2026-04-13T05:53:58Zhttps://recercat.cat/oai/request

oai:recercat.cat:10459.1/596082024-12-05T22:00:43Zcom_2072_3622col_2072_479130

Psychometric properties of the SDM-Q-9 questionnaire for shared decision-making in multiple sclerosis: item response theory modelling and confirmatory factor analysis Ballesteros, Javier Moral, Ester Brieva Ruiz, Luis Ruiz-Beato, Elena Prefasi, Daniel Maurino, Jorge SDM-Q-9 Shared decision-making Multiple sclerosis Psychometrics Patient involvement Background: Shared decision-making is a cornerstone of patient-centred care. The 9-item Shared Decision-Making Questionnaire (SDM-Q-9) is a brief self-assessment tool for measuring patients’ perceived level of involvement in decision-making related to their own treatment and care. Information related to the psychometric properties of the SDM-Q-9 for multiple sclerosis (MS) patients is limited. The objective of this study was to assess the performance of the items composing the SDM-Q-9 and its dimensional structure in patients with relapsing-remitting MS. Methods: A non-interventional, cross-sectional study in adult patients with relapsing-remitting MS was conducted in 17 MS units throughout Spain. A nonparametric item response theory (IRT) analysis was used to assess the latent construct and dimensional structure underlying the observed responses. A parametric IRT model, General Partial Credit Model, was fitted to obtain estimates of the relationship between the latent construct and item characteristics. The unidimensionality of the SDM-Q-9 instrument was assessed by confirmatory factor analysis. Results: A total of 221 patients were studied (mean age = 42.1 ± 9.9 years, 68.3% female). Median Expanded Disability Status Scale score was 2.5 ± 1.5. Most patients reported taking part in each step of the decision-making process. Internal reliability of the instrument was high (Cronbach’s α = 0.91) and the overall scale scalability score was 0.57, indicative of a strong scale. All items, except for the item 1, showed scalability indices higher than 0.30. Four items (items 6 through to 9) conveyed more than half of the SDM-Q-9 overall information (67.3%). The SDM-Q-9 was a good fit for a unidimensional latent structure (comparative fit index = 0.98, root-mean-square error of approximation = 0.07). All freely estimated parameters were statistically significant (P < 0.001). All items presented standardized parameter estimates with salient loadings (>0.40) with the exception of item 1 which presented the lowest loading (0.26). Items 6 through to 8 were the most relevant items for shared decision-making. Conclusions: The SDM-Q-9 presents appropriate psychometric properties and is therefore useful for assessing different aspects of shared decision-making in patients with multiple sclerosis. The study was funded by Roche Farma SA, Spain 2024-12-05T22:00:43Z 2024-12-05T22:00:43Z 2024-12-05T22:00:43Z 2017-05-10T09:36:34Z 2017-05-10T09:36:34Z 2017 article publishedVersion http://hdl.handle.net/10459.1/59608 Reproducció del document publicat a https://doi.org/10.1186/s12955-017-0656-2 Health and Quality of Life Outcomes, 2017, vol. 15, núm. 79, p. 1-6 cc-by (c) Ballesteros et al., 2017 info:eu-repo/semantics/openAccess http://creativecommons.org/licenses/by/4.0/ BioMed Central