Validation of the Decisional Conflict Scale for Evaluating Advance Care Decision Conflict in Community-dwelling Older Adults

Kim, JinShil; Kim, Shinmi; Hong, Sun; Kang, Sewon; An, Minjeong

doi:10.1016/j.anr.2017.11.004

Cited by 9 publications

(15 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In this study, we used a reliable, previously confirmed, and valid scale (i.e., DCS) for the primary outcome, and a nonequivalent control group that controlled for internal validity [21,26,27]. A feature of a nonequivalent control group design is that both naturally occurring groups will be similar.…”

Section: Plos Onementioning

confidence: 99%

Effect of a decision aid on the choice of pregnant women whether to have epidural anesthesia or not during labor

et al. 2020

View full text Add to dashboard Cite

Objective Decision aids (DAs) are useful in providing information for decision-making on using epidural anesthesia during birth. To date, there has been little development of DAs for Japanese pregnant women. Herein, we investigated the effect of a DA on the decision of pregnant women whether to have epidural anesthesia or not for labor during vaginal delivery. The primary outcome was changes in mean decision conflict score. Methods In this non-randomized controlled trial, 300 low-risk pregnant women in an urban hospital were recruited by purposive sampling and assigned to 2 groups: DA (intervention) and pamphlet (control) groups. Control enrollment was started first (until 150 women), followed by intervention enrollment (150 women). Pre-test and post-test scores were evaluated using the Decision Conflict Scale (DCS) for primary outcome, knowledge of epidural anesthesia and satisfaction with decision making for secondary outcomes, and decision of anesthesia usage (i.e., with epidural anesthesia, without epidural anesthesia, or undecided). Results Women in the DA group (n = 149: 1 excluded because she did not return post-test questionnaire) had significantly lower DCS score than those in the pamphlet group (n = 150) (DA: -8.41 [SD 8.79] vs. pamphlet: -1.69 [SD 5.91], p < .001). Knowledge of epidural anesthesia and satisfaction with decision-making scores of women who used the DA were significantly higher than those of women who used the pamphlet (p < .001). Women in the DA group showed a significantly lower undecided rate than those in the pamphlet group. The number of undecided women in the DA group significantly decreased from 30.2% to 6.1% (p < .001), whereas that in the pamphlet group remained largely unchanged from 40.7% to 38.9%. Conclusion This study indicates that a DA can be useful in helping women make a decision whether to have epidural anesthesia or not for labor during vaginal delivery.

show abstract

Section: Plos Onementioning

confidence: 99%

Effect of a decision aid on the choice of pregnant women whether to have epidural anesthesia or not during labor

et al. 2020

View full text Add to dashboard Cite

show abstract

“…The K-AD model was employed in both public and clinical settings using samples of community-dwelling older people (J. Kim, Kim, Hong, Kang, & An, 2017) and patients with largely solid cancers with their family as caregivers (S. Kim, Koh, Park, & Kim, 2017).…”

Section: Methodsmentioning

confidence: 99%

Relationship Between Preferences for Advance Directive Treatments and Decisional Conflicts Among Low-Income, Home-Based Cancer Management Recipients in Korea

et al. 2019

Self Cite

View full text Add to dashboard Cite

Introduction: Data-based research has rarely addressed advance directives (ADs) in community-dwelling Korean cancer survivors. The purpose of this study was to examine the relationship between AD treatment choices and decisional conflicts among low-income, home-based cancer management recipients. Method: This study uses a cross-sectional, correlational design. The cancer survivors completed the questionnaires (Korean-Advance Directive model and Decisional Conflict Scale). Results: Among the 103 participants (average age 67.92 years), 56.3% had solid cancer. Hospice care was the most desired (68.9%), followed by hemodialysis (18.4%), cardiopulmonary resuscitation/ventilation support (15.5% for each), and chemotherapy (12.6%). Patients who were older, unmarried, unemployed, or underweight/obese; lived alone; or had lower education experienced greater decisional conflicts. In the multivariate analyses, no hospice preference was associated with greater decisional conflicts ( t = −2.63, p = .01). Discussion: Early integration of AD discussion with the nurse-led, home-based service for this vulnerable population could serve as a liaison for quality and continuity of cancer survivorship care.

show abstract

“…All except one [17] of the studies (Table 2) assessed internal consistency and determined Cronbach's a or KudereRichardsone20 (KR-20) values. One study [12] provided only Cronbach's a for the total items, despite the instrument comprising three subscales.…”

Section: Internal Consistencymentioning

confidence: 99%

“…In the study involving the Korean version of the Decisional Conflict Scale (K-DCS) [17], Cronbach's a was assessed using the original 16-item DCS comprising five subscales, and three subscales satisfied internal consistency. EFA was performed using only the nine items that satisfied internal consistency of the three subscales, and the K-DCS was extracted comprising two subscales (and this was not followed by determining Cronbach's a for the newly extracted two subscales in a Korean population).…”

Section: Internal Consistencymentioning

confidence: 99%

“…3 weeks B D-FISQ [8] 2 weeks B B K-SE-EBP [9] S-CWIS [10] 2 weeks B B B K-MSQ-Insomnia [11] 1 week B B B HL-SF12 [12] B B K-PAFAS [13] 2 weeks B B B B T-SNSI [14] 2 weeks B K-ISE [15] 2-3 weeks B B P-PTGI [16] 4 weeks B K-DCS [17] 2 weeks B B CCSN-SF [18] B B BBNE [19] T-CASSS-HB [20] 6 weeks B DSRQ-I [ Author contributions E-H.L. conceived the study and wrote the manuscript.…”

mentioning

confidence: 99%

See 1 more Smart Citation

Evaluation of Studies on the Measurement Properties of Self-Reported Instruments

Lee

Kang

2020

Asian Nursing Research

View full text Add to dashboard Cite

Validation of the Decisional Conflict Scale for Evaluating Advance Care Decision Conflict in Community-dwelling Older Adults

Abstract: The K-DCS appears to be a valid measure to evaluate decisional conflict about advance directives in community-dwelling Korean older adults. Further validation of the K-DCS is warranted, though caution should be exercised in using subscales because of differences in decisional contexts.

Cited by 9 publications

References 26 publications

Effect of a decision aid on the choice of pregnant women whether to have epidural anesthesia or not during labor

Effect of a decision aid on the choice of pregnant women whether to have epidural anesthesia or not during labor

Relationship Between Preferences for Advance Directive Treatments and Decisional Conflicts Among Low-Income, Home-Based Cancer Management Recipients in Korea

Evaluation of Studies on the Measurement Properties of Self-Reported Instruments

Contact Info

Product

Resources

About