Simon Daniela, Loh Andreas, Härter Martin
University Medical Centre Freiburg, Department of Psychiatry and Psychotherapy, Section of Clinical Epidemiology and Health Services Research.
Z Arztl Fortbild Qualitatssich. 2007;101(4):259-67. doi: 10.1016/j.zgesun.2007.02.029.
In recent years shared decision-making (SDM) has gained importance as an appropriate approach to patient-physician communication and decision-making. However, there is a conceptual variety that implies problems of inconsistent measurement, of defining relationships of SDM and outcome measures, and of comparisons across different studies. This article presents the results of a literature search of psychometric instruments measuring aspects of decision-making. Altogether 18 scales were found. The majority covers the patients' perspective and relates to preferences for information and participation, decisional conflict, self-efficacy as well as to the evaluation of decision-making process and outcomes. The scales differ widely in their extent of validation. Although this review is not exhaustive, it presents a variety of available decision-making instruments. Yet, many of them still need to show their psychometric quality for other settings in further studies.
近年来，共享决策（SDM）作为一种适用于医患沟通与决策的方法变得愈发重要。然而，在概念上存在多样性，这意味着在测量不一致、定义共享决策与结果测量之间的关系以及不同研究间比较等方面存在问题。本文呈现了对测量决策方面的心理测量工具进行文献检索的结果。总共发现了18个量表。大多数量表涵盖患者视角，涉及对信息和参与的偏好、决策冲突、自我效能以及对决策过程和结果的评估。这些量表在验证程度上差异很大。尽管本次综述并不详尽，但它展示了多种可用的决策工具。然而，它们中的许多仍需在进一步研究中展现其在其他情境下的心理测量质量。
