Adaptación y validación del instrumento genérico CollaboRATE™ para medir la participación de mujeres en la toma de decisiones en salud durante el proceso reproductivo

INTRODUCTION: There is a worldwide interest in involving patients in health related decisions, so patients can actively search for therapeutic options and choose course of action that allows them to have better quality of life and wellbeing. The majority of the instruments available to capture the degree of participation in medical decision-making are in English and have been developed in high income countries. OBJECTIVE: To adapt and validate for the Chilean context the instrument CollaboRATE™, to measure women's participation in medical decisions during the reproductive process. DESIGN: Cross-sectional study to adapt and validate the instrument CollaboRATE™. LOCATION: Maternity units in Santiago, Chile. PARTICIPANTS: Puerperal women in maternity units of three public hospitals. METHOD: Translation and back-translation, cultural and linguistic relevance with service users and final revision by experts. Study for validation with 90 puerperal women. RESULTS: The Chilean version of CollaboRATE™ demonstrated to be a reliable instrument to capture the degree of patients’ participation in medical decision-making. Cronbach alpha was above 0.89. CONCLUSIONS: This study provides the first instrument to capture the prevalence of SDM in a Latin American country. This instrument will be critical in future research efforts that seek to explore to what extent people are being involved in the decisions related to their healthcare.