The importance and complexity of regret in the measurement of 'good' decisions: a systematic review and a content analysis of existing assessment instruments

The importance and complexity of regret in the measurement of 'good' decisions: a systematic review and a content analysis of existing assessment instruments
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DOI:
10.1111/j.1369-7625.2010.00621.x
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发表时间:
2011-03-01
影响因子:
3.2
通讯作者:
Elwyn, Glyn
Elwyn, Glyn
中科院分区:
医学2区
文献类型:
--
作者:
Joseph-Williams, Natalie;Edwards, Adrian;Elwyn, Glyn

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后悔是决策的常见后果,包括那些与个人健康有关的决策。已经开发了几种评估工具,试图衡量决策后悔。然而,最近的研究强调了后悔的复杂性。鉴于其相关的共同决策,重要的是要了解其概念化和工具来衡量它。ObjectivesTo审查目前的概念遗憾。为了系统地识别用于测量决策后悔的工具,并评估它们是否捕捉到最近的概念化regret.Search strategyFive电子数据库在2008年进行了搜索。检索策略使用MeSH术语(或数据库等效术语)和以下关键标题下的自由文本检索的组合:“决策”、“遗憾”和“测量”。纳入标准如果文章报道了一种旨在测量决策后悔的工具的开发和心理测量测试,或使用以前开发和测试的工具,则纳入文章。10份报告开发和验证了一种衡量决策后悔的工具,22份报告使用了以前开发和测试的仪器内容分析发现,现有的文书测量遗憾不捕捉当前的概念化的遗憾,他们不使建设的遗憾进行测量comprehensively.ConclusionsExisting instrumentation需要进一步发展。还需要澄清使用后悔评估工具的目的,因为这将而且应该是其未来应用的重点。
Background or contextRegret is a common consequence of decisions, including those decisions related to individuals' health. Several assessment instruments have been developed that attempt to measure decision regret. However, recent research has highlighted the complexity of regret. Given its relevance to shared decision making, it is important to understand its conceptualization and the instruments used to measure it.ObjectivesTo review current conceptions of regret. To systematically identify instruments used to measure decision regret and assess whether they capture recent conceptualizations of regret.Search strategyFive electronic databases were searched in 2008. Search strategies used a combination of MeSH terms (or database equivalent) and free text searching under the following key headings: 'Decision' and 'regret' and 'measurement'. Follow-up manual searches were also performed.Inclusion criteriaArticles were included if they reported the development and psychometric testing of an instrument designed to measure decision regret, or the use of a previously developed and tested instrument.Main resultsThirty-two articles were included: 10 report the development and validation of an instrument that measures decision regret and 22 report the use of a previously developed and tested instrument. Content analysis found that existing instruments for the measurement of regret do not capture current conceptualizations of regret and they do not enable the construct of regret to be measured comprehensively.ConclusionsExisting instrumentation requires further development. There is also a need to clarify the purpose for using regret assessment instruments as this will, and should, focus their future application.