Development of a scale to measure shared problem-solving and decision-making in mental healthcare
Journal article
Authors | Shoesmith, Wendy Diana, Abdullah, Atiqah Chew, Tan, Bih Yuan, Kamu, Assis, Ho, Chong Mun, Giridharan, Beena, Forman, Dawn and Fyfe, Sue |
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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. |
Keywords | General Medicine; collaborative practice; healthcare teams |
Year | 2022 |
Journal | Patient Education and Counseling |
Publisher | Elsevier BV |
ISSN | 0738-3991 |
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 | |
Accepted author manuscript | License File Access Level Controlled |
Output status | Published |
Publication dates | 15 Jan 2022 |
Publication process dates | |
Deposited | 07 Mar 2022, 14:47 |
Accepted | 14 Jan 2022 |
Rights | Attribution-NonCommercial-NoDerivatives 4.0 International |
Contributors | Universiti Malaysia Sabah, Kota Kinabalu, Malaysia, Curtin University, Miri, Malaysia, Curtin University, Perth, Australia and University of Derby |
File | File Access Level Open |
File | File Access Level Open |
https://repository.derby.ac.uk/item/9518x/development-of-a-scale-to-measure-shared-problem-solving-and-decision-making-in-mental-healthcare
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