9. Participation in decision making.
Study | Scale used | Timing | N decisionaid | Decision aid ‐ mean | N comparison | Comparison ‐ mean | Notes |
Allen 2010 | Control preferences ‐ patients choosing active/collaborative decision making | Postintervention | 291 | 95% | 334 | 92% | No difference |
Control preferences did not change | Postintervention | 291 | 92% | 334 | 87% | No difference | |
Control preferences changed to passive | Postintervention | 291 | 3% | 334 | 5% | No difference | |
Control preferences changed to active/ collaborative | Postintervention | 291 | 3% | 334 | 7% | No difference | |
Hamann 2006 | COMRADE used to measure patients' perceived involvement in decisions | Postconsultation | 49 | 79.5 (SD 18.6) 76.8 (SD 20.9) |
58 | 69.7 (SD 20.0) 73.5 (SD 19.3) |
Increased patient involvement in decision aid group postintervention compared to usual care at baseline. At discharge there was no difference between groups. |
Hanson 2011 | Surrogates feeling somewhat or very involved in decision making | Postintervention | — | 83% | — | 77% | P = 0.18 |
Leighl 2011 | Achieved decision involvement | Postintervention | — | 32% | — | 35% | No difference |
Loh 2007 (in consult) | Patients' perceived involvement in decision making | Postconsultation | 191 | 26.3 pre 28.0 post | 96 | 24.5 pre 25.5 post |
Improved patient participation from baseline to post exposure to the decision aid (P = 0.010) and in comparison to the usual care group (P = 0.003) but there was no change in the control group for the pre‐post comparison |
Rubel 2010 | Adapted from the Control Preferences Scale | Postintervention | — | — | — | — | The total mean scores were: 2.74 (SD 1.25) (N = 99) pre and 2.83 (SD 1.16) (N = 199) post, no statistically significant difference |
Sheridan 2011 | Patient participation: 'Any' |
Immediately post | 79 | 79% | 78 | 51% | Absolute difference 28% (95% CI 9 to 45; P = 0.01) |
'None' | Immediately post | 79 | 21% | 78 | 49% | Absolute difference −28% (95% CI −45 to −9) | |
Van Peperstraten 2010 | Decision Evaluation scale (15 item questionnaire) Decision control subscale | Postconsultation | 124 | 85 | 128 | 87.5 | P = 0.33 |
DA: decision aid; SD: standard deviation.