Adaptação transcultural e validação da Decisional Conflict Scale para utilização no Brasil

Objetivo: Realizar a adaptação transcultural e avaliação das propriedades psicométricas da Decisional Conflict Scale para o português do Brasil. Métodos: Estudo metodológico de adaptação transcultural. Seguiu cinco etapas: tradução, síntese, tradução reversa, avaliação por comitê de especialistas e validação com 190 estudantes de enfermagem. A validade de constructo foi verificada por meio da análise fatorial exploratória, adotando-se a estatística de Kaiser-Meyer-Olkin, e as análises Screeplot e Engevalues. Utilizado o Alpha de Cronbach para avaliar a confiabilidade interna das subescalas. Resultados: O Coeficiente de Validade de Conteúdo dos itens alcançou concordância de 0,79. A estatística de Kaiser-Meyer-Olkin com resultado de 0,91, adequados a próxima etapa. A análise Screeplot apresentou distribuição de dois fatores, confirmada pela análise Engevalues. Análise Fatorial Exploratória revelou duas subescalas: a primeira Decisão, Incerteza e Suporte e a segunda Informação e Clareza de Valores, com coeficientes de Alpha de Cronbach 0,88 e 0,89. Conclusão: A versão em português do Brasil da Decisional Conflict Scale, Escala de Conflito na Tomada de Decisão, apresentou duas subescalas com adequadas evidências de validade e confiabilidade possibilitando identificar os fatores que influenciam no conflito de decisão no processo saúde-doença.

A Psychometric Validation of the Decisional Conflict Scale in Italian Cancer Patients Scheduled for Insertion of Central Venous Access Devices

Anticancer Research ◽

10.21873/anticanres.14571 ◽

2020 ◽

Vol 40 (10) ◽

pp. 5583-5592

Author(s):

MARIA ROSARIA ESPOSITO ◽

ASSUNTA GUILLARI ◽

FRANCESCO GIANCAMILLI ◽

TERESA REA ◽

MICHELA PIREDDA ◽

...

Keyword(s):

Cancer Patients ◽

Central Venous Access ◽

Venous Access ◽

Decisional Conflict ◽

Psychometric Validation ◽

Central Venous ◽

Venous Access Devices ◽

Critical Synthesis Package: Decisional Conflict Scale (DCS)

MedEdPORTAL ◽

10.15766/mep_2374-8265.10273 ◽

2015 ◽

Vol 11 (1) ◽

Cited By ~ 2

Author(s):

Kent Hecker

Keyword(s):

Decisional Conflict ◽

Dyadic validity of the Decisional Conflict Scale: common patient/physician measures of patient uncertainty were identified

Journal of Clinical Epidemiology ◽

10.1016/j.jclinepi.2015.03.005 ◽

2015 ◽

Vol 68 (8) ◽

pp. 920-927 ◽

Cited By ~ 6

Author(s):

Stéphane Turcotte ◽

Mireille Guerrier ◽

Michel Labrecque ◽

Hubert Robitaille ◽

Louis-Paul Rivest ◽

...

Keyword(s):

Decisional Conflict ◽

Low Literacy Decisional Conflict Scale

PsycTESTS Dataset ◽

10.1037/t23452-000 ◽

2005 ◽

Cited By ~ 4

Author(s):

A. M. O'Connor

Keyword(s):

Decisional Conflict ◽

Low Literacy ◽

Decisional Conflict Scale--Dutch Version

PsycTESTS Dataset ◽

10.1037/t50444-000 ◽

2015 ◽

Author(s):

Margot J. Metz ◽

Gerdien C. Franx ◽

Marjolein A. Veerbeek ◽

Edwin de Beurs ◽

Christina M. van der Feltz-Cornelis ◽

...

Keyword(s):

Decisional Conflict ◽

Dutch Version ◽

Cross-cultural adaptation and psychometric assessment of the statement format Decisional Conflict Scale for Mandarin version

BMC Health Services Research ◽

10.1186/s12913-019-4717-6 ◽

2019 ◽

Vol 19 (1) ◽

Author(s):

Cui Lu ◽

Wei Mu ◽

Ying-hui Jin ◽

Yue-xian Shi ◽

Ge Li ◽

...

