Table 2.
Intervention Visit and Postintervention Outcome
| Usual Care (N=506) | Tool Intervention (N=495) | P value | |
|---|---|---|---|
| Duration of patient visit, n (%) | 0.33 | ||
| 0–10 min | 61 (12.1) | 43 (8.7) | |
| 11–20 min | 188 (37.2) | 209 (42.2) | |
| 21–30 min | 128 (25.3) | 89 (18.0) | |
| 31–60 min | 106 (20.9) | 135 (27.3) | |
| >60 min | 19 (3.8) | 17 (3.4) | |
| Missing | 4 (0.8) | 2 (0.4) | |
| Duration of explanation/discussion of anticoagulation during visit, n (%) | 0.015 | ||
| Did not explain/discuss | 2 (0.4) | 2 (0.4) | |
| 0–10 min | 345 (68.2) | 300 (60.6) | |
| 11–20 min | 125 (24.7) | 160 (32.3) | |
| 21–30 min | 17 (3.4) | 15 (3.0) | |
| 31–60 min | 10 (2.0) | 13 (2.6) | |
| >60 min | 3 (0.6) | 3 (0.6) | |
| Missing | 4 (0.8) | 2 (0.4) | |
| Clinician reported decision of anticoagulation medication, n (%) | 0.77 | ||
| Warfarin (Coumadin) | 33 (6.5) | 26 (5.3) | |
| Apixaban, dabigatran, edoxaban, or rivaroxaban | 439 (86.8) | 432 (87.3) | |
| To not take a blood thinner medication | 16 (3.2) | 19 (3.8) | |
| To start taking aspirin or other antiplatelet agent for the purpose of stroke prevention | 6 (1.2) | 4 (0.8) | |
| The decision about anticoagulation medication was not made today | 9 (1.8) | 12 (2.4) | |
| Missing | 3 (0.6) | 2 (0.4) | |
| Patient reported decision of anticoagulation medication, n (%) | 0.37 | ||
| Warfarin (Coumadin) | 35 (6.9) | 24 (4.8) | |
| Apixaban, dabigatran, edoxaban, or rivaroxaban | 434 (85.8) | 433 (87.5) | |
| To not take a blood thinner medication | 16 (3.2) | 20 (4.0) | |
| To start taking aspirin or other antiplatelet agent for the purpose of stroke prevention | 9 (1.8) | 4 (0.8) | |
| The decision about anticoagulation medication was not made today | 9 (1.8) | 10 (2.0) | |
| Missing | 3 (0.6) | 4 (0.8) | |
| Agreement between patient and clinician reported decision, n (%) | 0.78 | ||
| Yes | 483 (95.5) | 475 (96.0) | |
| No | 19 (3.8) | 15 (3.0) | |
| Missing | 4 (0.8) | 5 (1.0) | |
| Quality of communication—did clinician explain things,* n (%) | 0.069 | ||
| Yes, definitely | 475 (93.9) | 475 (96.0) | |
| Yes, somewhat | 23 (4.5) | 14 (2.8) | |
| No | 4 (0.8) | 1 (0.2) | |
| Missing | 4 (0.8) | 5 (1.0) | |
| Quality of communication—did clinician listen carefully, n (%) | 0.004 | ||
| Yes, definitely | 474 (93.7) | 480 (97.0) | |
| Yes, somewhat | 24 (4.7) | 9 (1.8) | |
| No | 4 (0.8) | 1 (0.2) | |
| Missing | 4 (0.8) | 5 (1.0) | |
| Quality of communication—did the clinician show respect, n (%)† | 0.24 | ||
| Yes, definitely | 487 (96.2) | 481 (97.2) | |
| Yes, somewhat | 14 (2.8) | 7 (1.4) | |
| No | 1 (0.2) | 2 (0.4) | |
| Missing | 4 (0.8) | 5 (1.0) | |
| DCS | 0.0001 | ||
| n (%) | 502 (99) | 489 (99) | |
| Median (min, max) | 12.5 (0.0, 76.6) | 6.2 (0.0, 54.7) | |
| DRS | 0.016 | ||
| n (%) | 503 (99) | 490 (99) | |
| Median (min, max) | 10.0 (0, 65.0) | 5.0 (0, 60.0) | |
| DCS and DRS composite end point | 0.0001 | ||
| Preparation for decision making | <0.0001 | ||
| n (%) | 503 (99) | 490 (99) | |
| Median (min, max) | 70.0 (0, 100) | 82.5 (0, 100) | |
| AF knowledge | <0.0001 | ||
| n (%) | 502 (99) | 490 (99) | |
| Median (min, max) | 6.0 (2.00, 8.00) | 7.0 (2.00, 8.00) | |
AF indicates atrial fibrillation; DCS, Decision Conflict Scale; and DRS, Decision Regret Scale.
*
Did the clinician explain things in a way that was easy to understand?
†
Did the clinician show respect for what patient had to say?