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| Research article summary (published 30 May 2003): |
Preliminary validation of the Satisfaction With Decision scale with depressed primary care patients.
Full Abstract
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.
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Author information
Author/s: Wills, Celia E (CE); Holmes-Rovner, Margaret (M);
Affiliation: Michigan State University, College of Nursing and Professor, Michigan State University, College of Human Medicine, East Lansing, MI 48825, USA. cwills@msu.edu
Grants: K08 MH01721 (Agency:United States NIMH)
Journal and publication information
Publication Type: Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S.; Validation Studies
Journal: Health expectations : an international journal of public participation in health care and health policy (Health Expect), published in England. (Language: eng)
Reference: 2003-Jun; vol 6 (issue 2) : pp 149-59
Dates: Created 2003/05/19; Completed 2003/09/30; Revised 2007/11/14;
PMID: 12752743, status: MEDLINE (last retrieval date: 11/6/2008)
Sourced from the National Library of Medicine. Abstract text and other information may be subject to copyright.
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