Decisional Conflict in Patients and Their Physicians: A Dyadic Approach to Shared Decision Making

Annie LeBlanc, David A. Kenny, Annette M. O'Connor and France Légaré
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Annie LeBlanc: Research Center, Hopital SaintFrançois d'Assise, Centre Hospitalier Universitaire de Quebec, Université Laval, Québec, Canada
David A. Kenny: Department of Psychology, University of Connecticut, Storrs, CT
Annette M. O'Connor: Faculty of Health Sciences, School of Nursing, University of Ottawa, Ottawa, Canada
France Légaré: Faculty of Medicine, Université Laval, Québec, Canada, Centre Hospitalier Universitaire de Québec, Hôpital St-François d'Assise, 10 rue de l'Espinay, Québec (Québec), Canada G1L3L5, France.Légaré@mfa.ulaval.ca

Medical Decision Making, 2009, vol. 29, issue 1, 61-68

Abstract: Background. Decisional conflict is defined as personal uncertainty about which course of action to take when choice among competing options involves risk, regret, or challenge to personal life values. It is influenced by inadequate knowledge, unclear values, inadequate support, and the perception that an ineffective decision has been made. Until recently, it has been studied at the individual level, which ignores the interpersonal system between patients and physicians. Objective. To explore the effect of feeling uninformed, unclear values, inadequate support, and the perception that an ineffective decision has been made on one own's outcome (actor effect) and on the other person's outcome (partner effect). Methods. After a clinical encounter, modifiable deficits and personal uncertainty were measured in physicians and patients using the Decisional Conflict Scale. Structural equation modeling was used to measure the parameters of the Actor-Partner Interdependence Model. Results. A total of 112 dyads of physicians and patients were included in the analysis. For both patients and physicians, 2 actor effects, unclear values ( P

Keywords: Key words: shared decision making; relationship-centered care; dyadic decision making; physician-patient relationship; decisional conflict; Actor-Partner Interdependence Model. (Med Decis Making 2009; 29:61—68) (search for similar items in EconPapers)
Date: 2009
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Citations: View citations in EconPapers (2)

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Persistent link: https://EconPapers.repec.org/RePEc:sae:medema:v:29:y:2009:i:1:p:61-68

DOI: 10.1177/0272989X08327067

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