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SURE Test Accuracy for Decisional Conflict Screening among Parents Making Decisions for Their Child

Author

Listed:
  • Laura Boland

    (School of Health Studies, Western University, London ON, Canada
    Ottawa Hospital Research Institute, Ottawa, ON, Canada)

  • France Légaré

    (CHU de Québec Research Centre–Université Laval site Hôpital, Quebec City, QC, Canada)

  • Daniel I. McIsaac

    (Ottawa Hospital Research Institute, Ottawa, ON, Canada
    Departments of Anesthesiology and Pain Medicine, University of Ottawa and The Ottawa Hospital, Ottawa, ON, Canada
    School of Epidemiology and Public Health, Faculty of Medicine, University of Ottawa, Ottawa, ON, Canada)

  • Ian D. Graham

    (Ottawa Hospital Research Institute, Ottawa, ON, Canada
    School of Epidemiology and Public Health, Faculty of Medicine, University of Ottawa, Ottawa, ON, Canada)

  • Monica Taljaard

    (School of Epidemiology and Public Health, Faculty of Medicine, University of Ottawa, Ottawa, ON, Canada
    Clinical Epidemiology Program, Ottawa Hospital Research Institute (OHRI), The Ottawa Hospital, Ottawa, ON, Canada)

  • Simon Dècary

    (Department of Family Medicine, Faculty of Medicine, Laval University, Quebec, QC, Canada)

  • Dawn Stacey

    (Ottawa Hospital Research Institute, Ottawa, ON, Canada
    School of Nursing, University of Ottawa, Ottawa, ON, Canada)

Abstract

Background . We aimed to validate the SURE test for use with parents in primary care. Methods . A secondary analysis of cluster randomized trial data was used to compare the SURE test (index, higher score = less conflict) to the Decisional Conflict Scale (DCS; reference, higher score = greater conflict). Our a priori hypothesis was that the scales would correlate negatively. We evaluated the association between scores and estimated the proportion of variance in the DCS explained by the SURE test. Then, we dichotomized each measure using established cutoffs to calculate diagnostic accuracy and internal consistency with confidence intervals adjusted for clustering. We evaluated the presence of effect modification by sex, followed by sex-specific calculation of validation statistics. Results . In total, 185 of 201 parents completed a DCS and SURE test. Total DCS (mean = 4.2/100, SD = 14.3) and SURE test (median 4/4; interquartile range, 4–4) scores were significantly correlated (Ï = −0.36, P

Suggested Citation

  • Laura Boland & France Légaré & Daniel I. McIsaac & Ian D. Graham & Monica Taljaard & Simon Dècary & Dawn Stacey, 2019. "SURE Test Accuracy for Decisional Conflict Screening among Parents Making Decisions for Their Child," Medical Decision Making, , vol. 39(8), pages 1010-1018, November.
    • Handle: RePEc:sae:medema:v:39:y:2019:i:8:p:1010-1018
    DOI: 10.1177/0272989X19884541
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    References listed on IDEAS

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    1. Gabe, Jonathan & Olumide, Gillian & Bury, Michael, 2004. "'It takes three to tango':: a framework for understanding patient partnership in paediatric clinics," Social Science & Medicine, Elsevier, vol. 59(5), pages 1071-1079, September.
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