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Table 6 Effects of the training program among participants who completed the survey before and after training

From: Professional training on shared decision making with older adults living with neurocognitive disorders: a mixed-methods implementation study

Outcome

 

Before training

After training

P-value

Knowledge

 Knowledge about SDM

Mean score (SD) (scale 1–5, with 5 high)

4.2 (1.33)

3.9 (1,45)

0.31

 Knowledge about risk communication

Number of people with correct answers, n (%)

5 (29.4%)

9 (52.9%)

0.02

 Perceived awareness of the options (3/5 Decision Boxes)

Mean score (SD) (scale 1–5, with 5 high)

3.0 (0.78)

3.9 (0.56)

0.0006

 Awareness of the options (3/5 Decision Boxes)

Mean proportion of correct answers (SD)

16.7% (10.9%)

42.2% (32.6%)

0.0011

 Clinical knowledge

Deprescribing antipsychotics

Number of people with correct answers, n (%)

0 (0.0%)

4 (23.5%)

0.78

Impacts of stopping driving

Mean (SD) (scale 0–5, with 5 high)

2.0 (1.2)

4.1 (1.3)

0.0004

Strategies to communicate about stopping driving

Mean proportion of correct answers (SD)

20.0% (18.7%)

25.9% (22.1%)

0.07

Risk factors for caregiver burden

Mean (SD) (scale 0–4, with 4 high)

3.0 (1.0)

3.2 (1.1)

> 1.000

Awareness of the information to provide patients to reflect on the Power of attorney

Mean (SD) (scale 0–4, with 4 high)

2.7 (1.1)

2.6 (0.8)

0.72

Characteristics of the power of attorney

Mean (SD) (scale 0–4, with 4 high)

2.6 (1.1)

3.3 (0.6)

0.082

Elements to check before recommending a treatment to a vulnerable senior

Mean proportion of correct answers (SD)

32.4% (30.3%)

35.3% (29.4%)

0.79

Intention to adopt SDM

Mean score (SD) (scale 1–7, with 7 indicating high intention)

5.88 (0.99)

5.94 (0.90)

0.83

Perceived ability to adopt SDM (IcanSDM)

Mean score (SD) (scale 1–10, with 10 indicating high ability)

6.54 (1.58)

6.85 (1.25)

0.43

Role preference

Number of participants

n (%)

   

 I make the decision alone, relying on the best scientific evidence available

 

0 (0.0%)

0 (0.0%)

0.82

 I make the decision, but strongly considering the opinion of the patient

0 (00.0%)

3 (17.7%)

 The patient and I make the decision together equally

4 (23.5%)

4 (23.5%)

 The patient makes the decision, but strongly considering my opinion

5 (29.4%)

2 (11.8%)

 The patient makes the decision alone, after obtaining information on the best available scientific evidence

8 (47.06)

8 (47.1%)

Self-reported use of the training material to answer questions after training

 Yes

Proportion

n (%)

NA

9 (53)

NA

 No

NA

6 (35)

NA

 No answer

NA

2 (12)

NA