Literature DB >> 12752743

Preliminary validation of the Satisfaction With Decision scale with depressed primary care patients.

Celia E Wills1, Margaret Holmes-Rovner.   

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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Year:  2003        PMID: 12752743      PMCID: PMC5060180          DOI: 10.1046/j.1369-6513.2003.00220.x

Source DB:  PubMed          Journal:  Health Expect        ISSN: 1369-6513            Impact factor:   3.377


  25 in total

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6.  Validation of a decisional conflict scale.

Authors:  A M O'Connor
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9.  Prevalence, nature, and comorbidity of depressive disorders in primary care.

Authors:  J C Coyne; S Fechner-Bates; T L Schwenk
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10.  Patterns of antidepressant use in community practice.

Authors:  G E Simon; M VonKorff; E H Wagner; W Barlow
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7.  Late-Life Depression in Home Healthcare.

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