Development of a scale to measure shared problem-solving and decision-making in mental healthcare

Journal article


Shoesmith, Wendy Diana, Abdullah, Atiqah Chew, Tan, Bih Yuan, Kamu, Assis, Ho, Chong Mun, Giridharan, Beena, Forman, Dawn and Fyfe, Sue 2022. Development of a scale to measure shared problem-solving and decision-making in mental healthcare. Patient Education and Counseling. https://doi.org/10.1016/j.pec.2022.01.005
AuthorsShoesmith, Wendy Diana, Abdullah, Atiqah Chew, Tan, Bih Yuan, Kamu, Assis, Ho, Chong Mun, Giridharan, Beena, Forman, Dawn and Fyfe, Sue
Abstract

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.

KeywordsGeneral Medicine; collaborative practice; healthcare teams
Year2022
JournalPatient Education and Counseling
PublisherElsevier BV
ISSN0738-3991
Digital Object Identifier (DOI)https://doi.org/10.1016/j.pec.2022.01.005
Web address (URL)http://hdl.handle.net/10545/626348
https://www.elsevier.com/tdm/userlicense/1.0/
http://creativecommons.org/licenses/by-nc-nd/4.0/
hdl:10545/626348
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Output statusPublished
Publication dates15 Jan 2022
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Deposited07 Mar 2022, 14:47
Accepted14 Jan 2022
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Attribution-NonCommercial-NoDerivatives 4.0 International

ContributorsUniversiti Malaysia Sabah, Kota Kinabalu, Malaysia, Curtin University, Miri, Malaysia, Curtin University, Perth, Australia and University of Derby
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