Evidence map›Paper›PMID 31699176›Full record

Trial reportPalliative & supportive care2020

A psychometric evaluation of the Family Decision-Making Self-Efficacy Scale among surrogate decision-makers of the critically ill.

Grant A Pignatiello, Elliane Irani, Sadia Tahir, Emily Tsivitse, Ronald L Hickman

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Palliative & supportive care, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.3field-weighted citation impact, top 40% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 7 citations in OpenAlex.

  1. Decision fatigue of surrogate decision-makers: a scoping review.BMC medical informatics and decision making · 2025
    Article
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Grant A PignatielloCase Western Reserve University, Cleveland, OH.ORCID 0000-0002-0119-6979
Elliane IraniCase Western Reserve University, Cleveland, OH.
Sadia TahirCase Western Reserve University, Cleveland, OH.
Emily TsivitseCase Western Reserve University, Cleveland, OH.
Ronald L HickmanCase Western Reserve University, Cleveland, OH.
Case Western Reserve University · US

Funding

Institutional Career Development CoreKL2TR002547 · NCATS · CASE WESTERN RESERVE UNIVERSITY · PI DWEIK, RAED A. · 2018 to 2022
$7.7M
Effects of Self-Regulation, Cognitive Load, and Decision Support on Decision Making Readiness in Surrogate Decision Makers of ICU Patients: A Diversity Training SupplementR01NR015750 · NINR · CASE WESTERN RESERVE UNIVERSITY · PI HICKMAN, RONALD LEE · 2015 to 2019
$2.6M
Multiple Chronic Conditions_Interdisciplinary Nurse Scientist TrainingT32NR015433 · NINR · CASE WESTERN RESERVE UNIVERSITY · PI MOORE, SHIRLEY M · 2015 to 2019
$1.9M
NCATS NIH HHS KL2 TR002547NINR NIH HHS R01 NR015750NINR NIH HHS T32 NR015433
6 · The paper itself

Abstract

objectivesThe purpose of this study was to report the psychometric properties, in terms of validity and reliability, of the Unconscious Version of the Family Decision-Making Self-Efficacy Scale (FDMSE).

methodsA convenience sample of 215 surrogate decision-makers for critically ill patients undergoing mechanical ventilation was recruited from four intensive care units at a tertiary hospital. Cross-sectional data were collected from participants between days 3 and 7 of a decisionally impaired patient's exposure to acute mechanical ventilation. Participants completed a self-report demographic form and subjective measures of family decision-making self-efficacy, preparation for decision-making, and decisional fatigue. Exploratory factor analyses, correlation coefficients, and internal consistency reliability estimates were computed to evaluate the FDMSE's validity and reliability in surrogate decision-makers of critically ill patients.

resultsThe exploratory factor analyses revealed a two-factor, 11-item version of the FDMSE was the most parsimonious in this sample. Furthermore, modified 11-item FDMSE demonstrated discriminant validity with the measures of fatigue and preparation for decision-making and demonstrated acceptable internal consistency reliability estimates. SIGNIFICANCE OF

resultsThis is the first known study to provide evidence for a two-factor structure for a modified, 11-item FDMSE. These dimensions represent treatment and palliation-related domains of family decision-making self-efficacy. The modified FDMSE is a valid and reliable instrument that can be used to measure family decision-making self-efficacy among surrogate decision-makers of the critically ill.

Indexed as

Critical IllnessDecision MakingSelf EfficacyAgedCross-Sectional StudiesFemaleHumansIntensive Care UnitsMaleMiddle AgedPsychometricsReproducibility of ResultsCritical careDecision-makingFamily membersPsychometricsSelf-efficacy

Identifiers

PMID31699176
PMCPMC7205581
OpenAlexW2985291919

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.