Table 4Effect of Decision Aid on Parent Knowledge, Decisional Conflict, Trust in the Physician, Parent/Caregiver Involvement in the Decision, Patient Acceptability and Satisfaction, and Clinician Acceptability

OutcomeDecision 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 informationOR 1.4 (0.8-2.5).287
  Satisfied455 (92.3)441 (92.3)
  Unsatisfied21 (4.3)28 (5.9)
 Clarity of information satisfied
  Satisfied382 (77.5)342 (71.5)OR 1.5 (1.1-2.1).016
  Unsatisfied94 (19.1)124 (25.9)
 Helpfulness of information satisfied
  Satisfied377 (76.5)344 (72.0)OR 1.4 (1.0-2.0).054
  Unsatisfied101 (20.5)124 (25.9)
 Would recommend to othersOR 0.7 (0.4-1.2).202
  Yes460 (93.3)442 (92.5)
  Not sure/not at all19 (3.9)27 (5.6)
 Would want to use for other decisionsOR 0.9 (0.6-1.4).549
  Yes460 (93.3)442 (92.5)
  Not sure/not at all47 (9.5)52 (10.9)
Parent/caregiver satisfaction
 Satisfied with the choiceOR 1.4 (1.1-1.9).015
  Strongly agree254 (51.5)210 (43.9)
  Agree165 (33.5)199 (41.6)
  Not sure/not at all46 (9.3)56 (11.7)
Clinician acceptability
 Helpfulness of the informationOR 1.8 (1.0-3.3).05
  Yes247 (50.1)192 (40.2)
  Not sure/not at all237 (48.1)278 (58.2)
 Present information on other diagnostic choices in the same way?OR 1.5 (0.7-3.4).343
  Yes281 (57.0)216 (45.2)
  Not sure/not at all207 (42.0)259 (54.2)
 Recommend the way you presented information to other providers?OR 2.9 (1.2-6.8).014
  Yes305 (61.9)198 (41.4)
  Not sure/not at all183 (37.1)275 (57.5)

Abbreviations: MD, mean difference; OPTION, Observing Patient Involvement; OR, odds ratio.

From: Using a Decision Aid in the Emergency Room to Help Parents of Children with Head Trauma Understand Options for Diagnosing Brain Injury

Cover of Using a Decision Aid in the Emergency Room to Help Parents of Children with Head Trauma Understand Options for Diagnosing Brain Injury
Using a Decision Aid in the Emergency Room to Help Parents of Children with Head Trauma Understand Options for Diagnosing Brain Injury [Internet].
Hess EP, Shah N, Westphal J, et al.
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