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Table 5 Decisional Conflict Scale

From: The impact of personalized clinical decision support on primary care patients’ views of cancer prevention and screening: a cross-sectional survey

   

Intervention Arms

 

Survey Items

All Arms

UC

CDS

CDS + SDMT

p

Considering the cancer prevention and screening option(s) (breast cancer, colorectal cancer, lung cancer, cervical cancer, HPV vaccine, quitting tobacco, weight management) you discussed in your last primary care visit at Essentia, please answer the following questions:

a. Do you know which cancer prevention and screening options are available to you?

 

(N = 282)

(N = 92)

(N = 100)

(N = 90)

0.84

Yes

189 (67)

60 (65)

74 (74)

55 (61)

Unsure

49 (17)

16 (17)

14 (14)

19 (21)

No

44 (16)

16 (17)

12 (12)

16 (18)

b. Do you know the benefits of each option?

 

(N = 281)

(N = 91)

(N = 99)

(N = 91)

0.75

Yes

179 (64)

57 (63)

65 (66)

57 (63)

Unsure

50 (18)

15 (17)

17 (17)

18 (20)

No

52 (19)

19 (21)

17 (17)

16 (18)

c. Do you know the risks and side effects of each option?

 

(N = 270)

(N = 88)

(N = 93)

(N = 89)

0.88

Yes

141 (52)

44 (50)

52 (56)

45 (51)

Unsure

74 (27)

25 (29)

23 (25)

26 (29)

No

55 (20)

19 (22)

18 (19)

18 (20)

d. Are you clear about which benefits matter most to you?

 

(N = 280)

(N = 90)

(N = 99)

(N = 91)

0.92

Yes

173 (62)

57 (63)

63 (64)

53 (28)

Unsure

63 (23)

19 (21)

23 (23)

21 (23)

No

44 (16)

14 (16)

13 (13)

17 (19)

e. Are you clear about which risks and side effects matter most to you?

 

(N = 277)

(N = 90)

(N = 98)

(N = 89)

0.69

Yes

164 (59)

50 (56)

65 (66)

49 (55)

Unsure

68 (25)

24 (27)

21 (21)

23 (26)

No

45 (16)

16 (18)

12 (12)

17 (19)

f. Do you have enough support from others to make a choice?

 

(N = 282)

(N = 91)

(N = 99)

(N = 92)

0.47

Yes

228 (81)

70 (77)

82 (83)

76 (83)

Unsure

29 (10)

12 (13)

9 (9)

8 (9)

No

25 (9)

9 (10)

8 (8)

8 (9)

g. Are you choosing without pressure from others?

 

(N = 282)

(N = 91)

(N = 99)

(N = 92)

0.59

Yes

233 (83)

72 (78)

81 (82)

80 (86)

Unsure

23 (8)

9 (10)

8 (8)

6 (7)

No

26 (9)

10 (11)

10 (10)

6 (7)

h. Do you have enough advice to make a choice?

 

(N = 273)

(N = 89)

(N = 98)

(N = 86)

0.37

Yes

195 (71)

60 (67)

72 (74)

63 (73)

Unsure

43 (16)

14 (16)

15 (16)

14 (16)

No

35 (13)

15 (17)

11 (11)

9 (11)

i. Are you clear about the best choice for you?

 

(N = 275)

(N = 89)

(N = 98)

(N = 88)

0.17

Yes

178 (65)

55 (62)

68 (69)

55 (63)

Unsure

57 (21)

16 (18)

19 (19)

22 (25)

No

40 (14)

18 (20)

11 (11)

11 (13)

j. Do you feel sure about what to choose?

 

(N = 276)

(N = 89)

(N = 99)

(N = 88)

0.83

Yes

177 (64)

55 (62)

70 (71)

52 (59)

Unsure

60 (22)

20 (23)

18 (19)

22 (25)

No

39 (14)

14 (16)

11 (11)

14 (16)

Total Score

(N = 258)

(N = 83)

(N = 90)

(N = 85)

 

Mean

(95% CI)

21.9

(18.3, 25.5)

23.1

(16.4, 29.8)

20.2

(14.4, 26.0)

22.5

(16.0, 29.0)

  1. Notes. Low Literacy Decisional Conflict Scale, O’Connor AM© 1993 [updated 2010]. Data are n (%) unless otherwise noted. Count data are shown. Percentages are rounded to the nearest percentage point. Percentages may not add up to 100% due to rounding. Boldface indicates statistical significance (p < 0.05) using chi-square test of association (df = 2). Mean total DCS scores compared using t-test/ANOVA. Comparisons are UC to CDS and CDS + SDMT intervention arms combined. CDS Clinical decision support, SDMT Shared decision making tools, UC Usual care