Stephen H. Linder|Paul R. Swank|Sally W. Vernon|Patricia Dolan Mullen|Robert O. Morgan|Robert J. Volk
Validity of a low literacy version of the Decisional Conflict Scale
The University of Texas MD Anderson Cancer Center|The University of Texas Health Science Center at Houston|The University of Texas Health Science Center at Houston|The University of Texas Health Science Center at Houston|The University of Texas Health Science Center at Houston|The University of Texas MD Anderson Cancer Center
evaluate psychometric properties 4factor low literacy decisional conflict scale dcsll men eligible prostate cancer screening pcswe used baseline t0 n149 postintervention t2 n89 data randomized controlled trial pcs decision aid assess internal consistency reliability construct discriminant factor validitythere evidence excellent internal consistency reliability s80 fair construct validity rs40 dcsll except supported subscale dcsll able discriminate men decided evidence original 4factor model t0 exploratory analysis suggested 3factor solution t0 t2 informed value clarity one factorfor men eligible pcs feeling informed feeling clear values may reflect distinct cognitive processes feeling supported may factor contributing uncertaintyresearch address whether current dcs subscales best represent factors contribute uncertainty pcs screening decisions research also explore influence health literacy factor structure dcsll