Validation of a Preparation for Decision Making scale
The Preparation for Decision Making (PrepDM) scale was developed to evaluate decision processes relating to the preparation of patients for decision making and dialoguing with their practitioners. The objective of this study was to evaluate the scale's psychometric properties. From July 2005 to...
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| Published in | Patient education and counseling Vol. 78; no. 1; pp. 130 - 133 |
|---|---|
| Main Authors | , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
Ireland
Elsevier Ireland Ltd
01.01.2010
|
| Subjects | |
| Online Access | Get full text |
| ISSN | 0738-3991 1873-5134 1873-5134 |
| DOI | 10.1016/j.pec.2009.05.012 |
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| Abstract | The Preparation for Decision Making (PrepDM) scale was developed to evaluate decision processes relating to the preparation of patients for decision making and dialoguing with their practitioners. The objective of this study was to evaluate the scale's psychometric properties.
From July 2005 to March 2006, after viewing a decision aid prescribed during routine clinical care, patients completed a questionnaire including: demographic information, treatment intention, decisional conflict, decision aid acceptability, and the PrepDM scale.
Four hundred orthopaedic patients completed the questionnaire. The PrepDM scale showed significant correlation with the informed (
r
=
−0.21,
p
<
0.01) and support (
r
=
−0.13,
p
=
0.01) subscales (DCS); and discriminated significantly between patients who did and did not find the decision aid helpful (
p
<
0.0001). Alpha coefficients for internal consistency ranged from 0.92 to 0.96. The scale is strongly unidimensional (principal components analysis) and Item Response Theory analyses demonstrated that all ten scale items function very well.
The psychometric properties of the PrepDM scale are very good.
The scale could allow more comprehensive evaluation of interventions designed to prepare patients for shared-decision making encounters regarding complex health care decisions. |
|---|---|
| AbstractList | Abstract Objective The Preparation for Decision Making (PrepDM) scale was developed to evaluate decision processes relating to the preparation of patients for decision making and dialoguing with their practitioners. The objective of this study was to evaluate the scale's psychometric properties. Methods From July 2005 to March 2006, after viewing a decision aid prescribed during routine clinical care, patients completed a questionnaire including: demographic information, treatment intention, decisional conflict, decision aid acceptability, and the PrepDM scale. Results Four hundred orthopaedic patients completed the questionnaire. The PrepDM scale showed significant correlation with the informed ( r = −0.21, p < 0.01) and support ( r = −0.13, p = 0.01) subscales (DCS); and discriminated significantly between patients who did and did not find the decision aid helpful ( p < 0.0001). Alpha coefficients for internal consistency ranged from 0.92 to 0.96. The scale is strongly unidimensional (principal components analysis) and Item Response Theory analyses demonstrated that all ten scale items function very well. Conclusion The psychometric properties of the PrepDM scale are very good. Practice Implications The scale could allow more comprehensive evaluation of interventions designed to prepare patients for shared-decision making encounters regarding complex health care decisions. Objective The Preparation for Decision Making (PrepDM) scale was developed to evaluate decision processes relating to the preparation of patients for decision making and dialoguing with their practitioners. The objective of this study was to evaluate the scale's psychometric properties. Methods From July 2005 to March 2006, after viewing a decision aid prescribed during routine clinical care, patients completed a questionnaire including: demographic information, treatment intention, decisional conflict, decision aid acceptability, and the PrepDM scale. Results Four hundred orthopaedic patients completed the questionnaire. The PrepDM scale showed significant correlation with the informed (r = -0.21, p < 0.01) and support (r = -0.13, p = 0.01) subscales (DCS); and discriminated significantly between patients who did and did not find the decision aid helpful (p < 0.0001). Alpha coefficients for internal consistency ranged from 0.92 to 0.96. The scale is strongly unidimensional (principal components analysis) and Item Response Theory analyses demonstrated that all ten scale items function very well. Conclusion The psychometric properties of the PrepDM scale are very good. Practice Implications The scale could allow more comprehensive evaluation of interventions designed to prepare patients for shared-decision making encounters regarding complex health care decisions. [Copyright Elsevier B.V.] The Preparation for Decision Making (PrepDM) scale was developed to evaluate decision processes relating to the preparation of patients for decision making and dialoguing with their practitioners. The objective of this study was to evaluate the scale's psychometric properties. From July 2005 to March 2006, after viewing a decision aid prescribed during routine clinical care, patients completed a questionnaire including: demographic information, treatment intention, decisional conflict, decision aid acceptability, and the PrepDM scale. Four hundred orthopaedic patients completed the questionnaire. The PrepDM scale showed significant correlation with the informed ( r = −0.21, p < 0.01) and support ( r = −0.13, p = 0.01) subscales (DCS); and discriminated significantly between patients who did and did not find the decision aid helpful ( p < 0.0001). Alpha coefficients for internal consistency ranged from 0.92 to 0.96. The scale is strongly unidimensional (principal components analysis) and Item Response Theory analyses demonstrated that all ten scale items function very well. The psychometric properties of the PrepDM scale are very good. The scale could allow more comprehensive evaluation of interventions designed to prepare patients for shared-decision making encounters regarding complex health care decisions. The Preparation for Decision Making (PrepDM) scale