Validation of SURE, a Four-Item Clinical Checklist for Detecting Decisional Conflict in Patients

Audrey Ferron Parayre, Michel Labrecque, Michel Rousseau, Stéphane Turcotte and France Légaré

Medical Decision Making, 2014, vol. 34, issue 1, 54-62

Abstract: Background: We sought to determine the psychometric properties of SURE, a 4-item checklist designed to screen for clinically significant decisional conflict in clinical practice. Methods: This study was a secondary analysis of a clustered randomized trial assessing the effect of DECISION+2, a 2-hour online tutorial followed by a 2-hour interactive workshop on shared decision making, on decisions to use antibiotics for acute respiratory infections. Patients completed SURE and also the Decisional Conflict Scale (DCS), as the gold standard, after consultation. We evaluated internal consistency of SURE using the Kuder-Richardson 20 coefficient (KR-20). We compared DCS and SURE scores using the Spearman correlation coefficient. We assessed sensitivity and specificity of SURE scores (cut-off score ≤3 out of 4) by identifying patients with and without clinically significant decisional conflict (DCS score >37.5 on a scale of 0–100). Results: Of the 712 patients recruited during the trial, 654 completed both tools. SURE scores showed adequate internal consistency (KR-20 coefficient of 0.7). There was a significant correlation between DCS and SURE scores (Spearman’s Ï = −0.45, P

Keywords: shared decision making; decisional conflict; clinical checklist; SURE; sensitivity and specificity (search for similar items in EconPapers)
Date: 2014
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Persistent link: https://EconPapers.repec.org/RePEc:sae:medema:v:34:y:2014:i:1:p:54-62

DOI: 10.1177/0272989X13491463

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