Assessment of shared decision-making in community mental health care: Validation of the CollaboRATE

Abstract

Background/Objective CollaboRATE is a 3-item self-report measure of the patient experience of shared decision-making (SDM) process. The objective of this study is to assess the psychometric properties of CollaboRATE in community mental health care. Method A cross-sectional study was conducted at a Community Mental Health Center of the Canary Islands Health Service. Two hundred and fifty consecutive psychiatric outpatients were invited to participate. Of those, 191 accepted (76.40% of response rate) and completed the CollaboRATE, the Control Preferences Scale (CPS), and a form with sociodemographic and clinical variables. Results Exploratory factor analysis ratified the unidimensionality of the measure. High internal consistency was found (α Cronbach = .95, Guttman's λ = .93, and ω = .95). Strong positive correlations ( p < .0001) were found between the CollaboRATE and the CPS. Only 39.80% of respondents gave the best possible score on CollaboRATE. Conclusions This study provides evidence for the reliability and validity of the Spanish version of the CollaboRATE as a measure of SDM. The measure is quick to complete and feasible for use in outpatient mental health care. At present, a significative number of psychiatric outpatients are not involved in SDM. The use of this measure in psychiatric routine care can be a key tool in assessing and implementing SDM.

Shared decision making and associated factors among patients with psychotic disorders: a cross-sectional study

“…Item 3 had a slightly lower score than the first two items, suggesting that health professionals may be a little better at giving information and at eliciting preferences than at integrating patient preferences. The previously mentioned study from the Canary Islands [ 43 ] found item mean scores of 7.5 (Item 1), 7.6 (Item 2) and 7.4 (Item 3), which shows that the patients in the current study perceived slightly lower levels of information, preference elicitation and integration. This suggests that patients with psychotic disorders also experience a lower degree of SDM than do groups consisting of people with different mental health diagnoses, when sub-elements of SDM are examined.…”

“…The whole sample in that Norwegian study [ 19 ] consisted of 992 people with different mental health diagnoses and reported a CollaboRATE percentage sum score of 80.7 and a top score of 27.4%. A study from the Canary Islands included 191 psychiatric outpatients with different diagnoses and found a CollaboRATE sum score of 22.6 and a top score of 39.8 [ 43 ]. Comparing these results with findings from the current study reveals that the patients with psychotic disorders in our study reported a considerably lower degree of SDM than has been reported from groups of people with various mental health diagnoses.…”

“…Fourth, a longer measure of the SDM process could have provided more details. However, as this study was part of a larger multicenter study, CollaboRATE was considered suitable because it is a brief measure with three key dimensions of SDM [ 38 ] that is quick to complete [ 39 , 43 ]. Finally, as this was a cross-sectional study, we were not able to draw any conclusions regarding causality.…”

Validation of two brief instruments (the SURE and CollaboRATE) to measure shared decision‐making in patients with restless legs syndrome

“…A 5‐point Likert scale is used ranging from 1 = no effort was made to 5 = every effort was made (Elwyn et al, 2013). The CollaboRATE has been found to be a valid and reliable instrument in patients with obstructive sleep apnea (Broström et al, 2019) and psychiatric outpatients (De Las Cuevas et al, 2020).…”

Shared decision-making in Spain in 2022: An updated revision of the current situation

“…In another study, the psychometric properties of this questionnaire have been analysed in patients with multiple sclerosis [44]. The three-item scale CollaboRATE has also been validated in psychiatric outpatients [45]. Another study assessed control preferences and perceptions (Control Preference Scale) and information needs in patients with Generalised Anxiety Disorder [25].…”