中文版 OPTION 量表：在测量术前沟通中的共同决策方面是否可靠。

The Chinese version of OPTION scale: Is it reliable on measuring the shared decision-making among preoperative conversations.

机构信息

The Third Xiangya Hospital of Central South University, Department of Hematology, Changsha, China.

The Third Xiangya Hospital of Central South University, Department of Clinical Psychology, Changsha, China.

出版信息

Patient Educ Couns. 2021 Dec;104(12):3032-3037. doi: 10.1016/j.pec.2021.04.012. Epub 2021 Apr 21.

DOI:10.1016/j.pec.2021.04.012

PMID:34183218

Abstract

OBJECTIVE

To test the reliability of the Chinese version of the OPTION (OPTION-C) scale; and to evaluate the level of shared decision-making (SDM) in the preoperative conversations for high-risk procedures by using the OPTION-C.

METHODS

Two hundred and ninety-seven conversations were rated. Cronbach's alpha, Pearson's correlation coefficient and intraclass correlation coefficient (ICC) were used to assess the reliability of the OPTION-C. Mean and median were applied to evaluate the scores.

RESULTS

The Cronbach's alpha was 0.603. The Pearson's correlation coefficient of the sub-items ranged from 0.002 to 0.595; the inter-rater ICC was 0.992. The mean and median of the total scores were 9.61 ( ± 3.583) and 9 respectively. 430 family members appeared in the conversations.

CONCLUSION

The reliability of the OPTION-C was acceptable. The SDM behaviors of doctors were only scored at or close to the minimal skill level. High level of family involvement demonstrated the Chinese culture of family- centeredness.

PRACTICE IMPLICATIONS

The OPTION-C was proved to be applicable for testing the extent of SDM. The low level of SDM indicates a need to improve Chinese doctors' communication skills.

摘要