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Psychometric Evaluation of the Japanese 9-Item Shared Decision-Making Questionnaire and Its Association with Decision Conflict and Patient Factors in Japanese Primary Care
INTRODUCTION: This study aimed to verify the internal consistency and validity of the Japanese version of the 9-item Shared Decision-Making Questionnaire (SDM-Q-9) and investigate the association among patient factors, shared decision-making experienced by patients, and patients’ decision conflict d...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Japan Medical Association
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7590398/ https://www.ncbi.nlm.nih.gov/pubmed/33150255 http://dx.doi.org/10.31662/jmaj.2019-0069 |
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author | Goto, Yuko Miura, Hisayuki Son, Daisuke Arai, Hidenori Kriston, Levente Scholl, Isabelle Härter, Martin Sato, Kotaro Kusaba, Tesshu |
author_facet | Goto, Yuko Miura, Hisayuki Son, Daisuke Arai, Hidenori Kriston, Levente Scholl, Isabelle Härter, Martin Sato, Kotaro Kusaba, Tesshu |
author_sort | Goto, Yuko |
collection | PubMed |
description | INTRODUCTION: This study aimed to verify the internal consistency and validity of the Japanese version of the 9-item Shared Decision-Making Questionnaire (SDM-Q-9) and investigate the association among patient factors, shared decision-making experienced by patients, and patients’ decision conflict during the treatment decision process in primary outpatient settings in Japan. METHODS: Patients who visited a primary care outpatient unit for the first time and completed the Japanese version of SDM-Q-9 and the Decisional Conflict Scale (DCS) immediately after consultation were included. The internal consistency of SDM-Q-9 was assessed using Cronbach’s alpha coefficient. Factor analysis and structural equation modeling were used to investigate structural construct validity. The relationship among patient-perceived experiences of shared decision-making, decision conflict, and patient factors was evaluated using correlation analysis. RESULTS: A total of 131 patients with chronic diseases (55.0% females, 28.2% aged ≥ 70 years) were included in this analysis. Cronbach’s alpha for the Japanese version of SDM-Q-9 was 0.917, indicating a high degree of internal consistency. Confirmatory factor analysis indicated that the Japanese version of SDM-Q-9 had a one-factor structure. Spearman’s rank correlation analysis indicated that the correlation between SDM-Q-9 and DCS was −0.577 (p < 0.05), indicating a significant inverse correlation and convergent validity. Older age was positively associated with perceived support of the physician in understanding all information. CONCLUSIONS: We confirmed that the Japanese version of SDM-Q-9 was both reliable and valid for use in Japanese primary care settings. In addition, we found a clear association between shared decision-making and decisional conflict of patients. |
format | Online Article Text |
id | pubmed-7590398 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Japan Medical Association |
record_format | MEDLINE/PubMed |
spelling | pubmed-75903982020-11-03 Psychometric Evaluation of the Japanese 9-Item Shared Decision-Making Questionnaire and Its Association with Decision Conflict and Patient Factors in Japanese Primary Care Goto, Yuko Miura, Hisayuki Son, Daisuke Arai, Hidenori Kriston, Levente Scholl, Isabelle Härter, Martin Sato, Kotaro Kusaba, Tesshu JMA J Original Research Article INTRODUCTION: This study aimed to verify the internal consistency and validity of the Japanese version of the 9-item Shared Decision-Making Questionnaire (SDM-Q-9) and investigate the association among patient factors, shared decision-making experienced by patients, and patients’ decision conflict during the treatment decision process in primary outpatient settings in Japan. METHODS: Patients who visited a primary care outpatient unit for the first time and completed the Japanese version of SDM-Q-9 and the Decisional Conflict Scale (DCS) immediately after consultation were included. The internal consistency of SDM-Q-9 was assessed using Cronbach’s alpha coefficient. Factor analysis and structural equation modeling were used to investigate structural construct validity. The relationship among patient-perceived experiences of shared decision-making, decision conflict, and patient factors was evaluated using correlation analysis. RESULTS: A total of 131 patients with chronic diseases (55.0% females, 28.2% aged ≥ 70 years) were included in this analysis. Cronbach’s alpha for the Japanese version of SDM-Q-9 was 0.917, indicating a high degree of internal consistency. Confirmatory factor analysis indicated that the Japanese version of SDM-Q-9 had a one-factor structure. Spearman’s rank correlation analysis indicated that the correlation between SDM-Q-9 and DCS was −0.577 (p < 0.05), indicating a significant inverse correlation and convergent validity. Older age was positively associated with perceived support of the physician in understanding all information. CONCLUSIONS: We confirmed that the Japanese version of SDM-Q-9 was both reliable and valid for use in Japanese primary care settings. In addition, we found a clear association between shared decision-making and decisional conflict of patients. Japan Medical Association 2020-07-07 2020-07-15 /pmc/articles/PMC7590398/ /pubmed/33150255 http://dx.doi.org/10.31662/jmaj.2019-0069 Text en Copyright © Japan Medical Association http://creativecommons.org/licenses/by/4.0/ JMA Journal is an Open Access journal distributed under the Creative Commons Attribution 4.0 International License. To view the details of this license, please visit http://creativecommons.org/licenses/by/4.0/. |
spellingShingle | Original Research Article Goto, Yuko Miura, Hisayuki Son, Daisuke Arai, Hidenori Kriston, Levente Scholl, Isabelle Härter, Martin Sato, Kotaro Kusaba, Tesshu Psychometric Evaluation of the Japanese 9-Item Shared Decision-Making Questionnaire and Its Association with Decision Conflict and Patient Factors in Japanese Primary Care |
title | Psychometric Evaluation of the Japanese 9-Item Shared Decision-Making Questionnaire and Its Association with Decision Conflict and Patient Factors in Japanese Primary Care |
title_full | Psychometric Evaluation of the Japanese 9-Item Shared Decision-Making Questionnaire and Its Association with Decision Conflict and Patient Factors in Japanese Primary Care |
title_fullStr | Psychometric Evaluation of the Japanese 9-Item Shared Decision-Making Questionnaire and Its Association with Decision Conflict and Patient Factors in Japanese Primary Care |
title_full_unstemmed | Psychometric Evaluation of the Japanese 9-Item Shared Decision-Making Questionnaire and Its Association with Decision Conflict and Patient Factors in Japanese Primary Care |
title_short | Psychometric Evaluation of the Japanese 9-Item Shared Decision-Making Questionnaire and Its Association with Decision Conflict and Patient Factors in Japanese Primary Care |
title_sort | psychometric evaluation of the japanese 9-item shared decision-making questionnaire and its association with decision conflict and patient factors in japanese primary care |
topic | Original Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7590398/ https://www.ncbi.nlm.nih.gov/pubmed/33150255 http://dx.doi.org/10.31662/jmaj.2019-0069 |
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