In a secondary analysis of cluster randomized trial, authors compared the SURE test with the Decisional Conflict Scale. The SURE test explained 34% of the DCS score variance with an internal consistency of 0.38. SURE test sensitivity and specificity for identifying decisional conflict was 32%. The SURE test’s positive likelihood ratio was 8.4 and its negative likelihood ratio was 0.7. There were no significant differences between females and males in DCS and sensitivity and specificity were higher for females than males. The SURE test demonstrated acceptable psychometric properties for screening decisional conflict among parents making a health decision about their child in primary care. However, clinicians cannot be confident that a negative SURE test rules out the presence of decisional conflict. Read more here.