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人们对共享决策有什么了解呢? - 开发和验证一个问卷
Jolijn B Thijs1, Loes J Peters1, Robert Lindeboom2
1Department of Surgery, Amsterdam University Medical Center, location Academic Medical Center, Amsterdam, the Netherlands.
Patient education and counseling
|May 28, 2025
概括
一个新的问卷,共享决策知识问卷 (SDM-K-Q),有效地衡量患者对共享决策 (SDM) 的理解. 这个工具可以识别知识差距,并为SDM实施策略提供信息.
科学领域:
- 医疗保健研究 医疗保健研究
- 患者教育 患者教育
- 卫生识字 卫生识字
背景情况:
- 在医疗保健中,共享决策 (SDM) 低于理想水平.
- 当前的测量工具评估感知SDM,而不是真正的理解.
- 需要一个经过验证的工具来衡量对SDM概念的理解.
研究的目的:
- 开发和验证一个调查问卷,评估患者和公众对SDM的理解.
- 识别与SDM知识相关的个体特征.
主要方法:
- 根据既定的指导方针,根据理论和证据开发基于理论和证据的问卷.
- 通过专家审查,试点测试和两项验证研究来改进.
- 临床分析包括项目分析,内部一致性,拉什建模和假设测试.
主要成果:
- 开发了24项共享决策知识问卷 (SDM-K-Q).
- SDM-K-Q显示出良好的有效性和可靠性 (克朗巴赫的α=0.70).
- 平均SDM知识为73.8%;高等教育和医疗保健角色预测了更高的知识.
结论:
- SDM-K-Q是一个创新的,可靠的工具来衡量SDM知识.
- 问卷可以区分特定的人口群体.
- 它有助于识别知识差距和评估SDM的教育干预措施.
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