was developed to evaluate decision processes relating to the preparation of patients for decision making and dialoguing with their practitioners. The objective of this study was to evaluate the scale's psychometric properties.OBJECTIVEThe Preparation for Decision Making (PrepDM) scale was developed to evaluate decision processes relating to the preparation of patients for decision making and dialoguing with their practitioners. The objective of this study was to evaluate the scale's psychometric properties.From July 2005 to March 2006, after viewing a decision aid prescribed during routine clinical care, patients completed a questionnaire including: demographic information, treatment intention, decisional conflict, decision aid acceptability, and the PrepDM scale.METHODSFrom July 2005 to March 2006, after viewing a decision aid prescribed during routine clinical care, patients completed a questionnaire including: demographic information, treatment intention, decisional conflict, decision aid acceptability, and the PrepDM scale.Four hundred orthopaedic patients completed the questionnaire. The PrepDM scale showed significant correlation with the informed (r=-0.21, p<0.01) and support (r=-0.13, p=0.01) subscales (DCS); and discriminated significantly between patients who did and did not find the decision aid helpful (p<0.0001). Alpha coefficients for internal consistency ranged from 0.92 to 0.96. The scale is strongly unidimensional (principal components analysis) and Item Response Theory analyses demonstrated that all ten scale items function very well.RESULTSFour hundred orthopaedic patients completed the questionnaire. The PrepDM scale showed significant correlation with the informed (r=-0.21, p<0.01) and support (r=-0.13, p=0.01) subscales (DCS); and discriminated significantly between patients who did and did not find the decision aid helpful (p<0.0001). Alpha coefficients for internal consistency ranged from 0.92 to 0.96. The scale is strongly unidimensional (principal components analysis) and Item Response Theory analyses demonstrated that all ten scale items function very well.The psychometric properties of the PrepDM scale are very good.CONCLUSIONThe psychometric properties of the PrepDM scale are very good.The scale could allow more comprehensive evaluation of interventions designed to prepare patients for shared-decision making encounters regarding complex health care decisions.PRACTICE IMPLICATIONSThe scale could allow more comprehensive evaluation of interventions designed to prepare patients for shared-decision making encounters regarding complex health care decisions. The Preparation for Decision Making (PrepDM) scale was developed to evaluate decision processes relating to the preparation of patients for decision making and dialoguing with their practitioners. The objective of this study was to evaluate the scale's psychometric properties. From July 2005 to March 2006, after viewing a decision aid prescribed during routine clinical care, patients completed a questionnaire including: demographic information, treatment intention, decisional conflict, decision aid acceptability, and the PrepDM scale. Four hundred orthopaedic patients completed the questionnaire. The PrepDM scale showed significant correlation with the informed (r=-0.21, p<0.01) and support (r=-0.13, p=0.01) subscales (DCS); and discriminated significantly between patients who did and did not find the decision aid helpful (p<0.0001). Alpha coefficients for internal consistency ranged from 0.92 to 0.96. The scale is strongly unidimensional (principal components analysis) and Item Response Theory analyses demonstrated that all ten scale items function very well. The psychometric properties of the PrepDM scale are very good. The scale could allow more comprehensive evaluation of interventions designed to prepare patients for shared-decision making encounters regarding complex health care decisions. |
| Author | Clay, Kate F. Bennett, Carol Kristjansson, Elizabeth Kearing, Stephen A. O’Connor, Annette M. Graham, Ian D. |
| Author_xml | – sequence: 1 givenname: Carol surname: Bennett fullname: Bennett, Carol email: cbennett@ohri.ca organization: Ottawa Hospital Research Institute, Clinical Epidemiology Program, Administrative Services Building, Room 2-013, 1053 Carling Avenue, Ottawa, ON K1Y 4E9, Canada – sequence: 2 givenname: Ian D. surname: Graham fullname: Graham, Ian D. organization: Canadian Institutes of Health Research, Canada – sequence: 3 givenname: Elizabeth surname: Kristjansson fullname: Kristjansson, Elizabeth organization: School of Psychology and Institute of Population Health, University of Ottawa, Canada – sequence: 4 givenname: Stephen A. surname: Kearing fullname: Kearing, Stephen A. organization: The Dartmouth Institute for Health Policy and Clinical Practice, Canada – sequence: 5 givenname: Kate F. surname: Clay fullname: Clay, Kate F. organization: Dartmouth Hitchcock Medical Center, Canada – sequence: 6 givenname: Annette M. surname: O’Connor fullname: O’Connor, Annette M. organization: Ottawa Hospital Research Institute, Clinical Epidemiology Program, Administrative Services Building, Room 2-013, 1053 Carling Avenue, Ottawa, ON K1Y 4E9, Canada |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/19560303$$D View this record in MEDLINE/PubMed |
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| PublicationDate_xml | – month: 01 year: 2010 text: 2010-01-01 day: 01 |
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| PublicationPlace | Ireland |
| PublicationPlace_xml | – name: Ireland |
| PublicationTitle | Patient education and counseling |
| PublicationTitleAlternate | Patient Educ Couns |
| PublicationYear | 2010 |
| Publisher | Elsevier Ireland Ltd |
| Publisher_xml | – name: Elsevier Ireland Ltd |
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| SubjectTerms | Acceptability Algorithms Conflict (Psychology) Decision Making Decision Support Techniques Female Humans Internal Medicine Male Middle Aged Patient care Patient Participation Patient Satisfaction Physician-Patient Relations Prescribed Psychometric properties Psychometrics Reproducibility of Results Surveys and Questionnaires Validation |
| Title | Validation of a Preparation for Decision Making scale |
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