Association between Patient-Reported Decision-Making and Colorectal Cancer Screening Up-to-Datedness (n = 959)
| Survey Response | Number of Patients Up to Date (n = 618)* | Number of Patients Not Up to Date (n = 341)* | P Value |
|---|---|---|---|
| Were given a choice about screening options | 192 (57.5%) | 142 (42.5%) | <.01 |
| Locus of decision-making control | |||
| How patients want to make decision | <.01 | ||
| I prefer to make the final decision myself or after seriously considering my doctor's opinion. | 283 (59.7%) | 191 (40.3%) | |
| I prefer that my doctor and I share the responsibility for making the final decision. | 264 (70.8%) | 109 (29.2%) | |
| I prefer my doctor make the final decision or makes the final decision after seriously considering my opinion. | 61 (67.8%) | 29 (32.2%) | |
| How decision was actually made | <.01 | ||
| I made the final decision myself or after seriously considering my doctor's opinion. | 301 (59.5%) | 205 (40.5%) | |
| My doctor and I shared the responsibility for making the final decision | 190 (72.0%) | 74 (28.0%) | |
| My doctor made the final decision or made the final decision after seriously considering my opinion. | 74 (74.0%) | 26 (26.0%) | |
| Concordance between preferred and actual locus of decision control | 399 (65.5%) | 210 (34.5%) | .75 |
| Clinician communication† | |||
| How often did your doctor explain things in a way that was easy to understand? | 3.8 (0.5) | 3.7 (0.6) | .05 |
| How often did your doctor listen carefully to you? | 3.8 (0.5) | 3.7 (0.5) | .52 |
| How often did your doctor show respect for what you had to say? | 3.8 (0.5) | 3.7 (0.6) | .20 |
| How often did your doctor spend enough time with you? | 3.7 (0.6) | 3.6 (0.7) | .14 |
| Overall average score | 3.8 (0.5) | 3.7 (0.5) | .18 |
| Decisional conflict score‡ | |||
| Uncertainty subscale | 18.2 (29.3) | 21.4 (31.3) | .13 |
| Informed subscale | 37.1 (38.5) | 36.6 (37.1) | .86 |
| Value clarity subscale | 30.7 (36.6) | 36.2 (37.1) | .03 |
| Support subscale | 18.6 (28.5) | 21.2 (28.7) | .19 |
| Overall score | 26.2 (29.0) | 28.6 (28.8) | .25 |
↵* Percentages compare the percent up to date versus the percent not up to date for each row.
↵† Satisfaction with clinician communication scores range from 0 to 4. Response options included never, sometimes, usually, and always, which are scored as 1, 2, 3, and 4, respectively.9
↵‡ Decisional conflict score ranges from 0 to 100, with 0 being no decisional conflict and 100 being extreme decisional conflict.10 An overall score under 25 is correlated with a greater likelihood of patients being able to make a decision, and score over 37 is correlated with a greater likelihood that a patient will not be able to make a decision.
Bolded p values are statistically significant.