Table 3.
Impact of the GD Choice on Treatment Choice, Decision-Making Process, and Knowledge
| Source of data | Outcomes | Control | GD Choice | Mean diff GD Choice – UC [CI] | p-Value |
|---|---|---|---|---|---|
| Chart review | Treatment decision | n = 36 | n = 31 | ||
| ATDs | 16 (44%) | 10 (32%) | 0.66 | ||
| RAI | 11 (31%) | 13 (42%) | |||
| Surgery | 6 (17%) | 4 (13%) | |||
| No decision | 0 (0%) | 1 (3%) | |||
| Other | 3 (8%) | 3 (10%) | |||
| Surveys | Level of uncertainty (DCS scale) | n = 31 | n = 23 | ||
| Mean [CI] | 30 [12–47] | 27 [7–47] | −2.8 [−27–22] | 0.2a | |
| Median (IQR) | 25 (8–50) | 25 (0–50) | |||
| Level of shared decision making (SDMQ-Patient) | n = 28 | n = 23 | |||
| Mean [CI] | 19 [17–21] | 20 [19–21] | 0.99 [−0.98–3.0] | 0.47 | |
| Median (IQR) | 19 (17–22) | 21 (18–22) | |||
| Level of shared decision making (SDMQ-Clinicians) | n = 32 | n = 30 | |||
| Mean [CI] | 19 [17–21] | 20 [18–23] | 1.4 [−1.5–4] | 0.18a | |
| Median (IQR) | 21 (16–22) | 20 (18–23) | |||
| Knowledge transfer | n = 31 | n = 23 | |||
| Overall median (IQR) | 4 (3–5) | 4 (3–5) | 0.33 | ||
| Question side effects, n (%) | 17 (55%) | 19 (83%) | 0.043 | ||
| Video recordings | Fidelity score | n = 26 | n = 28 | ||
| Mean (SD) | 22 (9) | 51 (28) | 29 (18,41) | 0.01 | |
| Median IQR | 23 (10–30) | 45 (30–80) | |||
| Patient engagement (OPTION score) | n = 26 | n = 28 | |||
| Mean (SD) | 30 (8) | 35 (9) | 5 (0.2–10) | 0.02 | |
| Median (IQR) | 30 (26–36) | 34 (31–41) |
Results shown as proportions with Fisher's exact test statistics for categorical and mean [CI], median (IQR) with Wilcoxon's rank-sum for continuous outcomes.
a
Clustering of clinician accounted for in estimates and p-value; p-value (ICC) listed.