Psychometric Evaluation of the Japanese 9-Item Shared Decision-Making Questionnaire and Its Association with Decision Conflict and Patient Factors in Japanese Primary Care
Yuko Goto, Hisayuki Miura, Daisuke Son, Hidenori Arai, Levente Kriston, Isabelle Scholl, Martin Härter, Kotaro Sato, Tesshu Kusaba
Abstract
INTRODUCTION: This study aimed to verify the internal consistency and validity of the Japanese version of the 9-item Shared Decision-Making Questionnaire (SDM-Q-9) and investigate the association among patient factors, shared decision-making experienced by patients, and patients' decision conflict during the treatment decision process in primary outpatient settings in Japan. METHODS: Patients who visited a primary care outpatient unit for the first time and completed the Japanese version of SDM-Q-9 and the Decisional Conflict Scale (DCS) immediately after consultation were included. The internal consistency of SDM-Q-9 was assessed using Cronbach's alpha coefficient. Factor analysis and structural equation modeling were used to investigate structural construct validity. The relationship among patient-perceived experiences of shared decision-making, decision conflict, and patient factors was evaluated using correlation analysis. RESULTS: < 0.05), indicating a significant inverse correlation and convergent validity. Older age was positively associated with perceived support of the physician in understanding all information. CONCLUSIONS: We confirmed that the Japanese version of SDM-Q-9 was both reliable and valid for use in Japanese primary care settings. In addition, we found a clear association between shared decision-making and decisional conflict of patients.