OBJECTIVES To test whether a decision aid improves quality of decision-making about feeding options in advanced dementia. DESIGN Cluster randomized controlled trial. SETTING Twenty-four nursing homes in North Carolina. PARTICIPANTS Residents with advanced dementia and feeding problems and their surrogates. INTERVENTION Intervention surrogates received an audio or print decision aid on f...

The purpose of this study was to determine whether direct nursing care providers have decisional conflict about receiving influenza vaccinations and characteristics associated with decisional conflict. The researchers used a self-administered questionnaire mailed to direct nursing care providers in two long-term-care organizations. Most direct nursing care providers in both organizations (80% a...

BACKGROUND Decision Aids (DA) are well established in various fields of medicine. It can improve the quality of decision-making and reduce decisional conflict. In neonatal care, and due to scientific equipoise, neonatologists caring for extreme low birth weight (ELBW) infants are in need to elicit parents' preferences with regard to the use of indomethacin therapy in ELBW infants. We aimed to d...

Emotional distress can be a potential barrier to shared decision making (SDM), yet affect is typically not systematically assessed in medical consultation. We examined whether urological patients report anxiety or depression prior consultation and if emotional predicts decisional conflict thereafter. recruited large sample of outpatients (N = 397) with range different diagnoses (42 % oncologica...

BACKGROUND Many mental health service users delay or avoid disclosing their condition to employers because of experience, or anticipation, of discrimination. However, non-disclosure precludes the ability to request 'reasonable adjustments'. There have been no intervention studies to support decision-making about disclosure to an employer. AIMS To determine whether the decision aid has an effe...

This study aimed to 1) examine relationships between uncertainty, perceived information, personal values, social support, and filial obligation among Chinese family caregivers faced with nursing home placement of an older adult family member with dementia; and 2) describe the applicability of the Decisional Conflict Scale in nursing home placement decision making among Chinese family caregivers...

BACKGROUND We sought to estimate the extent of decision regret among primary care patients and identify risk factors associated with regret. METHODS Secondary analysis of an observational descriptive study conducted in two Canadian provinces. Unique patient-physician dyads were recruited from 17 primary care clinics and data on patient, physician and consultation characteristics were collecte...