Validation of a decision regret scale
Validation of a decision regret scale
复制标题
DOI：
10.1177/0272989x03256005
复制
发表时间：
2003-07-01
影响因子：
3.6
通讯作者：
Feldman-Stewart, D
中科院分区：
文献类型：
--
作者：
Brehaut, JC;O'Connor, AM;Feldman-Stewart, D
背景资料。随着患者更多地参与医疗决策，可能会有更多的机会做出后悔的决定。作者找不到一个有效的、可靠的工具来衡量医疗保健决定后的悔恨。方法：研究方法。对4组做出不同医疗保健决策的患者进行了5个条目的测试。通过检查量表与满意度测量、决策冲突和健康结果测量的相关性来确定收敛效度。结果。量表具有良好的内部一致性(Cronbach‘sα=0.81~0.92)。它与决策满意度(r=-0.40~-0.60)、决策冲突(r=0.31~0.52)、总体生活质量评分(r=-0.25~0.27)显著相关。对一个决定感觉不同的群体在后悔程度上也不同：F(2190)=31.1P<；0.001。改变决定的人比没有改变决定的人更后悔，t=16.11，P<；0.001。结论。该量表是一个有用的指标的卫生保健决定后悔在给定的时间点。
Background. As patients become more involved in health care decisions, there may be greater opportunity for decision regret. The authors could not find a validated, reliable tool for measuring regret after health care decisions. Methods. A 5-item scale was administered to 4 patient groups making different health care decisions. Convergent validity was determined by examining the scale's correlation with satisfaction measures, decisional conflict, and health outcome measures. Results. The scale showed good internal consistency (Cronbach's alpha = 0.81 to 0.92). It correlated strongly with decision satisfaction (r = -0.40 to -0.60), decisional conflict (r = 0.31 to 0.52), and overall rated quality of life (r = -0.25 to 0.27). Groups differing on feelings about a decision also differed on rated regret: F(2, 190) = 31.1, P < 0.001. Regret was greater among those who changed their decisions than those who did not, t(175)= 16.11, P < 0.001. Conclusions. The scale is a useful indicator of health care decision regret at a given point in time.