Table 3.
Effects of Patient Spiritual Well-Being and Comorbidity on Dyad Congruence, Patient Decisional Conflict, Surrogate Decision-Making Confidence, and Composite Outcomea
| Dyad congruenceb | Patient DCS | Surrogate DMC | Composite outcomeb | |||||
|---|---|---|---|---|---|---|---|---|
| OR (95% CI) | Regression coefficient (95% CI) | Regression coefficient (95% CI) | OR (95% CI) | |||||
| Whites | African Americans | Whites | African Americans | Whites | African Americans | Whites | African Americans | |
| FACIT-meaning | 1.02 (0.92–1.13) | 0.91* (0.82–1.00) | 0.004 (−0.02–0.03) | 0.01 (−0.01–0.03) | - | - | 1.02 (0.92–1.13) | 0.88* (0.80–0.97) |
| FACIT-peace | 1.05 (0.95–1.15) | 0.95 (0.87–1.03) | −0.02 (−0.03–0.002) | 0.003 (−0.01–0.02) | - | - | 1.04 (0.95–1.14) | 0.92 (0.85–1.01) |
| FACIT-faith | 0.99 (0.88–1.12) | 0.93 (0.84–1.04) | −0.01 (−0.03–0.01) | −0.01 (−0.03–0.01) | - | - | 1.04 (0.95–1.14) | 0.93 (0.84–1.04) |
| CCI | 0.95 (0.78–1.16) | 1.21* (1.04–1.42) | −0.01 (−0.05–0.02) | 0.001 (−0.03–0.04) | −0.01 (−0.04–0.02) | 0.04* (0.01–0.08) | 0.97 (0.79–1.18) | 1.27** (1.08–1.48) |
*
p < 0.05; **p < 0.01.
a
Each generalized estimating equation (GEE) model included intervention, time, the interaction between intervention and time, the baseline, and the covariate.
b
Reference for dyad congruence = dyads not congruent in both scenarios; reference for composite outcome = dyads not congruent and/or surrogate DMC score <3.
CCI, Charlson Comorbidity Index; CI, confidence interval; DCS, Decisional Conflict Scale; DMC, Decision-Making Confidence; FACIT, Functional Assessment of Chronic Illness Therapy (completed by patients only); OR, odds ratio.