scholarly journals Reliability and validity of the decision‐making scale on person with dementia

2021 ◽  
Vol 17 (S10) ◽  
Author(s):  
Mizue Suzuki ◽  
Yatami Asai ◽  
Masako Sato ◽  
Shouko Tsujimura ◽  
Yukio Koide ◽  
...  
Keyword(s):  
Decision Making ◽  
Reliability And Validity ◽  
Person With Dementia

scholarly journals The Multifocal Approach to Sharing in Shared Decision Making: A Critical Appraisal of the MAPPIN’SDM

2021 ◽  
pp. 0272989X2110107
Author(s):  
David Forner ◽  
Christopher W. Noel ◽  
Laura Boland ◽  
Arwen H. Pieterse ◽  
Cornelia M. Borkhoff ◽  
...  
Keyword(s):  
Decision Making ◽  
Shared Decision Making ◽  
Critical Appraisal ◽  
Reliability And Validity ◽  
Measurement Instrument ◽  
Face Validity ◽  
Shared Decision ◽  
Measurement Instruments ◽  
Multiple Perspectives ◽  
Property Assessment

Objective Shared decision making integrates health care provider expertise with patient values and preferences. The MAPPIN’SDM is a recently developed measurement instrument that incorporates physician, patient, and observer perspectives during medical consultations. This review sought to critically appraise the development, sensibility, reliability, and validity of the MAPPIN’SDM and to determine in which settings it has been used. Methods This critical appraisal was performed through a targeted review of the literature. Articles outlining the development or measurement property assessment of the MAPPIN’SDM or that used the instrument for predictor or outcome purposes were identified. Results Thirteen studies were included. The MAPPIN’SDM was developed by both adapting and building on previous shared decision making measurement instruments, as well as through creation of novel items. Content validity, face validity, and item quality of the MAPPIN’SDM are adequate. Internal consistency ranged from 0.91 to 0.94 and agreement statistics from 0.41 to 0.92. The MAPPIN’SDM has been evaluated in several populations and settings, ranging from chronic disease to acute oncological settings. Limitations include high reading levels required for self-administered patient questionnaires and the small number of studies that have employed the instrument to date. Conclusion The MAPPIN’SDM generally shows adequate development, sensibility, reliability, and validity in preliminary testing and holds promise for shared decision making research integrating multiple perspectives. Further research is needed to develop its use in other patient populations and to assess patient understanding of complex item wording.

scholarly journals Participation in Decision Making as a Property of Complex Adaptive Systems: Developing and Testing a Measure

2013 ◽  
Vol 2013 ◽  
pp. 1-16 ◽  
Author(s):  
Ruth A. Anderson ◽  
Donde Plowman ◽  
Kirsten Corazzini ◽  
Pi-Ching Hsieh ◽  
Hui Fang Su ◽  
...  
Keyword(s):  
Decision Making ◽  
Complex Adaptive Systems ◽  
Adaptive Systems ◽  
Discriminant Validity ◽  
Reliability And Validity ◽  
Organizational Level ◽  
Validity And Reliability ◽  
Complex Adaptive ◽  
Participation In Decision Making ◽  
Level Property

Objectives.To (1) describe participation in decision-making as a systems-level property of complex adaptive systems and (2) present empirical evidence of reliability and validity of a corresponding measure.Method.Study 1 was a mail survey of a single respondent (administrators or directors of nursing) in each of 197 nursing homes. Study 2 was a field study using random, proportionally stratified sampling procedure that included 195 organizations with 3,968 respondents.Analysis.In Study 1, we analyzed the data to reduce the number of scale items and establish initial reliability and validity. In Study 2, we strengthened the psychometric test using a large sample.Results.Results demonstrated validity and reliability of the participation in decision-making instrument (PDMI) while measuring participation of workers in two distinct job categories (RNs and CNAs). We established reliability at the organizational level aggregated items scores. We established validity of the multidimensional properties using convergent and discriminant validity and confirmatory factor analysis.Conclusions.Participation in decision making, when modeled as a systems-level property of organization, has multiple dimensions and is more complex than is being traditionally measured. Managers can use this model to form decision teams that maximize the depth and breadth of expertise needed and to foster connection among them.

Perceived organizational support, participation in decision making, and perceived insider status for contract workers

2017 ◽  
Vol 55 (2) ◽  
pp. 413-426 ◽  
Author(s):  
Cherng G. Ding ◽  
Chih-Kang Shen
Keyword(s):  
Decision Making ◽  
Organizational Support ◽  
Perceived Organizational Support ◽  
Reliability And Validity ◽  
Positive Influence ◽  
Hierarchical Regression ◽  
Content Type ◽  
Contract Workers ◽  
Perceived Insider Status ◽  
Participation In Decision Making

Purpose The purpose of this paper is to examine the roles of perceived organizational support (POS) and work status (regular worker/contract worker) in moderating the relationship between participation in decision making (PDM) and perceived insider status (PIS). Design/methodology/approach Data were collected with survey questionnaires that were administered to a sample of 369 employees from a case company in Taiwan, for which both regular and contract workers constitute the main workforce. After confirming the reliability and validity of the measurements, the authors conducted hierarchical regression analysis to examine the hypothesized relationships. Findings The mean PIS for regular workers is smaller than that for contract workers in the case company. For the group of contract workers, the positive influence of PDM on PIS is greater for those with lower POS than for those with higher POS. However, the negative moderating effect of POS does not exist for the group of regular workers. Originality/value This study adds to the existing literature by showing that contract workers, classified as external workers, can experience PIS, and that POS negatively moderates the positive relationship between PDM and PIS for contract workers. The managerial implications are discussed.

