<?xml version='1.0' encoding='UTF-8'?><xml><records><record><source-app name="HighWire" version="7.x">Drupal-HighWire</source-app><ref-type name="Journal Article">17</ref-type><contributors><authors><author><style face="normal" font="default" size="100%">Légaré, France</style></author><author><style face="normal" font="default" size="100%">Kearing, Stephen</style></author><author><style face="normal" font="default" size="100%">Clay, Kate</style></author><author><style face="normal" font="default" size="100%">Gagnon, Susie</style></author><author><style face="normal" font="default" size="100%">D’Amours, Denis</style></author><author><style face="normal" font="default" size="100%">Rousseau, Michel</style></author><author><style face="normal" font="default" size="100%">O’Connor, Annette</style></author></authors><secondary-authors></secondary-authors></contributors><titles><title><style face="normal" font="default" size="100%">Are you SURE?</style></title><secondary-title><style face="normal" font="default" size="100%">Canadian Family Physician</style></secondary-title></titles><dates><year><style  face="normal" font="default" size="100%">2010</style></year><pub-dates><date><style  face="normal" font="default" size="100%">2010-08-01 00:00:00</style></date></pub-dates></dates><pages><style  face="normal" font="default" size="100%">e308-e314</style></pages><volume><style face="normal" font="default" size="100%">56</style></volume><issue><style face="normal" font="default" size="100%">8</style></issue><abstract><style  face="normal" font="default" size="100%">OBJECTIVE To assess the reliability and validity of the 4-item SURE (Sure of myself; Understand information; Risk-benefit ratio; Encouragement) screening test for decisional conflict in patients.DESIGN Cross-sectional study.SETTING Four family medicine groups in Quebec and 1 rural academic medical centre in New Hampshire.PARTICIPANTS One hundred twenty-three French-speaking pregnant women considering prenatal screening for Down syndrome and 1474 English-speaking patients referred to watch condition-specific video decision aids.MAIN OUTCOME MEASURES Cronbach α was used to assess the reliability of SURE. A factorial analysis was performed to assess its unidimensionality. The Pearson correlation coefficient was computed between SURE and the Decisional Conflict Scale to assess concurrent validation. A t test procedure comparing the SURE scores of patients who had made decisions with the scores of those who had not was used to assess construct validation.RESULTS Among the 123 French-speaking pregnant women, 105 (85%) scored 4 out of 4 (no decisional conflict); 10 (8%) scored 3 (≤ 3 indicates decisional conflict); 7 (6%) scored 2; and 1 (1%) scored 1. Among the 1474 English-speaking treatment-option patients, 981 (67%) scored 4 out of 4; 272 (18%) scored 3; 147 (10%) scored 2; 54 (4%) scored 1; and 20 (1%) scored 0. The reliability of SURE was moderate (Cronbach α of 0.54 in French-speaking pregnant women and 0.65 in treatment-option patients). In the group of pregnant women, 2 factors accounted for 72% of the variance. In the treatment-option group, 1 factor accounted for 49% of the variance. In the group of pregnant women, SURE correlated negatively with the Decisional Conflict Scale (r = −0.46; P &lt; .0001); and in the group of treatment-option patients, it discriminated between those who had made a choice for a treatment and those who had not (P &lt; .0001).CONCLUSION The SURE screening test shows promise for screening for decisional conflict in both French- and English-speaking patients; however, future studies should assess its performance in a broader group of patients.</style></abstract></record></records></xml>