Measuring (shared) decision-making--a review of psychometric instruments.
In recent years shared decision-making (SDM) has gained importance as an appropriate approach to patient-physician communication and decision-making. However, there is a conceptual variety that implies problems of inconsistent measurement, of defining relationships of SDM and outcome measures, and of comparisons across different studies. This article presents the results of a literature search of psychometric instruments measuring aspects of decision-making. Altogether 18 scales were found. The majority covers the patients' perspective and relates to preferences for information and participation, decisional conflict, self-efficacy as well as to the evaluation of decision-making process and outcomes. The scales differ widely in their extent of validation. Although this review is not exhaustive, it presents a variety of available decision-making instruments. Yet, many of them still need to show their psychometric quality for other settings in further studies.
Simon
Daniela
D
University Medical Centre Freiburg, Department of Psychiatry and Psychotherapy, Section of Clinical Epidemiology and Health Services Research. Daniela.Simon@uniklinik-freiburg.de
Loh
Andreas
A
Härter
Martin
M
D003220:Conflict, Psychological; D003657:Decision Making; D006801:Humans; D010358:Patient Participation; D010361:Patients / Q000523:psychology*; D010817:Physician-Patient Relations; D010820:Physicians / Q000523:psychology*; D011581:Psychological Tests