ICU sedation, delirium & recovery
Association Between Shared Decision-Making During Family Meetings and Surrogates’ Trust in Their ICU Physician
Authors' conclusion
The conduct of family meetings and physicians' use of SDM behaviors during meetings were both associated with increases in surrogates' trust in the treating physician.
Study context
- Population
- Surrogate decision-makers of decisionally incapacitated patients at high risk of death or severe functional impairment, 13 ICUs at six US medical centres, 2008–2012surrogates of 204 patients
- Participants
- 369 participants
- Comparison
- Surrogates' trust before vs after an ICU family meeting; number of shared decision-making (SDM) behaviours used by physicians
- Primary endpoint
- Surrogates' trust in the physician (Abbreviated Wake Forest Physician Trust Scale, range 5-25), before vs after family conference
Methodological detailsmulticentre, audio-recorded family conferences, qualitative coding, multivariable linear regression adjusted for clustering
- Multicentre
- Audio-recorded family conferences
- Qualitative coding
- Multivariable linear regression adjusted for clustering
Primary result
As reported in the abstract
Trust, pre- to post family meeting
- Average change in trust, pre- to post family meeting (point)
- 0.91
- 95% CI
- 0.4-1.4
- P
- P < .01
Further findings
Trust per additional SDM element used (discussing surrogate's role, emotional support, assessing understanding, eliciting values and preferences)
- Increase in trust per additional SDM element (point)
- 0.37
- 95% CI
- 0.08-0.67
- P
- P = 0.01
- Increase in trust if all four elements used (points)
- 1.48
- Explaining medical condition or prognosis observed in 98.5% of conferences; excluded from final model
Original publication
Association Between Shared Decision-Making During Family Meetings and Surrogates’ Trust in Their ICU Physician. Chest. Published 3 November 2022. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →