PMID- 31142205
OWN - NLM
STAT- MEDLINE
DCOM- 20200511
LR  - 20200511
IS  - 1552-681X (Electronic)
IS  - 0272-989X (Linking)
VI  - 39
IP  - 4
DP  - 2019 May
TI  - Decisional Conflict Scale Findings among Patients and Surrogates Making Health 
      Decisions: Part II of an Anniversary Review.
PG  - 315-326
LID - 10.1177/0272989X19851346 [doi]
AB  - Background. We explored decisional conflict as measured with the 16-item 
      Decisional Conflict Scale (DCS) and how it varies across clinical situations, 
      decision types, and exposure to decision support interventions (DESIs). Methods. 
      An exhaustive scoping review was conducted using backward citation searches and 
      keyword searches. Eligible studies were published between 1995 and March 2015, 
      used an original experimental/observational research design, concerned a 
      health-related decision, and provided DCS data. Dyads independently screened 
      titles/abstracts and full texts, and extracted data. We performed narrative 
      syntheses and calculated average or median DCS scores. Results. We included 246 
      articles reporting on 253 studies. DCS scores ranged from 2.4 to 89.6 out of 100. 
      Highest baseline DCS scores were for care planning (30.5 +/- 12.8, median = 30.9) 
      and treatment decisions (30.5 +/- 14.6, median = 28.0), in contexts of primary care 
      (33.8 +/- 19.8), obstetrics/gynecology (28.8 +/- 10.4), and geriatrics (32.6 +/- 10.7). 
      Baseline scores were high among decision makers who were ill (29.5 +/- 13.8, median 
      = 27.2) or making decisions for themselves (29.7 +/- 14.8, median = 26.9). Total 
      DCS scores <25 out of 100 were associated with implementing decisions. Without 
      DESIs, DCS scores tended to increase shortly after decision making (>37.4). After 
      DESI use, DCS scores decreased short-term but increased or remained the same 
      long-term (>6 months). Conclusions. DCS scores were highest at baseline and 
      decreased after decision making. DESIs decreased decisional conflict immediately 
      after decision making. The largest improvements after DESIs were in decision 
      makers who were ill, male, or made decisions for themselves. Meta-analyses 
      focusing on decision types, contexts, and interventions could inform hypotheses 
      about the expected effects of DESIs, the best timing for measurement, and 
      interpretation of DCS scores.
FAU - Garvelink, Mirjam M
AU  - Garvelink MM
AUID- ORCID: 0000-0001-5616-0597
AD  - Centre de recherche sur les soins et les services de premiere ligne de 
      l'Universite Laval (CERSSPL-UL), Centre integre universitaire de sante et 
      services sociaux (CIUSSS) de la Capitale-Nationale, Quebec, QC, Canada.
FAU - Boland, Laura
AU  - Boland L
AD  - Faculty of Health Science, University of Ottawa, Ottawa, ON, Canada.
FAU - Klein, Krystal
AU  - Klein K
AD  - Cambia Health Solutions, Portland, OR, USA.
FAU - Nguyen, Don Vu
AU  - Nguyen DV
AD  - Centre de recherche sur les soins et les services de premiere ligne de 
      l'Universite Laval (CERSSPL-UL), Centre integre universitaire de sante et 
      services sociaux (CIUSSS) de la Capitale-Nationale, Quebec, QC, Canada.
FAU - Menear, Matthew
AU  - Menear M
AD  - Centre de recherche sur les soins et les services de premiere ligne de 
      l'Universite Laval (CERSSPL-UL), Centre integre universitaire de sante et 
      services sociaux (CIUSSS) de la Capitale-Nationale, Quebec, QC, Canada.
AD  - Department of Family Medicine and Emergency Medicine, Universite Laval, Quebec, 
      QC, Canada.
FAU - Bekker, Hilary L
AU  - Bekker HL
AD  - Leeds Institute of Health Sciences, School of Medicine, University of Leeds, 
      Leeds, UK.
FAU - Eden, Karen B
AU  - Eden KB
AD  - Pacific Northwest Evidence-Based Practice Center, Oregon Health & Science 
      University (OHSU) Department of Medical Informatics & Clinical Epidemiology, 
      Portland, OR, USA.
FAU - LeBlanc, Annie
AU  - LeBlanc A
AD  - Department of Family Medicine and Emergency Medicine, Universite Laval, Quebec, 
      QC, Canada.
FAU - O'Connor, Annette M
AU  - O'Connor AM
AD  - Faculty of Health Science, University of Ottawa, Ottawa, ON, Canada.
FAU - Stacey, Dawn
AU  - Stacey D
AUID- ORCID: 0000-0002-2681-741X
AD  - Faculty of Health Science, University of Ottawa, Ottawa, ON, Canada.
AD  - Ottawa Hospital Research Institute, Ottawa, ON, Canada.
FAU - Legare, France
AU  - Legare F
AD  - Centre de recherche sur les soins et les services de premiere ligne de 
      l'Universite Laval (CERSSPL-UL), Centre integre universitaire de sante et 
      services sociaux (CIUSSS) de la Capitale-Nationale, Quebec, QC, Canada.
AD  - Department of Family Medicine and Emergency Medicine, Universite Laval, Quebec, 
      QC, Canada.
LA  - eng
GR  - CIHR/Canada
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PT  - Review
DEP - 20190529
PL  - United States
TA  - Med Decis Making
JT  - Medical decision making : an international journal of the Society for Medical 
      Decision Making
JID - 8109073
SB  - IM
EIN - Med Decis Making. 2019 May;39(4):315. PMID: 31612775
MH  - Caregivers/*psychology
MH  - *Conflict, Psychological
MH  - *Decision Making
MH  - Humans
MH  - Weights and Measures/*instrumentation
OTO - NOTNLM
OT  - Decisional Conflict Scale
OT  - Shared Decision Making
OT  - decisional conflict
OT  - measurement
OT  - scoping review
EDAT- 2019/05/31 06:00
MHDA- 2020/05/12 06:00
CRDT- 2019/05/31 06:00
PHST- 2019/05/31 06:00 [pubmed]
PHST- 2020/05/12 06:00 [medline]
PHST- 2019/05/31 06:00 [entrez]
AID - 10.1177/0272989X19851346 [doi]
PST - ppublish
SO  - Med Decis Making. 2019 May;39(4):315-326. doi: 10.1177/0272989X19851346. Epub 
      2019 May 29.