Preferences of Japanese rheumatoid arthritis patients in treatment decision-making |
| |
Authors: | Akiko Aoki Akiko Suda Shouhei Nagaoka Mitsuhiro Takeno Yoshiaki Ishigatsubo Tatsuto Ashizawa Sachiko Ohde Osamu Takahashi Sadayoshi Ohbu |
| |
Affiliation: | 1. Department of General Medicine, Tokyo Medical University Hachioji Medical Center, Tatemachi 1163, Hachioji, Tokyo, 193-0998, Japan 2. Department of Rheumatology, Yokohama Minami Kyosai Hospital, Yokohama, Japan 3. Department of Internal Medicine and Clinical Immunology, Yokohama City University Graduate School of Medicine, Yokohama, Japan 4. Center for Clinical Epidemiology, St. Luke’s Life Science Institute, Tokyo, Japan 5. Department of Sociology, Rikkyo University, Tokyo, Japan
|
| |
Abstract: | Objectives We investigated the decision-making preferences of rheumatoid arthritis (RA) patients using two different scales: the Decision Making Preference Scale (DMPS) and the modified Control Preference Scale (CPS). In addition, we evaluated the factors associated with patients’ preferences for decision-making. Methods A cross-sectional study was performed using a self-administered anonymous questionnaire between October and December 2010 on 406 RA outpatients who consecutively visited 3 hospitals in Japan. The following variables were investigated: (1) DMPS, which is a subscale of the Autonomy Preference Index, composed of six items; patients responded on a 5-point Likert scale. (2) The modified CPS, in which patients were asked to choose one actual and one desired role in decision-making from among three options (passive role, collaborative role, and active role). (3) Sociodemographic data and RA-specific characteristics. Multivariate analyses were used to assess the relationship between patients’ preferences and selected variables. Results The response rate was 58.6 %. There were few patients who wished to make their own decisions when they were hospitalized or illness became worse. However, the majority of patients desired to collaborate with the doctor in making treatment decisions according to the results of modified CPS. The results of modified CPS were significantly associated with the total scores of DMPS. Multivariate analysis demonstrated they younger age and not-housewife were associated with high scores of DMPS. Conclusions Patient preferences in decision-making vary at RA outpatient clinic. Physicians need to assess decision-making preferences on an individual basis. |
| |
Keywords: | Rheumatoid arthritis Patient questionnaire Decision-making |
本文献已被 SpringerLink 等数据库收录! |
|