Table 2.
Question | N | Mean | SD | |
---|---|---|---|---|
1. Prescribing should take account of patients’ expectations of treatment. | 204 | 2.49 | 0.64 | |
2. Doctors and patients should agree on a treatment plan that takes into account both of their views. | 208 | 2.50 | 0.67 | |
3. Patient involvement in the prescribing process always leads to better outcomes. | 206 | 2.33 | 0.73 | |
4. The best use of treatments is when it is what the patient wants and is able to achieve. | 207 | 2.41 | 0.68 | |
5. Doctors should try to help patients to make as informed a choice as possible about benefits and risks of alternative treatments. | 205 | 1.73 | 0.48 | |
6. During the consultation both the doctor and the patient should state their views about possible treatments. | 207 | 2.64 | 0.59 | |
7. Doctors should give patients the opportunity to talk through their thoughts about their illness. | 201 | 1.78 | 0.46 | |
8. Doctors should make clear when the benefits of the medicine are uncertain. | 202 | 1.79 | 0.46 | |
9. Doctors should be more sensitive to how patients react to the information they give. | 205 | 2.56 | 0.62 | |
10. It is always important for doctors to listen to patients’ personal understanding of their condition. | 202 | 1.77 | 0.47 | |
11. It is sometimes appropriate for the doctor to make treatment decisions without the patient’s input. | 203 | 1.28 | 0.85 | |
12. The doctor and patient should and common ground on what the problem is and jointly agree on what to do. | 203 | 2.33 | 0.59 | |
13. Doctors should encourage patients to express their concerns about medicine taking. | 201 | 2.69 | 0.50 | |
14. Taking account of patients’ views about medicines is not always necessary for appropriate prescribing. | 204 | 1.07 | 0.82 | |
15. The doctor is the expert and the patient’s role is to do as the doctor says. | 202 | 0.56 | 0.68 | |
16. The consultation between the doctor and the patient should be viewed as negotiation between equals. | 201 | 1.75 | 0.81 | |
17. A good treatment decision is made when both the doctor and patient agree on the treatment to use. | 201 | 2.46 | 0.62 | |
18. During the doctor-patient consultation the patient’s decision is the most important. | 205 | 2.21 | 0.70 | |
19. Patients should be able to take on as much responsibility as they wish for their own treatment. | 203 | 2.32 | 0.65 | |
20. It is not always necessary for doctors to take account of patients’ priorities. | 202 | 0.85 | 0.78 | |
| ||||
Total Score mean | 183 | 42.45 | 6.59 | |
| ||||
Subscales a | ** Category of SDM Support | |||
| ||||
Attitude toward active involvement of patients in medical consultations | 193 | 10.48 | 2.10 | Moderately strong |
Attitude toward equitable (i.e., non-paternalistic) interactions between doctors and patients | 194 | 8.10 | 1.63 | Moderately strong |
Belief in the necessity for doctors and patients to find common ground and be in agreement on decisions | 197 | 9.59 | 1.65 | Strong |
Perception of benefits in doctor-patient partnerships | 199 | 7.19 | 1.67 | Strong |
Attitude toward doctor-patient equality and shared control in medical interactions | 195 | 7.17 | 1.38 | Moderately strong |
Subscale 1 includes items 6, 7, 8, 9, 11. Subscale 2 includes items 5, 10, 15, 20. Subscale 3 includes items 1, 2, 13, 14. Subscale 4 includes 3, 4, 17. Subscale 5 includes items 12, 16, 18, 19.
Category of support scoring for each LATCon II subscale was based on mean subscale score divided by quartile.
Subscale 1 (5 items scored 0 to 3, 15 points possible); 0–3.7 = Weak support for SDM; 3.8–7.5 = Moderately weak support for SDM; 7.6–11.3 = Moderately strong support for SDM; 11.4–15.0 = Strong support for SDM.
Subscale 2, 3, and 5 (4 items scored 0 to 3, 12 points possible per subscale); 0–3.0 = Weak support for SDM; 3.1–6.0 = Moderately weak support for SDM; 6.1–9.0 = Moderately strong support for SDM; 9.1–12 = Strong support for SDM.
Subscale 4 (3 items scored 0 to 3, 9 points possible); 0–2.2 Weak support for SDM; 2.3–4.5 Moderately weak support for SDM; 4.6–6.8 Moderately strong support for SDM; 6.9–9 Strong support for SDM