Empirical analysis of doctoral candidates’ innovative personality model based on grey target decision making

2019 ◽  
Vol 10 (1) ◽  
pp. 12-24
Author(s):  
Caiyun Sun
Keyword(s):  
Decision Making ◽  
Quantitative Research ◽  
Reliability And Validity ◽  
Practical Significance ◽  
Personality Factors ◽  
Personality Factor ◽  
Content Type ◽  
Model Based ◽  
Individual Personality ◽  
Doctoral Candidates

Purpose The purpose of this paper is to analyze the reliability and validity of doctoral candidates’ innovative personality model. Design/methodology/approach Based on doctoral candidates’ innovative personality model, this study took the best correlation and the worst correlation into account to predict and demonstrate their innovative ability tendencies. Matlab R2016a, a program of software programming, was used to calculate the contribution degree of each personality factor of doctoral candidates to their innovative ability tendencies. Findings The reliability and validity of doctoral candidates’ innovative personality model based on grey target theory have been verified, and the prediction for doctoral candidates’ innovative ability tendencies can be realized on the basis of this model. Practical implications Scientific and reasonable doctoral candidates’ innovative personality model can play a good guiding role, and its research results have certain practical significance for selecting innovative doctoral candidates, ensuring the training quality of doctoral candidates and cultivating the innovative ability of doctoral candidates. It can be promoted and applied on the basis of its trial operation in Jiangsu. Originality/value With regard to the relative degree of the influence of doctoral candidates’ individual personality factors, previous researchers seldom carried out the quantitative research. In this paper, the author sought a quantitative method to describe the degree of such influence and constructed the doctoral candidates’ innovative personality model based on grey target decision making. This study took the positive and negative off-target distance into account and demonstrated the rationality and validity of doctoral candidates’ innovative personality model.

scholarly journals Validation of the SDM Process Scale to Evaluate Shared Decision-Making at Clinical Sites

2021 ◽  
Vol 8 ◽  
pp. 237437352110608
Author(s):  
Floyd J. Fowler ◽  
Karen R. Sepucha ◽  
Vickie Stringfellow ◽  
KD Valentine
Keyword(s):  
Decision Making ◽  
Shared Decision Making ◽  
Decision Aids ◽  
Reliability And Validity ◽  
Breast Cancer Surgery ◽  
Shared Decision ◽  
Average Correlation ◽  
Intra Class Correlation ◽  
Mail Surveys ◽  
Process Scale

The Shared Decision-Making (SDM) Process scale (scored 0-4) uses 4 questions about decision-making behaviors: discussion of options, pros, cons, and preferences. We use data from mail surveys of patients who made surgical decisions at 9 clinical sites and a national web survey to assess the reliability and validity of the measure to assess shared decision-making at clinical sites. Patients at sites using decision aids to promote shared decision-making for hip, knee, back, or breast cancer surgery had significantly higher scores than national cross-section samples of surgical patients for 3 of 4 comparisons and significantly higher scores for both comparisons with “usual care sites.” Reliability was supported by an intra-class correlation at the clinical site level of 0.93 and an average correlation of SDM scores for knee and hip surgery patients treated at the same sites of 0.56. The results document the reliability and validity of the measure to assess the degree of shared decision-making for surgical decisions at clinical sites.

scholarly journals The compound role of a coordinator for home-dwelling persons with dementia and their informal caregivers: A qualitative study

2020 ◽  
Author(s):  
Stein Erik Fæø ◽  
Oscar Tranvåg ◽  
Rune Samdal ◽  
Bettina S. Husebo ◽  
Frøydis Bruvik
Keyword(s):  
Decision Making ◽  
Qualitative Study ◽  
Clinical Pathways ◽  
Informal Caregivers ◽  
Safety Net ◽  
Fundamental Rights ◽  
Care And Support ◽  
Starting Point ◽  
Decision Making Processes ◽  
Person With Dementia

Abstract Background: As the number of persons with dementia is increasing, there has been a call for establishing sustainable clinical pathways for coordinating care and support for this group. The [email protected] trial is a multicomponent, multi-disciplinary intervention combining learning, innovation, volunteer support and empowerment. To implement the intervention, a municipal coordinator has a crucial role. Implementation research on multicomponent interventions is complex and we conducted a qualitative study, aiming to explore the coordinator role and how a coordinator may empower persons with dementia in decision-making processes. Methods: Qualitative program evaluation combined with a hermeneutic interpretive approach was chosen as methodological approach. Sixteen dyads, consisting of the person with dementia and their main informal caregiver received the intervention by two coordinators. Of these, six dyads, three informal caregivers alone and the two care coordinators along with their leader, in sum, eighteen persons, participated in in-depth or focus group interviews, sharing their experiences after six months intervention.Results: We found that the coordinators fulfilled three functions for the participating dyads: being a safety net, meaning that the dyads might have little needs at the moment, but found safety in a relation to someone who might help if the situation should change; being a pathfinder, meaning that they supported the dyads in finding their way through the complicated system of care and support services; being a source for emotional care and support, meaning that they listened, acknowledged and gave counsel in times of distress. The coordinators emphasized that a trusting leader and work environment was crucial for them to fulfill these functions. We also found that it was challenging for the coordinators to build a relation to the persons with dementia in order to pursue genuine empowerment in decision-making processes. Conclusion: We found the framework for follow-up to be a feasible starting point for establishing empowering coordination and a sustainable care pathway for persons with dementia and their informal caregivers. More meeting points between coordinator and person with dementia should be pursued in order to fulfill the persons’ fundamental rights to participate in decision-making processes.

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