Department of Psychiatry, University of La Laguna, Tenerife, Spain.
Patient Educ Couns. 2011 Dec;85(3):e245-50. doi: 10.1016/j.pec.2011.02.015. Epub 2011 Mar 31.
To assess psychiatric outpatients' attitudes towards concordance and shared decision making in a psychiatric setting and to evaluate the role that self-perceived knowledge and beliefs about psychiatric medicines play in those attitudes.
The Leeds Attitude to Concordance Scale (LATCon) was tested on a sample of 435 psychiatric outpatients. Principal Component Analysis was used to assess the structure of LATCon items. Regression analysis on LATCon scores was performed with sociodemographics, Belief about Medicines Questionnaire (BMQ) subscales, self-perceived knowledge, perceived psychiatrist behaviour and current medications as predictor variables.
The LATCon scale showed a good factorial validity, with a monofactorial structure and high internal consistency. Psychiatric outpatients tended to be in agreement with the concept of concordance, but they did not share some relevant aspects of the construct. Cognitive representations of psychiatric medications, assessed by the BMQ subscales, significantly predicted scores on the LATCon scale.
Psychiatric outpatients show a considerable desire to participate in decision making about their treatment. The Spanish version of the LATCon Scale seems to be a valid instrument.
Psychiatrists must consider their patients' desire to participate in treatment decisions and explore how patients' views about psychiatric medications influence their attitudes towards concordance.
评估精神科门诊患者对精神科环境中一致性和共同决策的态度，并评估自我感知的精神药物知识和信念在这些态度中的作用。
对 435 名精神科门诊患者进行了利兹一致性态度量表（LATCon）的测试。采用主成分分析法评估 LATCon 项目的结构。采用多元线性回归分析，以社会人口统计学、药物信念问卷（BMQ）分量表、自我感知知识、感知精神病医生行为和当前药物作为预测变量，对 LATCon 评分进行分析。
LATCon 量表具有良好的因子有效性，具有单因子结构和较高的内部一致性。精神科门诊患者倾向于同意一致性的概念，但他们不同意该结构的某些相关方面。精神药物认知表现，由 BMQ 分量表评估，显著预测 LATCon 量表的评分。
精神科门诊患者表现出参与治疗决策的强烈愿望。LATCon 量表的西班牙语版本似乎是一个有效的工具。
精神科医生必须考虑患者参与治疗决策的愿望，并探讨患者对精神药物的看法如何影响他们对一致性的态度。
