@Article{信息:doi 10.2196 / / jmir。3085，作者=“Barr, Paul James and Thompson, Rachel and Walsh, Thom and Grande, Stuart W and Ozanne, Elissa M and Elwyn, Glyn”，标题=“协作的心理测量特性:共享决策过程的快速和节俭患者报告测量”，期刊=“J Med Internet Res”，年=“2014”，月=“Jan”，日=“03”，卷=“16”，数=“1”，页=“e2”，关键词=“决策;医患关系;心理测验学/仪器;病人参与;问卷调查;背景:以患者为中心的医疗保健是当前卫生政策议程的核心组成部分。共享决策(SDM)被认为是患者参与的顶峰，促进这一点的方法正变得司空见惯。然而，SDM的测量仍然具有挑战性。回顾强调了需要一种实际、有效和可靠的患者报告的SDM措施，以协助实施工作。 In consultation with patients, we developed CollaboRATE, a 3-item measure of the SDM process. Objective: There is a need for scalable patient-reported measure of the SDM process. In the current project, we assessed the psychometric properties of CollaboRATE. Methods: A representative sample of the US population were recruited online and were randomly allocated to view 1 of 6 simulated doctor-patient encounters in January 2013. Three dimensions of SDM were manipulated in the encounters: (1) explanation of the health issue, (2) elicitation of patient preferences, and (3) integration of patient preferences. Participants then completed CollaboRATE (possible scores 0-100) in addition to 2 other patient-reported measures of SDM: the 9-item Shared Decision Decision Making Questionnaire (SDM-Q-9) and the Doctor Facilitation subscale of the Patient's Perceived Involvement in Care Scale (PICS). A subsample of participants was resurveyed between 7 and 14 days after the initial survey. We assessed CollaboRATE's discriminative, concurrent, and divergent validity, intrarater reliability, and sensitivity to change. Results: The final sample consisted of 1341 participants. CollaboRATE demonstrated discriminative validity, with a significant increase in CollaboRATE score as the number of core dimensions of SDM increased from zero (mean score: 46.0, 95{\%} CI 42.4-49.6) to 3 (mean score 85.8, 95{\%} CI 83.2-88.4). CollaboRATE also demonstrated concurrent validity with other measures of SDM, excellent intrarater reliability, and sensitivity to change; however, divergent validity was not demonstrated. Conclusions: The fast and frugal nature of CollaboRATE lends itself to routine clinical use. Further assessment of CollaboRATE in real-world settings is required. ", issn="1438-8871", doi="10.2196/jmir.3085", url="//www.mybigtv.com/2014/1/e2/", url="https://doi.org/10.2196/jmir.3085", url="http://www.ncbi.nlm.nih.gov/pubmed/24389354" }