Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2003 Jun;6(2):149-59.
doi: 10.1046/j.1369-6513.2003.00220.x.

Preliminary validation of the Satisfaction With Decision scale with depressed primary care patients

Celia E Wills  1 , Margaret Holmes-Rovner
Affiliations

Preliminary validation of the Satisfaction With Decision scale with depressed primary care patients

Celia E Wills et al. Health Expect. 2003 Jun.

Abstract

Objective: To conduct a preliminary validation of the Satisfaction With Decision (SWD) scale with depressed primary care patients.

Design: Cross-sectional observational pilot study using a postal survey.

Setting and participants: Depressed primary care patients (n = 97) who recently had made a new decision about antidepressant medication use completed surveys regarding their treatment decisions.

Main variables: Measures included patient-reported satisfaction with decision, decisional conflict, knowledge about depression and treatment, decision involvement, pain and health status, antidepressant medication efficacy, and satisfaction with health services.

Results: The SWD scale had good internal consistency reliability (alpha = 0.85). Evidence for construct validity was confirmed via a hypothesized pattern of relationships between the SWD scale and other measures. Decision satisfaction was associated with several issues of relevance for designing patient-centred decision support interventions: (1) knowledge about depression and treatment; (2) involvement in health-related decisions; and (3) aiding evaluation of trade-offs among pros and cons of treatment.

Conclusions: The results of this pilot study show that the SWD scale appears to be a psychometrically sound and practical measure for research with this population. Additional research is needed on the theoretical nature of decision satisfaction and developing and testing patient-centred decision support interventions for depression treatment.

PubMed Disclaimer

References

    1. Depression Guideline Panel. Depression in Primary Care: Vol. 1 Detection and Diagnosis. AHCPR Pub. No. 93‐0550. Rockville, MD: Agency for Health Care Policy and Research, 1993.
    1. Hays RD, Wells KB, Sherbourne CD, Rogers W, Spritzer K. Functioning and well‐being outcomes of patients with depression compared with chronic general medical conditions. Archives of General Psychiatry, 1995; 52: 11–19. - PubMed
    1. Simon GE, Von Korff M, Barlow W. Health costs of primary care patients with recognized depression. Archives of General Psychiatry, 1995; 52: 850–856. - PubMed
    1. Murray CJL, Lopez AD (eds.) The Global Burden of Disease. A Comprehensive Assessment of Mortality and Disability from Diseases, Injuries, and Risk Factors in 1990 and Projected to 2020. Cambridge, MA: Harvard School of Public Health, 1996.
    1. Hall RC, Wise MG. The clinical and financial burden of mood disorders: cost and outcome. Psychosomatics, 1995; 36: S11–S18. - PubMed

Publication types

Substances