9项共享决策问卷 (SDM-Q-9) 的响应过程有效性在与癌症患者进行的认知面试研究中
Hannah Sigl1, Levente Kriston1, Isabelle Scholl1
1Department of Medical Psychology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Scientific reports
|May 3, 2025
概括
在癌症患者使用时,共享决策问卷 (SDM-Q-9) 对大多数项目显示出良好的有效性. 然而,在修改该措施之前,一些项目需要进一步调查.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 患者体验 患者体验
- 心理测量 心理测量 心理测量
背景情况:
- 9项共享决策问卷 (SDM-Q-9) 是评估医疗保健中共享决策的广泛使用的工具.
- 了解患者对问卷答复过程的看法对于验证其使用至关重要.
研究的目的:
- 从癌症患者的角度研究SDM-Q-9的响应过程有效性.
- 在接受癌症治疗的患者中识别项目解释和评级的潜在问题.
主要方法:
- 德国综合癌症中心对11名癌症患者进行了定性认知访谈.
- 患者描述了他们对每个项目的解释,得分的,以及遇到的任何困难.
- 使用定性内容分析来评估患者解释与SDM-Q-9的理论构造之间的一致性.
主要成果:
- 大多数项目解释与SDM-Q-9的理论构造保持一致.
- 患者报告说,他们需要选择 (多个选项) 来回答问卷,并且很难对单个遭遇进行评分.
- 对第2项 (分享决策) 发现了不一致,对第5项 (支持理解) 和第6项 (引起偏好) 发现了部分不一致.
- 在最高和最低评级的中观察到显著的个体间差异.
结论:
- SDM-Q-9在癌症患者中的大多数项目中都显示出足够的响应过程有效性.
- 确定了答案的先决条件,以及对三个项目解释的不一致性,表明需要进一步调查的领域.
- 在对这些具体项目和患者的先决条件进行进一步研究后,应考虑对SDM-Q-9的潜在修订.
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