{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T23:55:58Z","timestamp":1792799758235,"version":"4.5.0"},"reference-count":23,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2019,5,1]],"date-time":"2019-05-01T00:00:00Z","timestamp":1556668800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100000037","name":"Institute of Health Services and Policy Research","doi-asserted-by":"publisher","award":["MFE-140842"],"award-info":[{"award-number":["MFE-140842"]}],"id":[{"id":"10.13039\/501100000037","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Tier 1 Canada Research Chair in Shared Decision-making and Knowledge Translation at Universit\u00e9 Laval","id":[{"id":"https:\/\/ror.org\/04sjchr03","id-type":"ROR","asserted-by":"crossref"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Med Decis Making"],"published-print":{"date-parts":[[2019,5]]},"abstract":"<jats:p>Background. We explored decisional conflict as measured with the 16-item Decisional Conflict Scale (DCS) and how it varies across clinical situations, decision types, and exposure to decision support interventions (DESIs). Methods. An exhaustive scoping review was conducted using backward citation searches and keyword searches. Eligible studies were published between 1995 and March 2015, used an original experimental\/observational research design, concerned a health-related decision, and provided DCS data. Dyads independently screened titles\/abstracts and full texts, and extracted data. We performed narrative syntheses and calculated average or median DCS scores. Results. We included 246 articles reporting on 253 studies. DCS scores ranged from 2.4 to 79.7 out of 100. Highest baseline DCS scores were for care planning (44.8 \u00b1 8.9, median = 47.0) and treatment decisions (32.5 \u00b1 12.6, median = 31.9), in contexts of primary care (40.6 \u00b1 18.3), and geriatrics (39.8 \u00b1 11.2). Baseline scores were high among decision makers who were ill (33.2 \u00b1 14.1, median = 30.2) or making decisions for themselves (33.4 \u00b1 13.8, median = 32.0). Total DCS scores &lt;25 out of 100 were associated with implementing decisions. Without DESIs, DCS scores tended to increase shortly after decision making (&gt;37.4). After DESI use, DCS scores decreased short-term but increased or remained the same long-term (&gt;6 months). Conclusions. DCS scores were highest at baseline and decreased after decision making. DESIs decreased decisional conflict immediately after decision making. The largest improvements after DESIs were in decision makers who were ill or made decisions for themselves. Further meta-analyses are needed for decision type, contexts, and interventions to inform hypotheses about the expected effects of DESIs, the best timing for measurement, and interpretation of DCS scores.<\/jats:p>","DOI":"10.1177\/0272989x19851346","type":"journal-article","created":{"date-parts":[[2019,5,30]],"date-time":"2019-05-30T01:54:17Z","timestamp":1559181257000},"page":"316-327","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":93,"title":["Decisional Conflict Scale Findings among Patients and Surrogates Making Health Decisions: Part II of an Anniversary Review"],"prefix":"10.1177","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5616-0597","authenticated-orcid":false,"given":"Mirjam M.","family":"Garvelink","sequence":"first","affiliation":[{"name":"Centre de recherche sur les soins et les services de premi\u00e8re ligne de l\u2019Universit\u00e9 Laval (CERSSPL-UL), Centre int\u00e9gr\u00e9 universitaire de sant\u00e9 et services sociaux (CIUSSS) de la Capitale-Nationale, Quebec, QC, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura","family":"Boland","sequence":"additional","affiliation":[{"name":"Faculty of Health Science, University of Ottawa, Ottawa, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Krystal","family":"Klein","sequence":"additional","affiliation":[{"name":"Cambia Health Solutions, Portland, OR, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Don Vu","family":"Nguyen","sequence":"additional","affiliation":[{"name":"Centre de recherche sur les soins et les services de premi\u00e8re ligne de l\u2019Universit\u00e9 Laval (CERSSPL-UL), Centre int\u00e9gr\u00e9 universitaire de sant\u00e9 et services sociaux (CIUSSS) de la Capitale-Nationale, Quebec, QC, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew","family":"Menear","sequence":"additional","affiliation":[{"name":"Centre de recherche sur les soins et les services de premi\u00e8re ligne de l\u2019Universit\u00e9 Laval (CERSSPL-UL), Centre int\u00e9gr\u00e9 universitaire de sant\u00e9 et services sociaux (CIUSSS) de la Capitale-Nationale, Quebec, QC, Canada"},{"name":"Department of Family Medicine and Emergency Medicine, Universit\u00e9 Laval, Quebec, QC, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hilary L.","family":"Bekker","sequence":"additional","affiliation":[{"name":"Leeds Institute of Health Sciences, School of Medicine, University of Leeds, Leeds, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karen B.","family":"Eden","sequence":"additional","affiliation":[{"name":"Pacific Northwest Evidence-Based Practice Center, Oregon Health & Science University (OHSU) Department of Medical Informatics & Clinical Epidemiology, Portland, OR, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Annie","family":"LeBlanc","sequence":"additional","affiliation":[{"name":"Department of Family Medicine and Emergency Medicine, Universit\u00e9 Laval, Quebec, QC, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Annette M.","family":"O\u2019Connor","sequence":"additional","affiliation":[{"name":"Faculty of Health Science, University of Ottawa, Ottawa, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2681-741X","authenticated-orcid":false,"given":"Dawn","family":"Stacey","sequence":"additional","affiliation":[{"name":"Faculty of Health Science, University of Ottawa, Ottawa, ON, Canada"},{"name":"Ottawa Hospital Research Institute, Ottawa, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"France","family":"L\u00e9gar\u00e9","sequence":"additional","affiliation":[{"name":"Centre de recherche sur les soins et les services de premi\u00e8re ligne de l\u2019Universit\u00e9 Laval (CERSSPL-UL), Centre int\u00e9gr\u00e9 universitaire de sant\u00e9 et services sociaux (CIUSSS) de la Capitale-Nationale, Quebec, QC, Canada"},{"name":"Department of Family Medicine and Emergency Medicine, Universit\u00e9 Laval, Quebec, QC, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2019,5,29]]},"reference":[{"key":"bibr1-0272989X19851346","doi-asserted-by":"publisher","DOI":"10.1177\/0272989X9501500105"},{"key":"bibr2-0272989X19851346","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2008.07.011"},{"issue":"4","key":"bibr3-0272989X19851346","volume":"101","author":"Simon D","year":"2007","journal-title":"Zeitschrift Arztl Fortbild Qualit\u00e4tssich"},{"issue":"4","key":"bibr4-0272989X19851346","volume":"105","author":"Scholl I","year":"2011","journal-title":"Z Evid Fortbild Qual 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