Table 2 Physicians' perceptions of characteristics of the patient decision aids (n = 263)
From: Physicians' intentions and use of three patient decision aids
Characteristic | Number indicating 4 or 5 on five-point agreement scale* | ||||
|---|---|---|---|---|---|
| Â | Total | Respirologists (COPD DA) | Family Physicians (HRT DA) | Geriatricians (Tube feeding DA) | Chi-square p-value |
...related to the development of the decision aids | Â | Â | Â | Â | Â |
Description of risk/benefits of choices supported by evidence | 236 (90%) | 99 (88%) | 80 (95%) | 57 (85%) | 0.102 |
Developers credible | 233 (89%) | 99 (88%) | 76 (90%) | 58 (87%) | 0.752 |
Decision aid well developed | 226 (86%) | 88 (79%) | 79 (94%) | 59 (88%) | 0.007 |
Decision aid not influenced by vested interests | 154 (59%) | 78 (70%) | 35 (42%) | 41 (61%) | <0.0001 |
...related to the content and format of the decision aids | Â | Â | Â | Â | Â |
Essential information for decision making provided | 239 (91%) | 98 (88%) | 78 (93%) | 63 (94%) | 0.254 |
Well organized | 234 (89%) | 98 (88%) | 79 (94%) | 57 (85%) | 0.175 |
Information on choices balanced | 230 (87%) | 92 (82%) | 80 (95%) | 58 (87%) | 0.023 |
Evidence about choices presented in unbiased manner | 227 (86%) | 94 (84%) | 74 (88%) | 59 (88%) | 0.626 |
Evidence presented reflects my understanding of the data | 226 (86%) | 92 (82%) | 69 (82%) | 65 (97%) | 0.01 |
Presents probabilities of risk/benefits in understandable manner | 223 (85%) | 95 (85%) | 70 (83%) | 58 (87%) | 0.86 |
Clearly describes treatment choices | 221 (84%) | 94 (84%) | 74 (88%) | 53 (79%) | 0.325 |
Worksheet adds value to decision aid | 202 (77%) | 85 (76%) | 66 (79%) | 51 (76%) | 0.897 |
Evidence presented is up-to-date | 197 (75%) | 88 (79%) | 47 (56%) | 62 (93%) | <0.0001 |
Combination of workbook and tape good | 196 (75%) | 86 (77%) | 63 (75%) | 47 (70%) | 0.61 |
... related to the decision aid meeting patients' needs | Â | Â | Â | Â | Â |
Helps patients understand risk/benefits of treatment choices | 228 (87%) | 95 (85%) | 73 (87%) | 60 (90%) | 0.664 |
Allows patients to participate as they wish in decision making process | 217 (83%) | 92 (82%) | 73 (87%) | 52 (78%) | 0.325 |
Guides patients through decision making in logical fashion | 216 (82%) | 93 (83%) | 68 (81%) | 55 (82%) | 0.931 |
Helps prepare patients for decision making | 216 (82%) | 89 (79%) | 71 (85%) | 56 (84%) | 0.617 |
Will be acceptable to patients | 214 (81%) | 84 (75%) | 71 (85%) | 59 (88%) | 0.063 |
Helps patients in reaching a decision | 211 (80%) | 87 (78%) | 71 (85%) | 53 (79%) | 0.475 |
Will improve patients' decision making | 207 (79%) | 88 (79%) | 70 (83%) | 49 (73%) | 0.314 |
Will produce greater good than harm | 204 (78%) | 88 (79%) | 62 (74%) | 54 (81%) | 0.577 |
Apply to sizable proportion of patients | 178 (68%) | 81 (72%) | 54 (64%) | 43 (64%) | 0.383 |
Will be simple to use | 168 (64%) | 77 (69%) | 51 (61%) | 40 (60%) | 0.364 |
Decision aid provides information that is not too complex for patients | 143 (54%) | 73 (65%) | 36 (43%) | 34 (51%) | 0.006 |
... related to physicians' clinical practice | Â | Â | Â | Â | Â |
Compatible with how I think patients should be informed about choices | 219 (83%) | 90 (80%) | 71 (85%) | 58 (87%) | 0.522 |
Will complement my usual approach | 208 (79%) | 88 (79%) | 64 (76%) | 56 (84%) | 0.532 |
Will be useful in my practice | 188 (71%) | 79 (71%) | 58 (69%) | 51 (76%) | 0.606 |
Will improve my usual approach | 179 (68%) | 77 (69%) | 58 (69%) | 44 (66%) | 0.888 |
Reliable tool for helping patients | 173 (66%) | 64 (57%) | 67 (80%) | 42 (63%) | 0.004 |
Will help me understand issues important to patient | 167 (63%) | 80 (71%) | 52 (62%) | 35 (52%) | 0.033 |
Will help me tailor counselling to patients' needs | 162 (62%) | 74 (66%) | 50 (60%) | 38 (57%) | 0.412 |
Will be easy to use in my practice | 160 (61%) | 66 (59%) | 48 (57%) | 46 (69%) | 0.305 |
Will positively affect my relationship with patients | 154 (59%) | 58 (52%) | 55 (65%) | 41 (61%) | 0.138 |
Will not require major changes | 152 (58%) | 61 (54%) | 44 (52%) | 47 (70%) | 0.058 |
Easy to experiment with before deciding to adopt | 142 (54%) | 52 (46%) | 45 (54%) | 45 (67%) | 0.026 |
Will improve quality of patient visits | 140 (53%) | 56 (50%) | 53 (63%) | 31 (46%) | 0.08 |
Will increase patient satisfaction with my care | 140 (53%) | 50 (45%) | 55 (65%) | 35 (52%) | 0.015 |
Will not require reorganization of my practice | 129 (49%) | 55 (49%) | 36 (43%) | 38 (57%) | 0.239 |
Would not be used if I am required to purchase it | 122 (46%) | 39 (35%) | 58 (69%) | 25 (37%) | <0.0001 |
Will provide easily observable benefits for the patient | 98 (37%) | 37 (33%) | 38 (45%) | 23 (34%) | 0.184 |
Likely to be used by most of my colleagues | 85 (32%) | 43 (38%) | 17 (20%) | 25 (37%) | 0.016 |
Will save me time | 70 (27%) | 22 (20%) | 27 (32%) | 21 (31%) | 0.088 |