© 2003 BMJ Publishing Group & Institute of Medical Ethics
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Researchers have a new option for testing patients’ role in clinical decisions
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The first accurate measure of patient participation in clinical decisions will ultimately help to determine whether this involvement improves patient outcome, say its creators. An evaluation study of its performance has already shown that general practitioners (GPs) actually share decisions with their patients much less than their positive attitude would suggest.
Mean score with the OPTION scale for patient involvement in decisions in consultations with 21 GPs on a scale of 0–100 was low (16.9 (SD 7.7) 95% confidence interval 15.8 to 18.0; minimum score 3.3, maximum 44.2). Distribution of scores was skewed towards low values.
The scale performed well in tests of validity and reliability. Within constructs measures of rater agreement within each item, agreement among raters, and homogeneity of the scale all indicated the score’s reliability. Construct validity was also demonstrated.
The scale was devised to satisfy accepted competencies for making shared decisions. It was piloted among GPs
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