Table 1.

KAAS Items for Global Judgment Factors

	Patient			Family/Companion
Factor and Items	Factor Loading	Mean	SD	Factor Loading	Mean	SD
Alliance* (factor 1)		5.38	0.44		5.31	0.60
Hierarchical rapport: Extent to which MD was arrogant (1) v cordial (7) throughout the interaction	0.72	5.57	0.66	0.79	5.35	0.94
Connectedness: Extent to which the MD and patient (or F/C) were distant (1) v close (7) throughout the interaction	0.68	5.40	0.78	0.75	4.81	1.02
Trust: Observed level of trust with MD was low (1) v high (7)	0.61	5.40	0.81	0.74	5.15	0.73
Responsiveness: MD responsiveness to questions was low (1) v high (7)	0.72	5.77	0.73	0.80	5.65	0.80
Information giving: Amount of information presented by MD was unreasonable (1) v reasonable (7)	0.79	5.86	0.65	0.68	5.69	0.68
Organization: MD was disorganized (1) v organized (7)	0.67	5.54	0.82	0.65	5.31	0.93
Data orientation: MD did not present examples, facts, and statistics (1) v did present (7)	0.65	5.26	0.78	0.67	5.19	0.75
Hope: MD did not provide hope (1) v provided hope (7)†	0.54	4.20	0.96
Conversation control‡ (factor 2)		3.89	0.66		3.69	0.57
MD language level: MD explained diagnosis, treatment, and prognosis using technical language/jargon (1) v lay language (7)	0.63	3.46	0.95	0.57	3.38	0.70
Language similarity: MD and patient (or F/C) spoke at different language levels (1) v same level (7)	0.76	4.86	0.81	0.76	4.73	0.87
Conversation dominance: MD dominated conversation (1) v patient (or F/C) dominated the conversation (7)	0.55	3.34	1.16	0.54	2.96	1.11

NOTE. Factor loadings are from varimax rotations on available data (N = 226). Means and standard deviations are for patients reporting they were offered clinical trials (n = 35).

Abbreviations: KAAS, Karmanos Accrual Analysis System; SD, standard deviation; MD, oncologist; FM/C, family member/companion.

^*Accounted for 31% of variance in patient items; family/companions: 33%.

^†Item did not load on a factor for family/companions.

^‡Accounted for 12% of variance in patient items; family/companions: 13%.