Assessment of shared decision-making in community mental health care: Validation of the CollaboRATE

  1. Carlos de las Cuevas Castresana
  2. Ingunn Mundal
  3. Moisés Betancort Montesinos
  4. Mariela L. Lara Cabrera
Journal:
International journal of clinical and health psychology

ISSN: 1697-2600

Year of publication: 2020

Volume: 20

Issue: 3

Pages: 262-270

Type: Article

Export: RIS
DOI: 10.1016/j.ijchp.2020.06.004 DIALNET GOOGLE SCHOLAR lock_openOpen access editor

Abstract

Background/Objective CollaboRATE is a 3-item self-report measure of the patient experience of shared decision-making (SDM) process. The objective of this study is to assess the psychometric properties of CollaboRATE in community mental health care. Method A cross-sectional study was conducted at a Community Mental Health Center of the Canary Islands Health Service. Two hundred and fifty consecutive psychiatric outpatients were invited to participate. Of those, 191 accepted (76.40% of response rate) and completed the CollaboRATE, the Control Preferences Scale (CPS), and a form with sociodemographic and clinical variables. Results Exploratory factor analysis ratified the unidimensionality of the measure. High internal consistency was found (α Cronbach = .95, Guttman's λ = .93, and ω = .95). Strong positive correlations (p < .0001) were found between the CollaboRATE and the CPS. Only 39.80% of respondents gave the best possible score on CollaboRATE. Conclusions This study provides evidence for the reliability and validity of the Spanish version of the CollaboRATE as a measure of SDM. The measure is quick to complete and feasible for use in outpatient mental health care. At present, a significative number of psychiatric outpatients are not involved in SDM. The use of this measure in psychiatric routine care can be a key tool in assessing and implementing SDM.

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