Appraisal of primary outcome measures used in trials of patient decision support
Appraisal of primary outcome measures used in trials of patient decision support
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DOI：
10.1016/j.pec.2008.07.011
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发表时间：
2008-12-01
影响因子：
3.5
通讯作者：
Graham, Ian D.
中科院分区：
文献类型：
--
作者：
Kryworuchko, Jennifer;Stacey, Dawn;Graham, Ian D.
目的：评估工具作为主要的结果措施，在试验中测量的有效性，病人的决策支持interventions.Methods：主要的结果措施，确定在2003年的科克伦审查中的病人决策援助的试验。对手术工具进行了以下评价：结果：在35项临床试验中，共有35项独特的主要结局指标和8项评价工具。实际或首选选择是18项试验的主要结局指标。两种工具至少满足8项评估标准中的6项：控制偏好量表（n = 2次试验）和决策冲突量表（n = 5次试验）。结论：决策是最一致的结果测量。大多数出版物没有提供足够的细节来评价这些文书。四种工具（决策冲突，控制偏好，基因检测知识问卷，和麦克布赖德的满意度决定）测量一个或多个国际患者决策援助标准评估effectiveness.Practice的影响：选择相关的和高质量的结果的措施仍然具有挑战性，是进一步研究的一个重要领域，在该领域的共同决策。(C)2008爱思唯尔爱尔兰有限公司保留所有权利。
Objective: To appraise instruments used as primary Outcome measures in trials measuring the effectiveness of patient decision Support interventions.Methods: Primary Outcome measures were identified in trials of patient decision aids included in the 2003 Cochrane Review. Instruments were appraised for: use in Calculating sample size, appropriateness, reliability, validity, responsiveness, precision, interpretability, acceptability, and feasibility.Results: Of the 35 trials, there were 35 unique primary Outcome measures and 8 instruments were appraised. Actual or preferred choice was the primary outcome measure in 18 trials. Two instruments met at least 6 of 8 appraisal criteria: Control Preference Scale (n = 2 trials) and Decisional Conflict Scale (n = 5 trials). The Decision Conflict Scale was used to calculate sample size in 4 trials.Conclusion: Decision was the most consistent outcome measure. Most publications provided inadequate detail for appraising the instruments. Four instruments (Decisional Conflict, Control Preferences, Genetic Testing Knowledge Questionnaire, and McBride's Satisfaction with Decision) measured one or more International Patient Decision Aid Standards criteria for evaluating effectiveness.Practice implications: Selecting relevant and high quality outcome measures remains challenging and is an important area for further research in the field of shared decision making. (C) 2008 Elsevier Ireland Ltd. All rights reserved.