Decision Quality Among Parents Who Are Offered Ventilation Tube Insertion for Their Children.
Publication/Presentation Date
8-1-2020
Abstract
OBJECTIVE: To develop a Decision Quality (DQ) tool to measure parents' DQ concerning ventilation tube (VT) insertion in their children.
METHOD: Parental survey during 2017 to 2018 in a tertiary care pediatric otolaryngology clinic comparing a validated Decisional Conflict (DC) scale with a DQ instrument including Shared Decision-Making (SDM) scale, parental treatment goals, and knowledge about VT.
RESULTS: Of 100 parent participants, 83% were mothers and 14% were fathers. 94% elected VT insertion, 6% elected monitoring or deferred the decision. 44% of the patients were <18 >months, 42% were 19 months to 3 years, and the rest were older. The mean DC score was 8.26 out of 100 (95% CI 4.82-11.69), indicating low DC. Mean DQ score was 82.45 out of 100 (95% CI 80.18-84.72), including mean SDM of 87.71 (95% CI 83.53-91.88,), mean knowledge score of 87.5% (95% CI 84.56-91.59) and mean values score of 7.16 (95% CI 6.90-7.41). Comparisons between those who elected VT and those who did not showed that electors had lower DC scores (7.15 vs 24.74,
CONCLUSIONS: DQ, as measured with this tool, was higher when parents chose to place tubes. Our DQ instrument has potential use for study of why parents may decline VT when their child meets criteria for them.
Volume
129
Issue
8
First Page
748
Last Page
754
ISSN
1943-572X
Published In/Presented At
Newby, M. D., Zalzal, H. G., Ramadan, J., Kellermeyer, B. M., & Carr, M. M. (2020). Decision Quality Among Parents Who Are Offered Ventilation Tube Insertion for Their Children. The Annals of otology, rhinology, and laryngology, 129(8), 748–754. https://doi.org/10.1177/0003489420909850
Disciplines
Medicine and Health Sciences | Pediatrics
PubMedID
32126799
Department(s)
Department of Pediatrics, Department of Surgery
Document Type
Article