Evidence map›Paper›PMID 41274930›Full record

ArticleScientific reports2025

Risk factors of decisional conflict among people living with chronic pain identified through a pan-Canadian survey.

Florian Naye, Yannick Tousignant-Laflamme, Maxime Sasseville, Chloé Cachinho, Thomas Gérard, Karine Toupin-April, Olivia Dubois, Jean-Sébastien Paquette, Annie LeBlanc, Isabelle Gaboury and 6 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. 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

16 authors.

Florian NayeFaculty of Medicine and Health Sciences, School of Rehabilitation, Université de Sherbrooke, Research Centre of the CHUS, CIUSSS de l'Estrie- CHUS, 3001, 12e Avenue Nord, Sherbrooke, QC, J1H 5N4, Canada.
Yannick Tousignant-LaflammeFaculty of Medicine and Health Sciences, School of Rehabilitation, Université de Sherbrooke, Research Centre of the CHUS, CIUSSS de l'Estrie- CHUS, 3001, 12e Avenue Nord, Sherbrooke, QC, J1H 5N4, Canada.
Maxime SassevilleVITAM Research Center for Sustainable Health Quebec Integrated University Health and Social Services Center (CIUSSS de la Capitale-Nationale) , Quebec, Canada, QC.
Chloé CachinhoFaculty of Medicine and Health Sciences, School of Rehabilitation, Université de Sherbrooke, Research Centre of the CHUS, CIUSSS de l'Estrie- CHUS, 3001, 12e Avenue Nord, Sherbrooke, QC, J1H 5N4, Canada.
Thomas GérardFaculty of Medicine and Health Sciences, School of Rehabilitation, Université de Sherbrooke, Research Centre of the CHUS, CIUSSS de l'Estrie- CHUS, 3001, 12e Avenue Nord, Sherbrooke, QC, J1H 5N4, Canada.
Karine Toupin-AprilSchool of Rehabilitation Sciences, Faculty of Health Sciences, University of Ottawa, Ottawa, ON, Canada.
Olivia DuboisFaculty of Medicine and Health Sciences, School of Rehabilitation, Université de Sherbrooke, Research Centre of the CHUS, CIUSSS de l'Estrie- CHUS, 3001, 12e Avenue Nord, Sherbrooke, QC, J1H 5N4, Canada.
Jean-Sébastien PaquetteVITAM Research Center for Sustainable Health Quebec Integrated University Health and Social Services Center (CIUSSS de la Capitale-Nationale) , Quebec, Canada, QC.
Annie LeBlancVITAM Research Center for Sustainable Health Quebec Integrated University Health and Social Services Center (CIUSSS de la Capitale-Nationale) , Quebec, Canada, QC.
Isabelle GabouryFaculty of Medicine and Health Sciences, Department of Family Medicine and Emergency Medicine, Research Centre, Université de Sherbrooke, CIUSSS de l'Estrie-CHUS, Sherbrooke, QC, Canada.
Marie-Eve PoitrasFaculty of Medicine and Health Sciences, School of Rehabilitation, Université de Sherbrooke, Research Centre of the CHUS, CIUSSS de l'Estrie- CHUS, 3001, 12e Avenue Nord, Sherbrooke, QC, J1H 5N4, Canada.
Linda C LiDepartment of Physical Therapy, University of British Columbia, Vancouver, BC, Canada.
Alison HoensDepartment of Physical Therapy, University of British Columbia, Vancouver, BC, Canada.
Marie-Dominique PoirierFaculty of Medicine and Health Sciences, School of Rehabilitation, Université de Sherbrooke, Research Centre of the CHUS, CIUSSS de l'Estrie- CHUS, 3001, 12e Avenue Nord, Sherbrooke, QC, J1H 5N4, Canada.
France LégaréVITAM Research Center for Sustainable Health Quebec Integrated University Health and Social Services Center (CIUSSS de la Capitale-Nationale) , Quebec, Canada, QC.
Simon DécaryFaculty of Medicine and Health Sciences, School of Rehabilitation, Université de Sherbrooke, Research Centre of the CHUS, CIUSSS de l'Estrie- CHUS, 3001, 12e Avenue Nord, Sherbrooke, QC, J1H 5N4, Canada. Simon.decary@usherbrooke.ca.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Making decisions about chronic pain care is often challenging due to uncertainties, leading to decisional conflict when individuals do not receive the support and information they need. Shared decision-making interventions can help meet these needs; however, their effectiveness is inconsistent in the context of chronic pain. This study aimed to identify the decisional needs influencing decisional conflict among adults with chronic pain in Canada, to guide the development of more comprehensive interventions. In this pan-Canadian online survey, we measured decisional conflict related to the most difficult decision using the Decisional Conflict Scale (≥ 37.5 indicating clinically significant conflict) and assessed decisional needs based on the Ottawa Decision Support Framework. Of the 1,649 participants, 1,373 reported a Decisional Conflict Scale score. The mean age was 52 (SD = 16.4), with half of respondents being men (49.5%) and pain duration ranging from 3 months to 59 years. One-third (33.7%) experienced clinically significant decisional conflict. Seventeen risk factors were identified, including difficulty understanding healthcare information (OR = 2.43) and lack of prior knowledge of available options (OR = 2.03), while role congruence in decision-making was associated with reduced conflict (OR = 0.57). Future SDM interventions could be enhanced by targeting multiple risk factors of decisional conflict.

Indexed as

Chronic PainConflict, PsychologicalDecision MakingAdultAgedCanadaFemaleHumansMaleMiddle AgedRisk FactorsSurveys and QuestionnairesChronic painDecisional conflictPatient-centred careShared decision-makingSurvey

Identifiers

PMID41274930
PMCPMC12749655

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.