Exploratory and Confirmatory Factor Analysis of the Decision Regret Scale in Recipients of Internal Cardioverter Defibrillators

Abstract

The Decision Regret Scale (DRS) is a five-item instrument that captures an individual’s regret associated with a healthcare decision. Cross-sectional data were collected from 109 cardiac patients who decided to receive an internal cardioverter defibrillator (ICD). Exploratory and confirmatory factor analyses, assessments of the internal reliability consistency (α = .86), and discriminant validity established the DRS as a reliable and valid measure of decision regret in ICD recipients. The DRS, a psychometrically sound instrument, has relevance for clinicians and researchers vested in optimizing the decisional outcomes of ICD recipients. Future research is needed to examine the reliability and validity of the DRS in a larger and more diverse sample of ICD recipients.

Assessing decision regret in caregivers of deceased German people with cancer—A psychometric validation of the Decision Regret Scale for Caregivers

“…With respect to structural validity, the CFA confirmed a unidimensional structure of the DRS‐C similar to the DRS. Prior to our work, unidimensionality of the original DRS was also confirmed in internal cardioverter defibrillator recipients and people with cancer or patients with cancer receiving adjuvant chemotherapy . The internal consistency was very good and comparable to the one reported for the original DRS (0.81 to 0.84 for people with cancer or patients with cancer) and the one identified in the Japanese validation of the original DRS (0.85) .…”

Validity and Reliability of the Decision Regret Scale in Cancer Patients Receiving Adjuvant Chemotherapy

“…Our results indicate that the patients most likely to regret treatment are those with worse QoL, including physical status, presence of symptoms, and greater psychological distress. Other authors found that regret was greater in patients with heart disease with worse perceived physical health 30 , and regret was associated with depression, anxiety, and stress in women with breast cancer 31 . We did not find differences in regret by gender, age, educational level, or type of treatment.…”

Heart Failure Rehospitalization and Delayed Decision Making

“…A study survey was developed to collect socio-demographics and medical history. We used the Situation-Specific Theory of Heart Failure Self-Care 7 (Figure 1) to select relevant concepts pertaining to the person (HF knowledge - DHFKS, 13 health literacy - S-TOFHLA, 14 depressive symptoms - CESD-10, 15,16,17 and Decision Regret scale 21,22 ) and the environment (social support - MOS, 18 ). These concepts are hypothesized to influence HF self-care (SCHFI 19,20 ), decision delay, and hospitalizations.…”

“…All study measurements have previously established reliability and validity. 13–22 Medical variables such as New York Heart Association (NYHA) Class and Charleston Comorbidity Index were determined via self-report. Thirty day rehospitalization status was determined by participant self-report and medical chart review and decision delay was assessed via self-report.…”