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Hess EP, Shah N, Westphal J, et al. Using a Decision Aid in the Emergency Room to Help Parents of Children with Head Trauma Understand Options for Diagnosing Brain Injury [Internet]. Washington (DC): Patient-Centered Outcomes Research Institute (PCORI); 2018 Nov. doi: 10.25302/11.2018.CE.12114435
| Outcome | Decision aid (n = 493) | Usual care (n = 478) | Effect, MD or OR (95% CI) | P value |
|---|---|---|---|---|
| Parent/caregiver knowledge | ||||
| Mean (SD) knowledge, No. of questions correct out of 10) | 6.20 (2.0) | 5.26 (2.0) | MD 0.95 (0.60-1.30) | <.001 |
| Decisional conflict and trust | ||||
| Decisional conflict scale (range 0-100) | 14.8 (15.5) | 19.2 (16.6) | MD −4.9 (−7.3 to −2.4) | <.001 |
| Trust in physician scale (range 0-100) | 91.5 (11.9) | 89.3 (13.7) | MD 2.3 (0.4-4.1) | .015 |
| Parent/caregiver involvement in the decision | ||||
| OPTION scale (n = 510) (range 0-100) | 25.0 (8.5) | 13.3 (6.5) | MD 11.7 (9.6-13.9) | <.001 |
| Parent/caregiver acceptability | ||||
| Amount of information | OR 1.4 (0.8-2.5) | .287 | ||
| Satisfied | 455 (92.3) | 441 (92.3) | ||
| Unsatisfied | 21 (4.3) | 28 (5.9) | ||
| Clarity of information satisfied | ||||
| Satisfied | 382 (77.5) | 342 (71.5) | OR 1.5 (1.1-2.1) | .016 |
| Unsatisfied | 94 (19.1) | 124 (25.9) | ||
| Helpfulness of information satisfied | ||||
| Satisfied | 377 (76.5) | 344 (72.0) | OR 1.4 (1.0-2.0) | .054 |
| Unsatisfied | 101 (20.5) | 124 (25.9) | ||
| Would recommend to others | OR 0.7 (0.4-1.2) | .202 | ||
| Yes | 460 (93.3) | 442 (92.5) | ||
| Not sure/not at all | 19 (3.9) | 27 (5.6) | ||
| Would want to use for other decisions | OR 0.9 (0.6-1.4) | .549 | ||
| Yes | 460 (93.3) | 442 (92.5) | ||
| Not sure/not at all | 47 (9.5) | 52 (10.9) | ||
| Parent/caregiver satisfaction | ||||
| Satisfied with the choice | OR 1.4 (1.1-1.9) | .015 | ||
| Strongly agree | 254 (51.5) | 210 (43.9) | ||
| Agree | 165 (33.5) | 199 (41.6) | ||
| Not sure/not at all | 46 (9.3) | 56 (11.7) | ||
| Clinician acceptability | ||||
| Helpfulness of the information | OR 1.8 (1.0-3.3) | .05 | ||
| Yes | 247 (50.1) | 192 (40.2) | ||
| Not sure/not at all | 237 (48.1) | 278 (58.2) | ||
| Present information on other diagnostic choices in the same way? | OR 1.5 (0.7-3.4) | .343 | ||
| Yes | 281 (57.0) | 216 (45.2) | ||
| Not sure/not at all | 207 (42.0) | 259 (54.2) | ||
| Recommend the way you presented information to other providers? | OR 2.9 (1.2-6.8) | .014 | ||
| Yes | 305 (61.9) | 198 (41.4) | ||
| Not sure/not at all | 183 (37.1) | 275 (57.5) | ||
Abbreviations: MD, mean difference; OPTION, Observing Patient Involvement; OR, odds ratio.
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