The decisional conflict scale: moving from the individual to the dyad level

Légaré, France; LeBlanc, Annie; Robitaille, Hubert; Turcotte, Stéphane

doi:10.1016/j.zefq.2012.02.021

Cited by 48 publications

(35 citation statements)

References 27 publications

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“…Second order indicators result from relations between different foci like degree of congruence or differences between judgments. While the former are easier to generate and to interpret, the latter may come closer to the idea of ''sharing'' between participants [25]. Furthermore, second order indicators can hardly be biased by one party as a result of social desirability -among physicians pretending to act professionally as well as among patients being afraid of irritating someone they are dependent on.…”

Section: Discussionmentioning

confidence: 99%

Of blind men and elephants: suggesting SDM-MASS as a compound measure for shared decision making integrating patient, physician and observer views

Geiger¹,

Kasper

2012

Zeitschrift für Evidenz, Fortbildung und Qualität im Gesundheit

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Section: Discussionmentioning

confidence: 99%

Of blind men and elephants: suggesting SDM-MASS as a compound measure for shared decision making integrating patient, physician and observer views

Geiger¹,

Kasper

2012

Zeitschrift für Evidenz, Fortbildung und Qualität im Gesundheit

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“…Immediately after delivery of the assigned intervention, clinicians were administered a 7-item Decisional Conflict Scale assessing their impressions of the patient’s decision making 41,45 For encounters using the decision aid, as a measure of treatment fidelity the videos of these encounters were scored by two observers regarding seven desired clinician behaviors associated their use, and four desired behaviors by the room personnel distributing the decision aid cards.…”

Section: Methodsmentioning

confidence: 99%

Decision Aid for Cigarette Smokers Scheduled for Elective Surgery

et al. 2015

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Background Decision aids can increase patient involvement in decision-making about health care. The study goal was to develop and test a decision aid for use by clinicians in discussion options for changing smoking behavior before and after elective surgery. Methods In formative work, a decision aid was designed to facilitate patient-clinician discussion regarding three options: continue smoking, attempt a period of temporary abstinence, and attempt to quit smoking for good. A randomized, two-group pilot study was then conducted in smokers evaluated in preparation for elective surgery in a preoperative clinic to test the hypothesis that the decision aid would improve measures of decisional quality compared with usual care. Results The final decision aid consisted of three laminated cards. The front of each card included a colorful graphic describing each choice; the reverse including 2–3 pros and cons for each decision, a simple graphic illustrating the effects of smoking on the body, and a motivational phrase. In the randomized trial of 130 patients, the decision aid significantly (p<0.05) improved measures of decisional quality and patient involvement in decision making (Cohen’s d effect sizes of 0.76 and 1.20 for the Decisional Conflict and OPTION scales, respectively). However, the decision aid did not affect any aspect of perioperative smoking behavior, including the distribution of or adherence to choices. Conclusions Although use of a decision aid to facilitate clinician-patient discussions regarding tobacco use around the time of surgery substantially improved measures of decisional quality, it alone did not change perioperative tobacco use behavior.

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“…Psychometric properties include good internal consistency, test-retest reliability, and effect sizes for responsiveness to change ranging from 0.4 to 1.2. Clinicians will also complete a similar scale immediately after the clinical encounter [26]. …”

Section: Methodsmentioning

confidence: 99%

Translating comparative effectiveness of depression medications into practice by comparing the depression medication choice decision aid to usual care: study protocol for a randomized controlled trial

LeBlanc

Bodde

Branda

et al. 2013

Trials

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BackgroundComparative effectiveness research (CER) documents important differences in antidepressants in terms of efficacy, safety, cost, and burden to the patient. Decision aids can adapt this evidence to help patients participate in making informed choices. In turn, antidepressant therapy will more likely reflect patients’ values and context, leading to improved adherence and mood outcomes.Methods/DesignThe objective of this study is to develop the Depression Medication Choice decision aid for use during primary care encounters, and to test its efficacy by conducting a clustered practical randomized trial comparing the decision aid to usual depression care in primary care practices.We will use a novel practice-based, patient-centered approach based on participatory action research that involves a multidisciplinary team of designers, investigators, clinicians, patient representatives, and other stakeholders for the development of the decision aid. We will then conduct a clustered practical randomized trial enrolling clinicians and their patients (n = 300) with moderate to severe depression from rural, suburban and inner city primary care practices (n = 10). The intervention will consist of the use of the depression medication choice decision aid during the clinical encounter. This trial will generate preliminary evidence of the relative impact of the decision aid on patient involvement in decision making, decision making quality, patient knowledge, and 6-month measures of medication adherence and mental health compared to usual depression care.DiscussionUpon completion of the proposed research, we will have developed and evaluated the efficacy of the decision aid depression medication choice as a novel translational tool for CER in depression treatment, engaged patients with depression in their care, and refined the process by which we conduct practice-based trials with limited research footprint.Trial registrationClinical Trials.gov: NCT01502891

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The decisional conflict scale: moving from the individual to the dyad level

Cited by 48 publications

References 27 publications

Of blind men and elephants: suggesting SDM-MASS as a compound measure for shared decision making integrating patient, physician and observer views

Of blind men and elephants: suggesting SDM-MASS as a compound measure for shared decision making integrating patient, physician and observer views

Decision Aid for Cigarette Smokers Scheduled for Elective Surgery

Translating comparative effectiveness of depression medications into practice by comparing the depression medication choice decision aid to usual care: study protocol for a randomized controlled trial

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