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Table 5 Questionnaire results for patients and clinicians according to option-listing approach

From: Communicating treatment options to older patients with advanced kidney disease: a conversation analysis study

 

Questionnaire

CKM a subordinate option (n = 9)

[Median and Range]

CKM a valid option

(n = 6)1

[Median and Range]

Median Test for K samples [p values]

Patient responses

SDM-Q-9 Total score

(9 items)

24 (0–36)

Transformed data:

53.33 (0–80)

37 (6–45)

Transformed data:

82.23 (13.33–100)

0.041

My clinician (MC) made clear that a decision needs to be made.

3 (0–4)

2 (0–5)

0.329

MC wanted to know exactly how I want to be involved in making the decision.

3 (0–5)

4.5 (3–5)

0.235

MC told me that there are different options for treating my medical condition.

3 (0–5)

5 (0–5)

0.041

MC precisely explained the advantages and disadvantages of the treatment options.

3 (0–5)

5 (0–5)

0.011

MC helped me understand all the information.

3 (0–4)

5 (0–5)

0.002

MC asked me which treatment option I prefer.

2 (0–5)

4.5 (0–5)

0.041

MC and I thoroughly weighed the different treatment options.

2 (0–4)

5 (0–5)

0.041

MC and I selected a treatment option together.

2 (0–4)

3 (0–5)

0.329

MC and I reached an agreement on how to proceed.

2 (0–4)

4 (1–5)

0.315

Clinician responses

SDM-Q-Doc Total score

31 (24–40)

Transformed data: 68.89 (53.33–88.89)

29.5 (19.1–34)

Transformed data: 64.56 (42.44–75.56)

1.00

I made clear to my patient that a decision needs to be made.

3 (0–5)

3 (0–4)

0.603

I wanted to know exactly from my patient how he/she wants to be involved in making the decision.

3 (3–5)

3.5 (3–4)

0.584

I told my patient that there are different options for treating his/her medical condition.

5 (2–5)

4 (2.1-4)

0.082

I precisely explained the advantages and disadvantages of the treatment options to my patient.

3 (2–5)

3 (1–3)

0.237

I helped my patient understand all the information.

4 (3–5)

3 (1–3)

0.103

I asked my patient which treatment option he/she prefers.

4 (2–5)

4.5 (3–5)

0.538

My patient and I thoroughly weighed the different treatment options.

3 (2–5)

3 (1–4)

1.00

My patients and I selected a treatment option together.

2 (0–5)

2.5 (1–4)

0.584

My patient and I reached an agreement on how to proceed.

4 (3–5)

4 (3–5)

1.00

  1. 1For one patient, one survey was completed following two separate consultations on the same day, where CKM as a main option approach was used in both. The results were linked to each consultation separately