Development of a scale to measure shared problem-solving and decision-making in mental healthcare
The aim of this study was to create a measure of collaborative processes between healthcare team members, patients, and carers. Methods: A shared decision-making scale was developed using a qualitative research derived model and refined using Rasch and factor analysis. The scale was used by staff in...
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| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | en en |
| Published: |
Elsevier
2022
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| Subjects: | |
| Online Access: | https://eprints.ums.edu.my/id/eprint/28954/1/Development%20of%20a%20scale%20to%20measure%20shared%20problem-solving%20and%20decision-making%20in%20mental%20healthcare.pdf https://eprints.ums.edu.my/id/eprint/28954/2/Development%20of%20a%20scale%20to%20measure%20shared%20problem-solving%20and%20decision-making%20in%20mental%20healthcare%20_ABSTRACT.pdf https://eprints.ums.edu.my/id/eprint/28954/ https://www.sciencedirect.com/science/article/abs/pii/S0738399122000052 https://doi.org/10.1016/j.pec.2022.01.005 |
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| Summary: | The aim of this study was to create a measure of collaborative processes between healthcare team members, patients, and carers. Methods: A shared decision-making scale was developed using a qualitative research derived model and refined using Rasch and factor analysis. The scale was used by staff in the hospital for four consecutive years (n = 152, 121, 119 and 121) and by two independent patients’ and carers’ samples (n = 223 and 236). Results: Respondents had difficulty determining what constituted a decision and the scale was redeveloped after first use in patients and carers. The initial focus on shared decision-making was changed to shared problem-solving. Two factors were found in the first staff sample: shared problem-solving and shared decision-making. The structure was confirmed on the second patients’ and carers’ sample and an independent staff sample consisting of the first data-points for the last three years. The shared problem-solving and decision-making scale (SPSDM) demonstrated evidence of convergent and divergent validity, internal consistency, measurement invariance on longitudinal data and sensitivity to change. Conclusions: Shared problem-solving was easier to measure than shared decision-making in this context. Practice implications: Shared problem-solving is an important component of collaboration, as well as shared decision-making. |
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