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Validation of a Decisional Conflict Scale
Annette M. O'Connor, RN, PhD
The study objective was to evaluate the psychometric properties of a decisional conflict scale (DCS) that elicits: 1) health-care consumers' uncertainty in making a health-related decision; 2) the factors contributing to the uncertainty; and 3) health-care consumers' perceived ef fective decision making. The DCS was developed in response to the lack of instruments available to evaluate health-care-consumer decision aids and to tailor decision-supporting interventions to particular consumer needs. The scale was evaluated with 909 individuals deciding about influenza immunization or breast cancer screening. A subsample of respon dents was retested two weeks later. The test-retest reliability coefficient was 0.81. Internal consistency coefficients ranged from 0.78 to 0.92. The DCS discriminated significantly (p < 0.0002) between those who had strong intentions either to accept or to decline invitations to receive influenza vaccine or breast cancer screening and those whose intentions were uncertain. The scale also discriminated significantly (p < 0.0002) between those who ac cepted or rejected immunization and those who delayed their decisions to be immunized. There was a weak inverse correlation (r = - 0.16, p < 0.05) between the DCS and knowledge test scores. The psychometric properties of the scale are acceptable. It is feasible and easy to administer. Evaluations of responsiveness to change and validation with more difficult decisions are warranted. Key words: measurement; decision making; immunization; breast cancer screening. (Med Decis Making 1995;15:25-30)
Medical Decision Making, Vol. 15, No. 1,
25-30 (1995)
DOI: 10.1177/0272989X9501500105
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|
|
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|
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|
|
|
|
|
|
|
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[PDF]
|
|
|
|
|
|
|
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|
|
|
|
|
|
|
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[Full Text]
[PDF]
|
|
|
|
|
|
|
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|
|
|
|
|
|
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|
|
|
|
|
|
|
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[Full Text]
[PDF]
|
|
|
|
|
|
|
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[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
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[Full Text]
[PDF]
|
|
|
|
|
|
|
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|
|
|
|
|
|
|
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|
|
|
|
|
|
|
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|
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|
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|
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|
|
|
|
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|
|
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|
|
|
|
|
|
|
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|
|
|
|
|
|
|
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[PDF]
|
|
|
|
|
|
|
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[Full Text]
[PDF]
|
|
|
|
|
|
|
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24(4):
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[PDF]
|
|
|
|
|
|
|
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292(4):
435 - 441.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
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292(4):
442 - 452.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
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113(4):
727 - 732.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
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2804 - 2809.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
A. Edwards, S. Unigwe, G. Elwyn, and K. Hood
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327(7417):
703 - 709.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
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23(4):
281 - 292.
[Abstract]
[PDF]
|
|
|
|
|
|
|
N. J. Meropol, K. P. Weinfurt, C. B. Burnett, A. Balshem, A. B. Benson III, L. Castel, S. Corbett, M. Diefenbach, D. Gaskin, Y. Li, et al.
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21(13):
2589 - 2596.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
T. Whelan, C. Sawka, M. Levine, A. Gafni, L. Reyno, A. Willan, J. Julian, S. Dent, H. Abu-Zahra, E. Chouinard, et al.
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J Natl Cancer Inst,
April 16, 2003;
95(8):
581 - 587.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
J. G. Dolan and S. Frisina
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Med Decis Making,
April 1, 2002;
22(2):
125 - 139.
[Abstract]
[PDF]
|
|
|
|
|
|
|
R. Thomson, A. Robinson, J. Greenaway, and P. Lowe
Development and description of a decision analysis based decision support tool for stroke prevention in atrial fibrillation
Qual. Saf. Health Care,
March 1, 2002;
11(1):
25 - 31.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
M. Gattellari, K. J. Voigt, P. N. Butow, and M. H.N. Tattersall
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J. Clin. Oncol.,
January 15, 2002;
20(2):
503 - 513.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
M. J. Barry
Health Decision Aids To Facilitate Shared Decision Making in Office Practice
Ann Intern Med,
January 15, 2002;
136(2):
127 - 135.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
E. Murray, H. Davis, S. S. Tai, A. Coulter, A. Gray, and A. Haines
Randomised controlled trial of an interactive multimedia decision aid on hormone replacement therapy in primary care
BMJ,
September 1, 2001;
323(7311):
490 - 490.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
E. Murray, H. Davis, S. S. Tai, A. Coulter, A. Gray, and A. Haines
Randomised controlled trial of an interactive multimedia decision aid on benign prostatic hypertrophy in primary care
BMJ,
September 1, 2001;
323(7311):
493 - 493.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
A Edwards and G Elwyn
Understanding risk and lessons for clinical risk communication about treatment preferences
Qual. Saf. Health Care,
September 1, 2001;
10(90001):
i9 - 13.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
F. C. Grant, A. Laupacis, A. M. O'Connor, F. Rubens, and J. Robblee
Evaluation of a decision aid for patients considering autologous blood donation before open-heart surgery
Can. Med. Assoc. J.,
April 1, 2001;
164(8):
1139 - 1144.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
S. Molenaar, M. A. Sprangers, E. J. Th. Rutgers, E. J. Luiten, J. Mulder, P. M. Bossuyt, J. J. van Everdingen, P. Oosterveld, and H. C. de Haes
Decision Support for Patients With Early-Stage Breast Cancer: Effects of an Interactive Breast Cancer CDROM on Treatment Decision, Satisfaction, and Quality of Life
J. Clin. Oncol.,
March 15, 2001;
19(6):
1676 - 1687.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
M. D. Brundage, D. Feldman-Stewart, R. Cosby, R. Gregg, P. Dixon, Y. Youssef, D. Davies, and W. J. Mackillop
Phase I Study of a Decision Aid for Patients With Locally Advanced Non-Small-Cell Lung Cancer
J. Clin. Oncol.,
March 1, 2001;
19(5):
1326 - 1335.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
V. Goel, C. A. Sawka, E. C. Thiel, E. H. Gort, and A. M. O'Connor
Randomized Trial of a Patient Decision Aid for Choice of Surgical Treatment for Breast Cancer
Med Decis Making,
February 1, 2001;
21(1):
1 - 6.
