title: Shared decision making and other variables as correlates of satisfaction with health care decisions in a United States national survey.
abstract: OBJECTIVE
  The purpose of this study was to examine the relationship between shared decision-making (SDM) and satisfaction with decision (SWD) within a larger survey of patient decision-making in health care consultations.
  
  
  METHODS
  A randomly selected age-proportionate national sample of adults (aged 21-70 years) stratified on race, ethnicity, and gender (N=488) was recruited from a health research volunteer registry and completed an online survey with reference to a recent health consultation. Measures included the shared decision making-9 questionnaire (SDM-Q-9), Satisfaction With Decision (SWD) scale, sociodemographic, health, and other standardized decision-making measures. Forward selection weighted multiple regression analysis was used to model correlates of SWD.
  
  
  RESULTS
  After controlling for sociodemographic variables, SDM-Q-9 total score was associated with SWD, adjusted R(2)=.368, p<.001. Three of nine SDM-Q-9 items accounted for significant proportions of variance in SWD.
  
  
  CONCLUSIONS
  SDM was positively associated with SWD and was strongest for three areas of SDM: patients being helped in a health care consultation with understanding information, with treatment preference elicitation, and with weighing options thoroughly.
  
  
  CONCLUSIONS
  By identifying variables such as SDM that are associated with SWD, health care interventions can better target modifiable factors to enhance satisfaction and other outcomes.
authors.affiliation: The Ohio State University, Columbus 43210, USA. glass.114@osu.edu
authors.forename: Katherine Elizabeth
authors.initials: KE
authors.lastname: Glass
authors.forename: Celia E
authors.initials: CE
authors.lastname: Wills
authors.forename: Christopher
authors.initials: C
authors.lastname: Holloman
authors.forename: Jacklyn
authors.initials: J
authors.lastname: Olson
authors.forename: Catherine
authors.initials: C
authors.lastname: Hechmer
authors.forename: Carla K
authors.initials: CK
authors.lastname: Miller
authors.forename: Anne-Marie
authors.initials: AM
authors.lastname: Duchemin
mesh_terms: D000328:Adult; D000368:Aged; D001291:Attitude of Health Personnel; D003142:Communication; D003430:Cross-Sectional Studies; D003657:Decision Making; D005260:Female; D019538:Health Care Surveys; D006801:Humans; D008297:Male; D008875:Middle Aged; D010358:Patient Participation; D017060:Patient Satisfaction; D010465:Perception; D010817:Physician-Patient Relations; D012017:Referral and Consultation; D012044:Regression Analysis; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D014481:United States; D055815:Young Adult