ArticleHealth expectations : an international journal of public participation in health care and health policy2015
Psychometric assessment of the Chinese version of the decisional conflict scale in Chinese women making decision for breast cancer surgery.
Article in Health expectations : an international journal of public participation in health care and health policy, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06799936 (A Communication-Priming Intervention to Improve Shared Decision-Making Between Older Adults With Advanced Chronic Kidney Disease and Clinicians), which is not on this map. Cited by 21 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
A Communication-Priming Intervention to Improve Shared Decision-Making Between Older Adults With Advanced Chronic Kidney Disease and Clinicians: A Cluster-Randomized Controlled Trial
Who cites it
21 citing papers in PubMed, 56 citations in OpenAlex.
- An online driving decision aid for older drivers reduces ambivalence and regret about driving decisions: Randomized trial.Journal of the American Geriatrics Society · 2025Trial
- Effectiveness of a brief hope intervention for chronic kidney disease patients on the decisional conflict and quality of life: a pilot randomized controlled trial.BMC nephrology · 2022Trial
- Long-Term Effectiveness of a Decision Support App (Pink Journey) for Women Considering Breast Reconstruction Surgery: Pilot Randomized Controlled Trial.JMIR mHealth and uHealth · 2021Trial
- Article
- Pioneering the IBD specialist nurse role in China: a shared decision-making model for clinical practice innovation.Frontiers in medicine · 2025Article
- Article
- Unpacking the relationship between shared decision-making and decisional quality, decision to screen, and screening completion in lung cancer screening.Patient education and counseling · 2024Observational
- Distress and its influencing factors among Chinese patients with incidental pulmonary nodules: a cross-sectional study.Scientific reports · 2024Article
- Decisional conflict, caregiver mastery, and depression among Chinese parental caregivers of children with leukemia.BMC psychiatry · 2023Article
- Evaluating the Impact of a Training Program in Shared Decision-Making for Neurologists Treating People with Migraine.Neurology and therapy · 2023Article
- Decision-making about mastectomy among Chinese women with breast cancer: a mixed-methods study protocol.BMJ open · 2022Article
- Psychometric Assessment of the Mandarin Version of the Decisional Conflict Scale with Pregnant Women Making Prenatal Test Decisions.Patient preference and adherence · 2022Article
- Adaptation and Validation of the Spanish Version of Decisional Conflict Scale in People with Migraine in Spain.Patient preference and adherence · 2022Article
- Psychometric Evaluation of the Chinese Version of Decisional Conflict Scale in Chinese Young Women Making HPV Vaccination Decisions.Patient preference and adherence · 2022Article
- Article
- Research progress in decision-making aids for breast cancer patients.Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2021Article
- Development and Usability Testing of a Decision Support App for Women Considering Breast Reconstruction Surgery.Journal of cancer education : the official journal of the American Association for Cancer Education · 2021Article
- Knowledge about benefits and risks of undergoing cataract surgery among cataract patients in Southern China.International ophthalmology · 2020Article
- Cross-cultural adaptation and psychometric assessment of the statement format Decisional Conflict Scale for Mandarin version.BMC health services research · 2019Article
- Construct Validity of the Chinese Version of the Activities of Daily Living Rating Scale III in Patients with Schizophrenia.PloS one · 2015Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThe decisional conflict scale (DCS) measures the perception of uncertainty in choosing options, factors contributing to decision conflict and effective decision making. This study examined the validity and reliability of the Chinese version of the DCS in Hong Kong Chinese women deciding breast cancer (BC) surgery.
methodA Chinese version of the 16-item DCS was administered to 471 women awaiting initial consultation for BC diagnosis. Confirmatory factor analysis (CFA) assessed the factor structure. Internal consistency, and convergent and discriminant validities of the factor structure were assessed.
resultsCFA revealed the original factor structure of the DCS showed poor fit to this sample. Exploratory factor analysis revealed an alternative three-factor structure, Informed and Values Clarity, Uncertainty and Effective Decision and Support, was optimal. Cronbach's alpha ranged from 0.51 to 0.87. Correlations between decision-making difficulties and satisfaction with medical consultation demonstrated acceptable convergent validity. Construct validity was supported by correlations between decision regret and psychological distress. Discriminant validity was supported by differentiation between delaying and non-delaying decision-makers.
conclusionsThe three-factor DCS-14 is a valid and practical measure for assessing decisional conflict in deciding BC surgery. It shows good potential for use in assessing decision satisfaction for women diagnosed with BC.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.