and 11 women and 6 HPs in pilot-testing. Main outcome measures were: survey-perceptions regarding communication with HPs, likeliness to use a QPL and QPL topics; interviews-QPL user-friendliness and acceptability; pilot study-women's QPL use, perceived helpfulness and future use, and HPs' perceived acceptability. Data analysis included descriptive statistics, logistic regression, and thematic analysis. RESULTS: Women's perceived communication difficulties most commonly related to sexual function (50.6%), vaginal/urinary symptoms (43%), and psychological effects (41.1%). Most women (67.3%) indicated they were very likely to use an EM QPL. EM symptoms, effects, and management were considered very important/essential QPL topics (>80%). Interviewed women perceived the QPL as comprehensive, user-friendly, informative, and empowering. Most pilot study women asked 1 to 2 questions (73%), perceived the QPL as helpful (100%), and would use it again (81.8%). HPs reported that the QPL helped patients to ask questions and initiate discussion about important and sensitive issues. CONCLUSIONS: Women with EM have unmet information and communication needs, and are supportive of a comprehensive EM QPL. The EM QPL was perceived as an acceptable and feasible resource for women to use during medical consultations. : Video Summary:http://links.lww.com/MENO/A484.
AB - OBJECTIVE: A question prompt list (QPL)-a structured list of questions-assists women in acquiring relevant information and facilitates communication with healthcare providers (HPs). This study aims to co-develop an early menopause (EM) QPL and assess its acceptability and feasibility. METHODS: This three-phase study consisted of a survey to inform QPL development, interviews to explore acceptability, and clinical pilot-testing to assess feasibility. Participants included: 263 survey respondents with EM, 18 women interviewed, and 11 women and 6 HPs in pilot-testing. Main outcome measures were: survey-perceptions regarding communication with HPs, likeliness to use a QPL and QPL topics; interviews-QPL user-friendliness and acceptability; pilot study-women's QPL use, perceived helpfulness and future use, and HPs' perceived acceptability. Data analysis included descriptive statistics, logistic regression, and thematic analysis. RESULTS: Women's perceived communication difficulties most commonly related to sexual function (50.6%), vaginal/urinary symptoms (43%), and psychological effects (41.1%). Most women (67.3%) indicated they were very likely to use an EM QPL. EM symptoms, effects, and management were considered very important/essential QPL topics (>80%). Interviewed women perceived the QPL as comprehensive, user-friendly, informative, and empowering. Most pilot study women asked 1 to 2 questions (73%), perceived the QPL as helpful (100%), and would use it again (81.8%). HPs reported that the QPL helped patients to ask questions and initiate discussion about important and sensitive issues. CONCLUSIONS: Women with EM have unmet information and communication needs, and are supportive of a comprehensive EM QPL. The EM QPL was perceived as an acceptable and feasible resource for women to use during medical consultations. : Video Summary:http://links.lww.com/MENO/A484.
UR - http://www.scopus.com/inward/record.url?scp=85077298289&partnerID=8YFLogxK
U2 - 10.1097/GME.0000000000001429
DO - 10.1097/GME.0000000000001429
M3 - Article
C2 - 31663984
AN - SCOPUS:85077298289
VL - 27
SP - 102
EP - 109
JO - Menopause
JF - Menopause
SN - 1072-3714
IS - 1
ER -