title: Shared decision making in Swedish community mental health services - an evaluation of three self-reporting instruments.
abstract: BACKGROUND
  Despite the potential impact of shared decision making on users satisfaction with care and quality in health care decisions, there is a lack of knowledge and skills regarding how to work with shared decision making among health care providers.
  
  
  OBJECTIVE
  The aim of this study was to evaluate the psychometric properties of three instruments that measure varied dimensions of shared decision making, based on self-reports by clients, in a Swedish community mental health context.
  
  
  METHODS
  The study sample consisted of 121 clients with experience of community mental health care, and involved in a wide range of decisions regarding both social support and treatment. The questionnaires were examined for face and content validity, internal consistency, test-retest reliability and construct validity.
  
  
  RESULTS
  The instruments displayed good face and content validity, satisfactory internal consistency and a moderate to good level of stability in test-retest reliability with fair to moderate construct correlations, in a sample of clients with serious mental illness and experience of community mental health services in Sweden.
  
  
  CONCLUSIONS
  The questionnaires are considered to be relevant to the decision making process, user-friendly and appropriate in a Swedish community mental health care context. They functioned well in settings where non-medical decisions, regarding social and support services, are the primary focus. The use of instruments that measure various dimensions of the self-reported experience of clients, can be a key factor in developing knowledge of how best to implement shared decision making in mental health services.
authors.affiliation: a Department of Social Work , Umeå University , Umeå , Sweden.
authors.forename: David
authors.initials: D
authors.lastname: Rosenberg
authors.affiliation: b School of Health and Social Work, Dalarna University , Falun , Sweden , and.
authors.forename: Ulla-Karin
authors.initials: UK
authors.lastname: Schön
authors.affiliation: c School of Health and Welfare, Halmstad University , Halmstad , Sweden.
authors.forename: Maria
authors.initials: M
authors.lastname: Nyholm
authors.affiliation: b School of Health and Social Work, Dalarna University , Falun , Sweden , and.
authors.forename: Katarina
authors.initials: K
authors.lastname: Grim
authors.affiliation: c School of Health and Welfare, Halmstad University , Halmstad , Sweden.
authors.forename: Petra
authors.initials: P
authors.lastname: Svedberg
mesh_terms: D000328:Adult; D000368:Aged; D003156:Community Mental Health Services / Q000379:methods*; D003657:Decision Making; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010358:Patient Participation; D011594:Psychometrics; D015203:Reproducibility of Results; D057566:Self Report; D013548:Sweden; D055815:Young Adult
keywords: Recovery; mental illness; questionnaire; reliability; shared decision making; validity