Psychometric properties of the Shared Decision-Making Questionnaire (SDM-Q-9) in oncology practice
- Caterina Calderon 1
- Paula Jiménez-Fonseca 2
- Pere Joan Ferrando 3
- Carlos Jara 4
- Urbano Lorenzo-Seva 3
- Carmen Beato 5
- Teresa García-García 6
- Beatriz Castelo 7
- Avinash Ramchandani 8
- María Mar Muñoz 9
- Eva Martínez de Castro 10
- Ismael Ghanem 7
- Montse Mangas 11
- Alberto Carmona-Bayonas 6
- 1 Department of Clinical Psychology and Psychobiology, University of Barcelona
- 2 Department of Medical Oncology. Hospital Universitario Central of Asturias
- 3 Rovira and Virgili University
- 4 Department of Medical Oncology. Hospital Universitario Fundación Alcorcón
- 5 Department of Medical Oncology. Hospital Grupo Quirón, Sevilla
- 6 Department of Medical Oncology. Hospital Universitario Morales Meseguer
- 7 Department of Medical Oncology. Hospital Universitario La Paz
- 8 Department of Medical Oncology. Hospital Universitario Insular de Gran Canaria
- 9 Department of Medical Oncology. Hospital Virgen de La Luz
- 10 Department of Medical Oncology. Hospital Universitario Marqués de Valdecilla
- 11 Department of Medical Oncology. Hospital Galdakao -Usansolo
ISSN: 1697-2600
Año de publicación: 2018
Volumen: 18
Número: 2
Páginas: 143-151
Tipo: Artículo
Otras publicaciones en: International journal of clinical and health psychology
Resumen
Antecedentes/Objetivo: Este estudio analiza las propiedades psicométricas del Questionnaire Shared Decision-Making (SDM-Q-9) en pacientes con cáncer resecado, no metastásico y elegible para quimioterapia adyuvante. Métodos: Un total de 568 pacientes fueron reclutados en un estudio multi-institucional, prospectivo, transversal. Los pacientes respondieron al SDM-Q-9 después de visitar a su oncólogo que, a su vez, completó el SDM-Q-versión médico. Se estudiaron la fiabilidad, la estructura factorial (análisis factorial exploratorio y análisis factorial confirmatorio) y la validez convergente de las puntuaciones del SDM-Q-9. Resultados: La escala SDM-Q-9 mostró una estructura factorial clara, compatible con un factor general fuerte y replicable y un factor de grupo secundario, en pacientes con cáncer resecado y no metastásico. La puntuación del factor general mostró una buena fiabilidad en términos de coeficiente omega: 0,90. La asociación entre la percepción del médico y del paciente en la SDM fue débil y no logró alcanzar significación estadística. Los hombres y los pacientes mayores de 60 años mostraron mayor satisfacción con la toma de decisión compartida. Conclusiones: SDM-Q-9 puede ayudar en la evaluación de la toma de decisión compartida desde la perspectiva de los pacientes de cáncer y como indicador del grado de calidad y satisfacción en el cuidado de la salud en la relación médico-paciente.
Información de financiación
This work was funded by the Spanish Society of Medical Oncology (SEOM) in 2015. The sponsor of this research has not participated in data collection, analysis, or interpretation, in writing the report, or in the decision to submit the article for publication.Financiadores
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