[Abstract]
[PDF]
|
|
|
|
|
|
|
J. A. Clark, N. P. Wray, and C. M. Ashton
Living With Treatment Decisions: Regrets and Quality of Life Among Men Treated for Metastatic Prostate Cancer
J. Clin. Oncol.,
January 1, 2001;
19(1):
72 - 80.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
A Robinson and R G Thomson
The potential use of decision analysis to support shared decision making in the face of uncertainty: the example of atrial fibrillation and warfarin anticoagulation
Qual. Saf. Health Care,
December 1, 2000;
9(4):
238 - 244.
[Abstract]
[Full Text]
|
|
|
|
|
|
|
M. Man-Son-Hing, A. Laupacis, A. M. O'Connor, D. Coyle, R. Berquist, and F. McAlister
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Med Decis Making,
October 1, 2000;
20(4):
394 - 402.
[Abstract]
[PDF]
|
|
|
|
|
|
|
K. R. Sepucha, J. K. Belkora, D. Tripathy, and L. J. Esserman
Building Bridges Between Physicians and Patients: Results of a Pilot Study Examining New Tools for Collaborative Decision Making in Breast Cancer
J. Clin. Oncol.,
March 13, 2000;
18(6):
1230 - 1238.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
S. Molenaar, M. A.G. Sprangers, F. C.E. Postma-Schuit, E. J. Th. Rutgers, J. Noorlander, J. Hendriks, and H. C.J.M. De Haes
Interpretive Review : Feasibility and Effects of Decision Aids
Med Decis Making,
January 1, 2000;
20(1):
112 - 127.
[Abstract]
[PDF]
|
|
|
|
|
|
|
A. Edwards and G. Elwyn
How Should Effectiveness of Risk Communication to Aid Patients' Decisions Be Judged?: A Review of the Literature
Med Decis Making,
October 1, 1999;
19(4):
428 - 434.
[Abstract]
[PDF]
|
|
|
|
|
|
|
R. E. Dales, A. O'Connor, P. Hebert, K. Sullivan, D. McKim, and H. Llewellyn-Thomas
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Chest,
September 1, 1999;
116(3):
792 - 800.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
M. Man-Son-Hing, A. Laupacis, A. M. O'Connor, J. Biggs, E. Drake, E. Yetisir, R. G. Hart, and for the Stroke Prevention in Atrial Fibrillation I
A Patient Decision Aid Regarding Antithrombotic Therapy for Stroke Prevention in Atrial Fibrillation: A Randomized Controlled Trial
JAMA,
August 25, 1999;
282(8):
737 - 743.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
A. Edwards and G. Elwyn
The Potential Benefits of Decision Aids in Clinical Medicine
JAMA,
August 25, 1999;
282(8):
779 - 780.
[Full Text]
[PDF]
|
|
|
|
|
|
|
J. G. Dolan
A Method for Evaluating Health Care Providers' Decision Making: The Provider Decision Process Assessment Instrument
Med Decis Making,
January 1, 1999;
19(1):
38 - 41.
[Abstract]
[PDF]
|
|
|
|
|
|
|
A. M. O'Connor, V. Fiset, C. DeGrasse, I. D. Graham, W. Evans, D. Stacey, A. Laupacis, and P. Tugwell
Decision Aids for Patients Considering Options Affecting Cancer Outcomes: Evidence of Efficacy and Policy Implications
J Natl Cancer Inst Monographs,
January 1, 1999;
1999(25):
67 - 80.
[Abstract]
[Full Text]
|
|
|
|
|
|
|
A. M. O'Connor, P. Tugwell, G. A. Wells, T. Elmslie, E. Jolly, G. Hollingworth, R. Mcpherson, E. Drake, W. Hopman, and T. Mackenzie
Randomized Trial of a Portable, Self-administered Decision Aid for Postmenopausal Women Considering Long-term Preventive Hormone Therapy
Med Decis Making,
August 1, 1998;
18(3):
295 - 303.
[Abstract]
[PDF]
|
|
|
|
|
|
|
H. A. Llewellyn-Thomas, J. I. Williams, L. Levy, and C.D. Naylor
Using a Trade-off Technique to Assess Patients' Treatment Preferences for Benign Prostatic Hyperplasia
Med Decis Making,
August 1, 1996;
16(3):
262 - 272.
[Abstract]
[PDF]
|
|
|
|
|
|
|
P. A. Ubel
Informed Consent: From Bodily Invasion to the Seemingly Mundane
Arch Intern Med,
June 24, 1996;
156(12):
1262 - 1263.
[Abstract]
[PDF]
|
|
|
|
|
|
|
H. A. Llewellyn-Thomas
Patients' Health-care Decision Making: A Framework for Descriptive and Experimental Investigations
Med Decis Making,
June 1, 1995;
15(2):
101 - 106.
[PDF]
|
|
|
|
|
