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

  1. Carlos De las Cuevas
  2. Ingunn Mundal
  3. Moisés Betancort
  4. Mariela L. Lara-Cabrera
Revista:
International journal of clinical and health psychology

ISSN: 1697-2600

Año de publicación: 2020

Volumen: 20

Número: 3

Páginas: 262-270

Tipo: Artículo

DOI: 10.1016/J.IJCHP.2020.06.004 DIALNET GOOGLE SCHOLAR lock_openAcceso abierto editor

Otras publicaciones en: International journal of clinical and health psychology

Resumen

Antecedentes/Objetivo CollaboRATE es un autoinforme de tres ítems que permite al paciente valorar su experiencia en la toma de decisiones compartidas (TDC) sobre su tratamiento. El objetivo de este estudio fue evaluar las propiedades psicométricas de CollaboRATE en la atención comunitaria de salud mental. Método Se realizó un estudio transversal en una Unidad de Salud Mental del Servicio Canario de la Salud. Doscientos cincuenta pacientes psiquiátricos ambulatorios consecutivos fueron invitados a participar y 191 aceptaron (76,40%). Los pacientes completaron el CollaboRATE, la Escala de Preferencias de Control (EPC), y un formulario con variables sociodemográficas y clínicas. Resultados El análisis factorial exploratorio ratificó la unidimensionalidad de la medida. Se encontró una alta consistencia interna (α Cronbach = 0,95; Guttman's λ = 0,93; y ω = 0,95). Se registraron significativas correlaciones positivas (p < 0,0001) entre CollaboRATE y el EPC. Solo el 39,80% de los encuestados dieron la mejor puntuación posible en CollaboRATE. Conclusiones La versión en español de CollaboRATE es una medida fiable y válida de TDC, rápida de completar y factible para su uso en Psiquiatría comunitaria. En la actualidad, pocos pacientes psiquiátricos son involucrados en TDC. CollaboRATE puede ser una herramienta clave para evaluar e implementar la TDC en la atención psiquiátrica ambulatoria.

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Información de financiación

We thank Department of Internal Medicine, Dermatology and Psychiatry of the University of La Laguna in Spain; the Faculty of Health Sciences and Social Care of Molde University College in Norway; and the Faculty of Medicine and Health Sciences, Department of Mental Health of the Norwegian University of Science and Technology in Norway for administratively supporting this work.

Financiadores

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