Evid Based Nurs 2:30 doi:10.1136/ebn.2.1.30
  • Qualitative

Perceptions, relationships, societal contexts, and previous decisions influenced women's decisions about hormone replacement therapy

 Question How do menopausal women make decisions about whether to start, stop, or continue hormone replacement therapy (HRT)?


Focus groups.


Toronto, Ontario, Canada.


56 postmenopausal women (44–73 y) who responded to a poster or newspaper advertisement. Most were white, worked full time or part time (57%), and had university or postgraduate degrees (50%). Women with medical conditions that contraindicated HRT (eg, breast cancer) were excluded.


Women were assigned to 1 of 8 focus groups based on HRT status (2 groups of women who had never used HRT, 2 groups who had started and stopped HRT, 1 group who had been using HRT for ≥1 y, and 3 mixed groups). A family physician and a psychologist facilitated the groups. Each 2 hour session was observed by ≥1 of the authors, audiotaped, and transcribed verbatim. Analysis was concurrent with data collection.

Main findings

Women's decisions about HRT were …

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