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Validation of a Decision Regret Scale

Ottawa Health Research Institute, Ottawa Hospital, Civic Campus, Ottawa, ON, Canada, jbrehaut{at}ohri.ca

Annette M. O'Connor, RN, PhD

Ottawa Health Research Institute, Ottawa Hospital, Civic Campus, Ottawa, ON, Canada, University of Ottawa, Ottawa, ON, Canada

Timothy J. Wood, PhD

Medical Council of Canada, Ottawa, ON, Canada

Thomas F. Hack, PhD

University of Manitoba, Winnipeg, MB, Canada

Laura Siminoff, PhD

Case Western Reserve University, Cleveland, OH

Elisa Gordon, PhD

Loyola University of Chicago, Maywood, IL

Deb Feldman-Stewart, PhD

Loyola University of Chicago, Maywood, IL and Queens University, Kingston, ON, Canada

Background. As patients become more involved in health care decisions, there may be greater opportunity for decision regret. The authors could not find a validated, reliable tool for measuring regret after health care decisions. Methods. A5- item scale was administered to 4 patient groups making different health care decisions. Convergent validity was deter- mined by examining the scale's correlation with satisfaction measures, decisional conflict, and health outcome measures. Results. The scale showed good internal consistency (Cronbach's = 0.81 to 0.92). It correlated strongly with decision satisfaction (r = -0.40 to -0.60), decisional conflict (r = 0.31 to 0.52), and overall rated quality of life (r = -0.25 to - 0.27). Groups differing on feelings about a decision also differed on rated regret: F(2, 190) = 31.1, P < 0.001. Regret was greater among those who changed their decisions than those who did not, t(175) = 16.11, P < 0.001. Conclusions. The scale is a useful indicator of health care decision regret at a given point in time.

Key Words: regret • patient decisions • validation • decision making • scale

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