Health Decision Sciences Center

Decision quality instruments include decision-specific items to assess (1) the extent to which patients are informed, (2) patients' goals and concerns and the treatments received, and (3) the extent to which patients are involved in their decisions about their care.

Over the last several years, Dr. Karen Sepucha and colleagues have developed 14 different Decision Quality Instruments (DQIs) covering many common medical conditions including treatment of knee and hip osteoarthritis, breast cancer, colon cancer screening, prostate cancer, and herniated disc.

The DQIs contain three parts:

  1. Decision-specific knowledge questions that assess patient understanding of the options and outcomes
  2. Decision-specific goals and concerns that are used to examine the extent to which patient receive treatment that is   
    concordant with their goals
  3. Involvement questions that assess the extent to which patients are meaningfully involved in the decision making process with their health care provider.

DQIs are available for the following decisions:

TOPIC

DQI

 

Back Pain

DQI-Herniated Disc v2.0 (Short version PDF, User manual)

 

 

DQI-Spinal Stenosis v1.0 (Short version PDF, User manual)

 

Breast Cancer 

DQI-Breast Surgery v2.1 (Short version PDF, User manual)

 

 

DQI-Breast Surgery (Spanish language version) v1.1 (Short version PDF)

 

 

DQI-Chemotherapy and Hormone Therapy v2.1 (Short version PDF)

 

 

DQI-Breast Reconstruction v1.0 (Short version PDF)

 

Colon cancer
Heart Disease

DQI-Colon Cancer Testing v2.0 (Short version PDF)
DQI-Coronary Artery Disease Treatment v1.0 (Short version PDF, User manual)

 

Mental health

DQI-Depression v2.0 (Short version PDF)

 

Osteoarthritis 

DQI-Knee Osteoarthritis v2.0 (Short version PDF, User manual)

 

 

DQI-Hip Osteoarthritis v2.0 (Short version PDF, User manual)

 

Prostate

DQI-Benign Prostate Disease v1.0 (Short version PDF, User manual)

 

 

DQI-Early Prostate Cancer Treatment v1.0 (Short version PDF, User manual)

 

 

DQI-PSA Screening v1.0 (Short version PDF, User manual)

 

Women’s health

DQI-Menopause v2.0 (Short version PDF)

 

The DQIs are copyrighted but available for researchers, clinicians and administrators to use free of charge. The short versions of the published instruments are available for download. The versioning reflects the amount of testing that has been done. DQIs that are v1.0 have had extensive development and cognitive testing; v2.0 have also been field tested and have data on psychometrics. We encourage users to complete a user agreement in order for us to track interest in the measures and to help us generate evidence to improve the instruments. Please contact the research team at decisions@partners.org with any questions about the instruments and to receive a scoring guide.

Learn more about the DQI development process and read case studies of how these are being used in research and clinical practice. 

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