The psychometric properties of collaborate: a fast and frugal patient-reported measure of the shared decision-making process

Barr, Paul James, Thompson, Rachel, Walsh, Thom, Grande, Stuart W., Ozanne, Elissa M. and Elwyn, Glyn (2014) The psychometric properties of collaborate: a fast and frugal patient-reported measure of the shared decision-making process. Journal of Medical Internet Research, 16 1: e2+. doi:10.2196/jmir.3085

Author Barr, Paul James
Thompson, Rachel
Walsh, Thom
Grande, Stuart W.
Ozanne, Elissa M.
Elwyn, Glyn
Title The psychometric properties of collaborate: a fast and frugal patient-reported measure of the shared decision-making process
Journal name Journal of Medical Internet Research   Check publisher's open access policy
ISSN 1438-8871
Publication date 2014-01-01
Year available 2014
Sub-type Article (original research)
DOI 10.2196/jmir.3085
Open Access Status DOI
Volume 16
Issue 1
Start page e2+
Total pages 20
Place of publication Toronto, Canada
Publisher Journal of Medical Internet Research
Language eng
Formatted abstract
Background: Patient-centered health care is a central component of current health policy agendas. Shared decision making (SDM) is considered to be the pinnacle of patient engagement and methods to promote this are becoming commonplace. However, the measurement of SDM continues to prove challenging. Reviews have highlighted the need for a patient-reported measure of SDM that is practical, valid, and reliable to assist implementation efforts. 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.
Keyword Decision making
Physician-patient relations
Patient participation
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Non HERDC
School of Psychology Publications
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Created: Sun, 05 Apr 2015, 18:44:27 EST by Miss Rachel Thompson on behalf of School of Psychology