Development of a scale to measure shared problem-solving and decision-making in mental healthcare

Shoesmith, Wendy Diana and Atiqah Chew Abdullah and Bih, Yuan Tan and Assis Kamu and Chong, Mun Ho and Beena Giridharan and Forman, Dawn and Fyfe, Sue (2022) Development of a scale to measure shared problem-solving and decision-making in mental healthcare. Patient Education and Counseling, 105. pp. 2480-2488. ISSN 0738-3991

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Abstract

The aim of this study was to create a measure of collaborative processes between healthcare team members, patients, and carers. Methods: A shared decision-making scale was developed using a qualitative research derived model and refined using Rasch and factor analysis. The scale was used by staff in the hospital for four consecutive years (n = 152, 121, 119 and 121) and by two independent patients’ and carers’ samples (n = 223 and 236). Results: Respondents had difficulty determining what constituted a decision and the scale was redeveloped after first use in patients and carers. The initial focus on shared decision-making was changed to shared problem-solving. Two factors were found in the first staff sample: shared problem-solving and shared decision-making. The structure was confirmed on the second patients’ and carers’ sample and an independent staff sample consisting of the first data-points for the last three years. The shared problem-solving and decision-making scale (SPSDM) demonstrated evidence of convergent and divergent validity, internal consistency, measurement invariance on longitudinal data and sensitivity to change. Conclusions: Shared problem-solving was easier to measure than shared decision-making in this context. Practice implications: Shared problem-solving is an important component of collaboration, as well as shared decision-making.

Item Type:	Article
Keyword:	Problem-solving , Decision-making , Mental healthcare
Subjects:	R Medicine > RA Public aspects of medicine > RA1-1270 Public aspects of medicine > RA421-790.95 Public health. Hygiene. Preventive medicine > RA790-790.95 Mental health. Mental illness prevention
Department:	FACULTY > Faculty of Medicine and Health Sciences
Depositing User:	SAFRUDIN BIN DARUN -
Date Deposited:	28 Jul 2022 08:16
Last Modified:	28 Jul 2022 08:16
URI:	https://eprints.ums.edu.my/id/eprint/28954

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