Development of a scale to measure shared problem-solving and decision-making in mental healthcare |
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| Institution: | 1. Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Kota Kinabalu, Malaysia;2. Faculty of Business, Curtin University, Miri, Malaysia;3. Faculty of Science and Natural Resources, Universiti Malaysia Sabah, Kota Kinabalu 88400, Malaysia;4. Faculty of Humanities, Curtin University, Miri, Malaysia;5. School of Population Health, Curtin University, Perth, Australia;6. College of Health, Psychology and Social Care, University of Derby, Derby, UK;1. University of Kansas School of Medicine, Department of Population Health, Kansas City, KS USA;2. University of Kansas School of Nursing, Kansas City, KS USA;1. Dept. of Population Health Sciences, Division of Health Informatics, Weill Cornell Medical College, New York, NY, USA;2. Department of Pediatrics, Weill Cornell Medical College, New York, NY, USA;3. Department of Biomedical Informatics, Columbia University, New York, NY, USA;4. Weill Cornell Medicine Samuel J Wood Library, New York, NY, USA;5. Department of Biomedical Informatics, Vanderbilt University Medical Center, Nashville, TN, USA;1. Department of Radiation Oncology, University Hospitals Leuven, Leuven, Belgium;2. Department of Palliative Care, University Hospitals Leuven, Belgium;3. LUCAS KU Leuven Centre for Care Research & Consultancy, Leuven, Belgium;4. Department of General Medical Oncology, University Hospitals Leuven, Leuven, Belgium;5. Department of Oncology, KU Leuven, Leuven, Belgium;1. University of Newcastle, Department of Rural Health, Tamworth, NSW 2340, Australia;2. Hunter New England Local Health District, Tamworth, NSW 2340, Australia;3. Rheumatology Practice, Tamworth, NSW 2340, Australia;1. School of Sport, Exercise and Rehabilitation, University of Technology Sydney, Sydney, NSW, Australia;2. IMPACCT, University of Technology Sydney, Sydney, NSW, Australia;3. Cancer Care Centre, St George Hospital, Sydney, NSW, Australia;4. St George and Sutherland Clinical School, University of New South Wales, Sydney, NSW, Australia;5. Translational Cancer Research Network Sydney, Australia;6. Faculty of Health, School of Nursing, Queensland University of Technology, Brisbane, QLD, Australia;1. Radboud University, Department of Gender & Diversity Studies, Radboud Social Cultural Research, Nijmegen, the Netherlands;2. Radboud University, Department of Language and Communication, Centre for Language Studies, Nijmegen, the Netherlands |
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| Abstract: | ObjectivesThe 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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