Table 3.
Provider perceptions of shared decision making with adult patients at high risk of cardiovascular disease or diabetes
| Response | Measure | Question | Pre-implementation | p-value | Post-implementation | p-value | Treatment by time interaction p-value | ||
|---|---|---|---|---|---|---|---|---|---|
| CDS | UC | CDS | UC | ||||||
| n = 102 | n = 60 | n = 78 | n = 53 | ||||||
| Thinking about your most recent visit with a patient at high CV risk and where you discussed CV risk factors… | |||||||||
| 1–5 | Agree | I made clear to my patient that a decision about reducing CV risk needs to be made, n (% Agree) | 89 (88.1) | 50 (83.3) | 0.3927 | 63 (84.0) | 44 (91.7) | 0.2176 | 0.7096 |
| 1–5 | Agree | I wanted to know exactly from my patient how he/she wants to be involved in making that decisions, n (% Agree) | 82 (81.2) | 43 (71.7) | 0.1609 | 66 (88.0) | 36 (75.0) | 0.0616 | 0.7018 |
| 1–5 | Agree | I told my patient that there are different options for reducing his/her CV risk, n (% Agree) | 89 (89.0) | 54 (90.0) | 0.8425 | 68 (90.7) | 43 (89.6) | 0.8434 | 0.7018 |
| 1–5 | Agree | I precisely explained the advantages and disadvantages of treatment options to my patients, n (% Agree) | 81 (80.2) | 46 (76.7) | 0.5955 | 64 (85.3) | 40 (83.3) | 0.7646 | 0.5647 |
| 1–5 | Agree | I helped my patient understand all the information about ways to reduce CV risk, n (% Agree) | 80 (79.2) | 49 (81.7) | 0.7054 | 60 (80.0) | 40 (83.3) | 0.6437 | 0.9470 |
| 1–5 | Agree | I asked my patient which treatment options he/she prefers, n (% Agree) | 91 (91.0) | 53 (88.3) | 0.5862 | 69 (93.2) | 42 (87.5) | 0.2793 | 0.7580 |
| 1–5 | Agree | My patient and I thoroughly weighed the different treatment options, n (% Agree) | 72 (71.3) | 43 (71.7) | 0.9589 | 59 (79.7) | 35 (72.9) | 0.3820 | 0.7181 |
| 1–5 | Agree | My patient and I selected treatment options together, n (% Agree) | 87 (86.1) | 47 (78.3) | 0.1999 | 72 (96.0) | 40 (83.3) | 0.0163 | 0.5045 |
| 1–5 | Agree | My patient and I reached an agreement on how to proceed, n (% Agree) | 86 (85.1) | 46 (78.0) | 0.2487 | 69 (93.2) | 42 (89.4) | 0.4498 | 0.3011 |
| Shared decision-making summary score, Mean ± SD | 76.6 ± 13.4 | 75.2 ± 16.5 | 0.5527 | 78.1 ± 12.3 | 81.1 ± 15.1 | 0.2407 | 0.1440 | ||
Percentages calculated by combining agree and strongly agree responses from a five-point scale (strongly disagree, disagree, neither agree nor disagree, agree, strongly agree)