Romanian version of SDM-Q-9 validation in Internal Medicine and Cardiology setting: a multicentric cross-sectional study

Rom J Intern Med. 2019 Jun 1;57(2):195-200. doi: 10.2478/rjim-2019-0002.

Abstract

Background: Shared decision making (SDM) is becoming more and more important for the patient-physician interaction. There has not been a study in Romania evaluating patients' point of view in the SDM process yet. Therefore, the present study aims to evaluate the psychometric parameters of the translated Romanian version of SDM-Q-9.

Material and methods: A multicentric cross-sectional study was performed comprising eight recruitment centers. The sample consisted of in- and outpatients who referred to Hospital Units for treatment for atrial fibrillation or collagen diseases. Furthermore, patients who were members of Autoimmune Disease Patient Society were able to participate via an online survey. All participants completed the Romanian translated SDM-Q-9.

Results: Altogether, 665 questionnaires were filled in within the hospital setting (n = 324; 48.7%) and online (n = 341; 51.3%). The Romanian version had good internal consistency (Cronbach α coefficient of 0.96.) Corrected item correlations were good ranging from 0.64 to 0.89 with low corrected item correlations for item 1 and item 7. PCA found a one-factorial solution (similar with previous reports) but the first item had the lowest loading.

Conclusion: SDM-Q-9 is a useful tool for evaluation and improvement in health care that was validated in Romania and can be used in clinical setting in this country.

Keywords: Romania; SDM-Q-9; shared decision making; validation.

Publication types

  • Multicenter Study

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Atrial Fibrillation / psychology
  • Atrial Fibrillation / therapy
  • Autoimmune Diseases / psychology
  • Autoimmune Diseases / therapy
  • Cardiology / methods*
  • Cardiology / statistics & numerical data
  • Child
  • Child, Preschool
  • Collagen Diseases / psychology
  • Collagen Diseases / therapy
  • Cross-Sectional Studies
  • Decision Making, Shared*
  • Female
  • Humans
  • Internal Medicine / methods*
  • Internal Medicine / statistics & numerical data
  • Male
  • Middle Aged
  • Reproducibility of Results
  • Romania
  • Surveys and Questionnaires
  • Young Adult