DCS. The DCS is a 16-item questionnaire assessing the level of decisional conflict; the five-point scale items range from ‘strongly agree’ (0) to ‘strongly disagree’ (4).21 The scale consists of five subscales: feeling uncertain (3 items), feeling uninformed (3 items), feeling unclear about values (3 items), feeling unsupported (3 items), and ineffective decision making (4 items).32 To calculate the subscale scores, item scores are summed, divided by the number of items in the subscales and multiplied by 25, with scores ranging from 0 to 100. The total score ranges from 0 to 64, is multiplied by 25/16, resulting in a standardized score from 0 to 100. Higher scores indicate higher decisional conflict. The DCS has been translated and validated in Dutch, in an oncology setting.33 ▇▇▇▇▇▇▇▇’s α’s were .69 (feeling uncertain), .73 (feeling uninformed), .58 (feeling unclear about values), .32 (feeling unsupported) and .82 (ineffective decision making).
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Sources: License Agreement Concerning Inclusion of Doctoral Thesis in the Institutional Repository of the University of Leiden, License Agreement Concerning Inclusion of Doctoral Thesis in the Institutional Repository of the University of Leiden