Keyword(s):

Decision Making ◽

Cultural Adaptation ◽

Online Survey ◽

Mainland China ◽

Decisional Conflict ◽

Cross Cultural ◽

Validity And Reliability ◽

Cross Cultural Adaptation ◽

Abstract Background The statement format of the Decisional Conflict Scale (sf-DCS) is designed and widely used to assess patients’ state of uncertainty during health related decision making. As yet no Mandarin version of the sf-DCS has been produced. This study aims to produce the first Mandarin version of the sf-DCS and test its validity and reliability in mainland China. Methods The translation and cross-cultural adaptation of the original English version of the sf-DCS into Mandarin was carried out in accordance with previously published guidelines. The psychometric properties of sf-DCS were assessed in two hypothesized decision-making contexts through online surveys. Results In the online survey designed to test scale validity and reliability, 437 people responded to the influenza immunization survey and 238 responded to the breast cancer screening survey. The results confirm that the Mandarin version of sf-DCS has good criteria validity and the exploratory factor analysis suggested a fitted revised five factors model by removing three items. Respondents who were “unsure” about their decisions/intentions, had read less information, and reported lower self-perceived prior knowledge level scored higher on sf-DCS. The Cronbach’s alpha for the sf-DCS total score was 0.963 and that for each subscale ranged from 0.784 to 0.937 in both decision making contexts, and the test-retest correlation coefficient was 0.528. Conclusions The Mandarin version of sf-DCS has good criteria validity and its internal consistency is satisfactory. Our analysis suggests a refinement of the original sf-DCS’s factor structure is needed.

Novel intervention for decision support and distress in female cancer survivors considering fertility preservation.

Journal of Clinical Oncology ◽

10.1200/jco.2016.34.3_suppl.114 ◽

2016 ◽

Vol 34 (3_suppl) ◽

pp. 114-114

Author(s):

Andrea Michele Bradford ◽

Laura Covarrubias ◽

Leslie R. Schover ◽

Terri Lynn Woodard

Keyword(s):

Decision Making ◽

Decision Support ◽

Cancer Survivors ◽

Usual Care ◽

Fertility Preservation ◽

Psychological Assessment ◽

Decisional Conflict ◽

114 Background: Treatment-related infertility is a source of long-term psychological distress in cancer survivors, particularly among women. Decisions about fertility preservation (FP) are made under conditions of high stress and time pressure, which may contribute to the relatively low uptake of FP among women with cancer. Little is known about the effect of interventions to support the decision-making process and reduce fertility-related distress in cancer survivors considering FP. We describe the design and preliminary data from a randomized trial to determine whether incorporating psychological assessment and intervention into the standard FP consultation enhances satisfaction with decision-making and psychosocial outcomes. Methods: We developed a brief intervention for women referred to our institution’s oncofertility service for consideration of FP. The intervention focuses on values clarification for decision support, identification of unmet psychosocial needs, and mindfulness and acceptance-based skills. Participants were randomized to usual care (consultation with a reproductive endocrinologist and nurse) or the intervention (usual care plus a 1-hour visit with a psychologist and two follow-up calls). Outcomes included feasibility measures and measures of decisional conflict (Decisional Conflict Scale) and satisfaction with the FP program (Client Satisfaction Questionnaire-8). Results: All 14 participants randomized to date have completed baseline and 1-month assessments. The mean age was 32 (SD = 7.5, range 20-44), and the majority were nulliparous (n = 9, 64%). All 7 intervention participants completed at least 1 follow-up call, and 5 (71%) completed both follow-up calls. Across all participants, Decisional Conflict Scale scores decreased from baseline (M = 24.8, SD = 17.2) to 1 month (M = 22.2, SD = 16.3). Overall satisfaction with the program at 1 month was high (M = 29 out of a possible 32). Conclusions: Incorporating a psychological assessment and intervention into a standard FP consultation appears feasible and may improve levels of decisional conflict over time. Women appeared to find the intervention helpful when contemplating FP.