Preliminary validation of the Satisfaction With Decision scale with depressed primary care patients.
Preliminary validation of the Satisfaction With Decision scale with depressed primary care patients.
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DOI：
10.1046/j.1369-6513.2003.00220.x
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发表时间：
2003-06-01
期刊：
影响因子：
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通讯作者：
Holmes-Rovner, Margaret
中科院分区：
文献类型：
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作者：
Wills, Celia E;Holmes-Rovner, Margaret
目的：对抑郁症初级保健患者的决策满意度（SWD）量表进行初步验证。设计：采用邮寄调查的横断面观察性试点研究。设置和参与者：抑郁症初级保健患者（n = 97）最近做出了关于抗抑郁药物使用的新决定，完成了关于其治疗决定的调查。主要变量：测量指标包括患者报告的决策满意度、决策冲突、抑郁症和治疗知识、决策参与、疼痛和健康状况、抗抑郁药物疗效以及对卫生服务的满意度。SWD量表具有良好的内部一致性信度（α = 0.85）。结构效度的证据证实了通过一个假设的模式之间的关系，社会福利署规模和其他措施。决策满意度与设计以患者为中心的决策支持干预措施的几个相关问题相关：（1）关于抑郁症和治疗的知识;（2）参与健康相关决策;（3）帮助评估治疗的利弊。这项试验性研究的结果表明，社会福利署的规模似乎是一个心理测量的声音和实际的措施，研究与这一人口。需要进一步研究决策满意度的理论性质，并开发和测试以患者为中心的抑郁症治疗决策支持干预措施。
OBJECTIVE: To conduct a preliminary validation of the Satisfaction With Decision (SWD) scale with depressed primary care patients.DESIGN: Cross-sectional observational pilot study using a postal survey.SETTING AND PARTICIPANTS: Depressed primary care patients (n = 97) who recently had made a new decision about antidepressant medication use completed surveys regarding their treatment decisions.MAIN VARIABLES: Measures included patient-reported satisfaction with decision, decisional conflict, knowledge about depression and treatment, decision involvement, pain and health status, antidepressant medication efficacy, and satisfaction with health services.RESULTS: The SWD scale had good internal consistency reliability (alpha = 0.85). Evidence for construct validity was confirmed via a hypothesized pattern of relationships between the SWD scale and other measures. Decision satisfaction was associated with several issues of relevance for designing patient-centred decision support interventions: (1) knowledge about depression and treatment; (2) involvement in health-related decisions; and (3) aiding evaluation of trade-offs among pros and cons of treatment.CONCLUSIONS: The results of this pilot study show that the SWD scale appears to be a psychometrically sound and practical measure for research with this population. Additional research is needed on the theoretical nature of decision satisfaction and developing and testing patient-centred decision support interventions for depression treatment.