Table 2.
Prevalence* of clinically significant decisional conflict according to data sets and sex
| iODSF26 |
GENETIC27 | DECISION+25 |
EXACKTE228 |
DECISION+229 |
|||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| F | M | All | All† | F | M | All | F | M | All | F | M | All | |
| Total participants (N) | 234 | 136 | 370 | 130 | 154 | 71 | 225 | 131 | 67 | 198 | 277 | 138 | 415 |
| Overall prevalence (95% CI) | 7.7 (4.3 to 11.1) | 14.7 (8.7 to 20.7) | 10.3 (7.2 to 13.4) | 16.9 (10.4 to 23.5) | 17.5 (11.5 to 23.6) | 31.0 (20.0 to 42.0) | 21.8 (16.3 to 27.2) | 15.3 (9.0 to 21.5) | 28.4 (17.3 to 39.4) | 19.7 (14.1 to 25.3) | 28.5 (23.2 to 33.9) | 36.2 (28.1 to 44.4) | 31.1 (26.6 to 35.6) |
| Adjusted Cronbach's α rates (DCS) | 0.85 | 0.93 | 0.91 | 0.95 | 0.93 | ||||||||
| Sociodemographic characteristics | |||||||||||||
| Age | |||||||||||||
| <45 years | 6.1 | 13.0 | 8.1 | 16.9 | 11.5 | 27.0 | 16.4 | 10.9 | 17.7 | 12.4 | 26.0 | 29.2 | 26.9 |
| ≥45 years | 9.2 | 15.6 | 12.0 | NA | 34.2 | 42.1 | 36.7 | 19.4 | 32.0 | 24.8 | 36.2 | 50.0 | 41.5 |
| Professional status | |||||||||||||
| Full-time or part-time employment | 9.3 | 14.9 | 11.4 | 18.1 | 17.7 | 28.1 | 21.0 | 10.8 | 25.7 | 15.6 | 27.6 | 37.0 | 30.8 |
| No employment | 6.0 | 0.0 | 4.4 | 12.0 | 11.5 | 50.0 | 22.2 | 18.2 | 25.0 | 20.0 | 29.8 | 27.8 | 29.2 |
| Retired | 6.1 | 20.0 | 12.1 | NA | 33.3 | 25.0 | 30.8 | 22.9 | 33.3 | 27.1 | 35.0 | 41.7 | 37.5 |
| Education | |||||||||||||
| No postsecondary education | 5.9 | 14.4 | 9.1 | 9.8 | 16.0 | 34.7 | 23.4 | 26.0 | 21.4 | 24.4 | 26.3 | 33.3 | 28.9 |
| At least some postsecondary education | 11.1 | 15.2 | 12.6 | 21.5 | 19.0 | 22.7 | 19.8 | 8.7 | 33.3 | 16.7 | 29.4 | 37.8 | 32.1 |
| Annual household income | |||||||||||||
| <$60 000 | 5.1 | 13.3 | 8.1 | 17.7 | 14.1 | 41.3 | 23.2 | 15.0 | 24.1 | 17.8 | 32.3 | 30.3 | 31.7 |
| ≥$60 000 | 15.3 | 18.4 | 16.5 | 16.1 | 22.6 | 12.0 | 19.5 | 18.2 | 46.1 | 33.3 | 23.8 | 41.7 | 30.4 |
| Household size | |||||||||||||
| Living alone | 9.2 | 23.3 | 14.3 | 0.0 | 31.8 | 47.1 | 38.5 | 25.0 | 36.4 | 31.0 | 42.9 | 40.0 | 41.9 |
| Living with ≥1 other person | 7.0 | 10.8 | 8.4 | 17.1 | 15.2 | 25.9 | 18.3 | 13.5 | 24.4 | 16.7 | 25.4 | 35.4 | 28.7 |
| Marital status | |||||||||||||
| Married | 9.3 | 25.0 | 13.9 | ||||||||||
| Single | 25.0 | 27.8 | 26.2 | ||||||||||
| Separated/divorced | 33.3 | 44.4 | 38.1 | ||||||||||
| Widowed | 22.2 | 25.0 | 23.1 | ||||||||||
| Private drug insurance plan | |||||||||||||
| Yes | 17.5 | 26.0 | 20.1 | 26.3 | 35.6 | 29.4 | |||||||
| No | 17.5 | 42.9 | 26.2 | 34.2 | 37.8 | 35.3 | |||||||
| Clinical characteristics | |||||||||||||
| First encounter with that particular doctor | |||||||||||||
| Yes | 8.5 | 18.6 | 12.8 | 12.5 | 31.8 | 17.4 | 17.8 | 36.4 | 23.5 | 32.6 | 25.9 | 30.1 | |
| No | 7.4 | 12.9 | 9.3 | 21.1 | 31.6 | 24.5 | 15.7 | 24.4 | 18.4 | 27.7 | 38.7 | 31.3 | |
| Patient accompanied during encounter | |||||||||||||
| Yes | 11.1 | 33.3 | 18.5 | ||||||||||
| No | 15.9 | 27.6 | 19.9 | ||||||||||
| Decision for a child | |||||||||||||
| Yes | 10.0 | 31.2 | 15.2 | 22.9 | 30.0 | 25.0 | |||||||
| No | 21.2 | 30.9 | 24.5 | 30.4 | 38.0 | 33.0 | |||||||
| Patient preference for involvement | |||||||||||||
| Passive | 15.2 | 30.4 | 20.3 | 27.8 | 26.7 | 27.3 | |||||||
| Active | 21.0 | 32.0 | 24.1 | 28.6 | 37.4 | 31.4 | |||||||
| Average annual frequency of physician visits | |||||||||||||
| ≤3 average physician visits per year | 9.9 | 39.4 | 19.2 | ||||||||||
| >3 average physician visits per year | 21.7 | 17.7 | 20.2 | ||||||||||
| Self-reported health status | |||||||||||||
| Excellent, very good, good | 16.7 | 27.4 | 19.9 | 27.5 | 32.8 | 29.2 | |||||||
| Fair, poor | 30.0 | 55.6 | 42.1 | 40.9 | 69.2 | 51.4 | |||||||
| Patient received a prescription | |||||||||||||
| Yes | 16.4 | 32.8 | 21.7 | 29.5 | 34.6 | 31.1 | |||||||
| No | 23.1 | 20.0 | 22.2 | 24.5 | 42.9 | 30.9 | |||||||
*Prevalence of clinically significant decisional conflict was defined as a score ≥25/100 on the DCS.15
†In the GENETIC study, all participants were female.
DCS, Decisional Conflict Scale; F, female; M, male; NA, not applicable; ODSF, Ottawa Decision Support Framework.