Title
The psychometric properties of Observer OPTION5, an observer measure of shared decision making
Date Issued
01 August 2015
Access level
metadata only access
Resource Type
journal article
Author(s)
Barr P.J.
O'Malley A.J.
Tsulukidze M.
Gionfriddo M.R.
Elwyn G.
Mayo Clinic
Publisher(s)
Elsevier Ireland Ltd
Abstract
Objectives: Observer OPTION5 was designed as a more efficient version of OPTION12, the most commonly used measure of shared decision making (SDM). The current paper assesses the psychometric properties of OPTION5. Methods: Two raters used OPTION5 to rate recordings of clinical encounters from two previous patient decision aid (PDA) trials (n=201; n=110). A subsample was re-rated two weeks later. We assessed discriminative validity, inter-rater reliability, intra-rater reliability, and concurrent validity. Results: OPTION5 demonstrated discriminative validity, with increases in SDM between usual care and PDA arms. OPTION5 also demonstrated concurrent validity with OPTION12, r=0.61 (95%CI 0.54, 0.68) and intra-rater reliability, r=0.93 (0.83, 0.97). The mean difference in rater score was 8.89 (95% Credibility Interval, 7.5, 10.3), with intraclass correlation (ICC) of 0.67 (95% Credibility Interval, 0.51, 0.91) for the accuracy of rater scores and 0.70 (95% Credibility Interval, 0.56, 0.94) for the consistency of rater scores across encounters, indicating good inter-rater reliability. Raters reported lower cognitive burden when using OPTION5 compared to OPTION12. Conclusions: OPTION5 is a brief, theoretically grounded observer measure of SDM with promising psychometric properties in this sample and low burden on raters. Practice implications: OPTION5 has potential to provide reliable, valid assessment of SDM in clinical encounters.
Start page
970
End page
976
Volume
98
Issue
8
Language
English
OCDE Knowledge area
Ciencias del cuidado de la salud y servicios (administración de hospitales, financiamiento) Salud pública, Salud ambiental
Scopus EID
2-s2.0-84944126484
PubMed ID
Source
Patient Education and Counseling
ISSN of the container
07383991
Sponsor(s)
No external support was received for this work. Glyn Elwyn has received funding from the Informed Medical Decisions Foundation , Boston, MA, USA, and provides ad hoc consulting to Emmi Solutions, Chicago, IL, USA. MRG was supported by CTSA Grant Number TL1 TR000137 from the National Center for Advancing Translational Science ( NCATS ). This manuscript's contents are solely the responsibility of the authors and do not necessarily represent the official views of the NIH. No other authors have conflicts of interests to report. Prof. Elwyn and Dr. Barr wish to declare this intellectual conflict of interest. CollaboRATE is also freely available under a Creative Commons License for non-commercial use – CC BY-NC-ND 3.0 Unported. CollaboRATE is available under license for commercial organizations, to date no fees have been levied for this.
Sources of information: Directorio de Producción Científica Scopus