A diabetes-specific measure of patient desire to participate in medical decision making
A diabetes-specific measure of patient desire to participate in medical decision making
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DOI：
10.1177/014572170102700613
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发表时间：
2001-11-01
影响因子：
3.9
通讯作者：
Gelberg, L
中科院分区：
文献类型：
--
作者：
Golin, CE;DiMatteo, MR;Gelberg, L
本研究的目的是制定糖尿病患者参与医疗决策意愿 (DPMD) 的特定量表，并检查其内部一致性信度、稳定性和有效性（内容、判别、收敛和构建）。 方法在一项横断面研究中，对来自教学医院综合医疗诊所的 65 名 2 型糖尿病患者进行基线访谈和两周后测量他们的 DPMD 评分。收集的数据涉及人口统计学/临床特征、健康价值、社会支持、做出最终决定的愿望以及患者自主价值。 结果 在 11 个 DPAM 项目中，出现了 2 个不同的因素，分别代表讨论的愿望和信息的愿望。 DPMD量表具有较高的内部一致性信度，在2周内保持稳定，内容效度良好。 DPMD 量表项目之间的相关性高于与健康价值或社会支持的相关性。总体而言，接受过糖尿病教育的患者表示更愿意参与决策。年轻患者总体上更愿意讨论。 DPMD 讨论意愿分量表与患者做出最终治疗决定的意愿相关，但与患者的自主价值无关。结论 DPMD 是评估患者参与糖尿病医疗决策意愿的一种简短、可靠、有效的衡量标准。
PURPOSE he goal of this study was to develop a diabetes-specific scale of patient desire to participate in medical decision making (DPMD) and examine its internal consistency reliability, stability, and validity (content, discriminant, convergent, and construct).METHODS In a cross-sectional study, 65 patients with type 2 diabetes from a teaching hospitals general medical clinic were interviewed at baseline and 2 weeks later to measure their DPMD scores. Data were collected on demographic/clinical features, health value, social support, desire to make a final decision, and value of patient autonomy.RESULTS Of the 11 DPAM items, 2 distinct factors emerged representing desire for discussion and desire for information. The DPMD scale had high internal consistency reliability, was stable over 2 weeks and demonstrated good content validity. DPMD scale items were more correlated with each other than with health value or social support. Overall, patients who obtained diabetes education reported greater desire to participate in decisions. Younger patients had a greater overall desire for discussion. The DPMD desire for discussion subscale correlated with patients' desire to make the final treatment decision but not with patients' value of autonomy.CONCLUSIONS The DPMD is a brief, reliable, valid measure for assessing patient desire to participate in diabetes medical decision making.