Peering into the black box: a meta-analysis of how clinicians use decision aids during clinical encounters

Table 4 Fidelity association with SDM outcomes ^a

	AMI choice	Chest pain choice	Decision aids for diabetes (DAD)	Diabetes medication choice	Osteoporosis choice	All^c
Patient involvement (OPTION score)	0.563	0.006, R = 0.276	0.115	0.002, R = 0.556	0.641	<0.0001, R² = 0.542
DCS overall	0.236	0.430	0.121	0.966	0.679	0.845, R² = 0.023
DCS informed	0.146	0.216	0.174	0.593	0.646	0.589, R² = 0.034
DCS effective	0.608	0.864	0.194	0.893	0.236	0.667, R² = 0.031
DCS support	~	0.399	0.457	0.674	0.576	0.261, R² = 0.047
DCS values	~	0.683	~	0.861	0.927	0.821, R² = 0.013
DCS certainty	~	0.946	~	0.968	0.470	0.690, R² = 0.018
Knowledge	~	0.065	0.194	0.053, R = 0.369	0.001, R = 0.455	0.011, R² = 0.095
Knowledge of risk estimates^b	0.341	0.639	~	~	0.857	0.861
Satisfaction (willingness to recommend to others)^b	0.481	0.269	0.470	0.649	0.952	0.251

Abbreviations: DCS Decisional Conflict Scale; OPTION Observing Patient Involvement.
^aP-value of Spearman’s rank correlation with R for significant values.
^bP-value for logistic model results; overall model stratified by study.
^cGeneralized linear mixed model adjusted by fixed effect of fidelity and random effect of study.

ISSN: 1748-5908