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Table 3 Effect of decision aid on patient-provider discussions

From: The effect of a decision aid intervention on decision making about coronary heart disease risk reduction: secondary analyses of a randomized trial

 

Control group (n = 78)

Intervention group (n = 79)

Absolute difference (95% CI)*

Adjusted p-value†

Had CHD discussion with their provider

58%

89%

31% (15% to 45%)

p < 0.001

Patient raised discussion

35%

63%

+28% (9% to 45%)

p = .02

Patient participation

    

  Any

51%

79%

+28% (9% to 45%)

p = .01

  None

49%

21%

-28% (-45% to -9%)

Who made final decision

    

  Shared decision

93%

84%

-9% (-27% to 10%)

p = .09

  Not shared decision

7%

16%

+9% (-10% to 27%)

Patients’ perceptions of discussions and the health care visit

My provider provided me with choices and options about lowering my chances of heart disease.

76%

91%

+15% (-0.1% to 31%)

p = .02

My provider understands how I see things with respect to lowering my chances of heart disease.

86%

95%

+9% (-7% to 25%)

p = .21

My provider conveyed confidence in my ability to make changes regarding lowering my chances of heart disease.

77%

88%

+11% (-5% to 27%)

p = .15

My provider encouraged me to ask questions.

67%

78%

+11% (-4% to 27%)

p = .13

My provider listened to how I would like to do things.

71%

92%

+21% (6% to 37%)

p < .01

My provider tried to understand how I see things before suggesting new ways to lower my chances of heart disease.

69%

84%

+15% (-0.3% to 31%)

p = .05

  1. *Adjusted for clustering within providers.
  2. †Adjusted for baseline education and clustering within providers.