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

Laura Boland, France Légaré, Daniel I. McIsaac, Ian D. Graham, Monica Taljaard, Simon Dècary and Dawn Stacey
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Laura Boland: School of Health Studies, Western University, London 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
Ian D. Graham: Ottawa Hospital Research Institute, Ottawa, ON, Canada
Monica Taljaard: School of Epidemiology and Public Health, Faculty of Medicine, University of Ottawa, 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

Medical Decision Making, 2019, vol. 39, issue 8, 1010-1018

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

Keywords: decisional conflict; health decision making; parents; pediatrics; SURE test (search for similar items in EconPapers)
Date: 2019
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Persistent link: https://EconPapers.repec.org/RePEc:sae:medema:v:39:y:2019:i:8:p:1010-1018

DOI: 10.1177/0272989X19884541

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