Shared decision making in community mental health services - an evaluation of three self-reporting instruments
2016 (English)In: Journal of Mental Health, ISSN 0963-8237, E-ISSN 1360-0567Article in journal (Refereed) Epub ahead of print
Background: Despite the potential impact of shared decision making on users satisfaction with care and quality in health care decisions, there is a lack of knowledge and skills regarding how to work with shared decision making among health care providers.
Aim: The aim of this study was to evaluate the psychometric properties of three instruments that measure varied dimensions of shared decision making, based on self-reports by clients, in a Swedish community mental health context.
Method: The study sample consisted of 121 clients with experience of community mental health care, and involved in a wide range of decisions regarding both social support and treatment. The questionnaires were examined for face and content validity, internal consistency, test-retest reliability and construct validity.
Results: The instruments displayed good face and content validity, satisfactory internal consistency and a moderate to good level of stability in test-retest reliability with fair to moderate construct correlations, in a sample of clients with serious mental illness and experience of community mental health services in Sweden.
Conclusions: The questionnaires are considered to be relevant to the decision making process, user-friendly and appropriate in a Swedish community mental health care context. They functioned well in settings where non-medical decisions, regarding social and support services, are the primary focus. The use of instruments that measure various dimensions of the self-reported experience of clients, can be a key factor in developing knowledge of how best to implement shared decision making in mental health services. © Informa UK Limited, trading as Taylor & Francis Group.
Place, publisher, year, edition, pages
Abingdon, Oxon: Routledge, 2016.
Recovery, mental illness, questionnaire, shared decision making, reliability, validity
Public Health, Global Health, Social Medicine and Epidemiology Psychiatry
IdentifiersURN: urn:nbn:se:hh:diva-31791DOI: 10.1080/09638237.2016.1207223PubMedID: 27452763ScopusID: 2-s2.0-84979502225OAI: oai:DiVA.org:hh-31791DiVA: diva2:953365
Funding: The National Board of Health and Welfare (Socialstyrelsen), Sweden2016-08-172016-08-172017-01-09