Adapting the patient and physician versions of the 9-item shared decision making questionnaire for other healthcare providers in Japan

BMC Medical Informatics and Decision Making

Joji Onishi¹  Hisayuki Miura²  Yuko Goto²  Levente Kriston³  Isabelle Scholl³  Martin Härter³  Yasuhiro Yamaguchi⁴  Hidenori Arai⁵ 

[1] Department of Community Healthcare and Geriatrics, Nagoya University Graduate School of Medicine;Department of Home Care and Regional Liaison Promotion, National Center for Geriatrics and Gerontology;Department of Medical Psychology, University Medical Center Hamburg-Eppendorf;Department of Respiratory Medicine, Jichi Medical University Saitama Medical Center;National Center for Geriatrics and Gerontology;

关键词: Patient-centered care;    Shared decision-making;    Healthcare provider;    Interprofessional education;    Reliability;    Validity;   

DOI  :  10.1186/s12911-021-01683-8

来源: DOAJ

【 摘 要 】

Abstract Background In Japan, the number of older people with various health problems and difficulties in living is increasing. In order to practice patient-centered care for them, not only medical professionals but also multidisciplinary teams including care professionals and patients need to practice shared decision making (SDM) in the context of long-term care. For this reason, a measure of SDM in consultations with healthcare professionals (HCPs) other than physicians is needed. Therefore, this study aimed at adapting the patient and physician versions of the 9-item Shared Decision Making Questionnaire (SDM-Q-9, SDM-Q-Doc) for consultations with HCPs other than physicians in Japan. Methods A pair of SDM measures that can be used by HCPs other than physicians, “Care SDM-Questionnaire for care receivers (SDM-C-patient)” and “Care SDM-Questionnaire for care providers (SDM-C-provider)” were prepared based on the Japanese versions of the SDM-Q-9 and SDM-Q-Doc. The internal consistency and conceptual structure of these measures were tested by secondary analysis of data from 496 participants from a workshop on SDM for different HCPs. Measurement invariance were tested by multigroup confirmatory factor analysis (CFA) for the patient (SDM-C-patient and SDM-Q-9) and provider (SDM-C-provider vs. SDM-Q-Doc) versions. Results Both the Japanese SDM-C-patient and SDM-C-provider demonstrated high internal consistencies (Cronbach’s α coefficient was 0.90 and McDonald’s ω coefficient was 0.90 for both measures). CFA showed one-factor structures for both measures and original measures for physicians. Moreover, multigroup CFA showed configural and metric invariance between the novel care measures and original physician’s measures. Conclusions Thus, the novel SDM measures for care providers in Japan as well as the original physician’s measures could be used in training setting. As these measures were tested only in a training setting, their reliability and validity as new measures for care should be tested in a clinical setting in future.

【 授权许可】

Unknown