Evidence map›Paper›PMID 21521432›Full record

ArticleHealth expectations : an international journal of public participation in health care and health policy2012

Reliability and validity of the German version of the OPTION scale.

Oliver Hirsch, Heidemarie Keller, Meike Müller-Engelmann, Monika Heinzel Gutenbrunner, Tanja Krones, Norbert Donner-Banzhoff

Abstract read
In one paragraph

Article in Health expectations : an international journal of public participation in health care and health policy, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 6 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 6 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Assessments of the extent to which health-care providers involve patients in decision making: a systematic review of studies using the OPTION instrument.Health expectations : an international journal of public participation in health care and health policy · 2015
    Pooled it
  7. Observational
  8. Participative development and evaluation of a communication skills-training program for oncologists-patient perspectives on training content and teaching methods.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022
    Article
  9. Research progress in decision-making aids for breast cancer patients.Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2021
    Article
  10. A skills network approach to physicians' competence in shared decision making.Health expectations : an international journal of public participation in health care and health policy · 2020
    Observational
  11. Review
  12. Article
  13. Do Shared Decision-Making Measures Reflect Key Elements of Shared Decision Making? A Content Review of Coding Schemes.Medical decision making : an international journal of the Society for Medical Decision Making · 2019
    Article
  14. Comparing the nine-item Shared Decision-Making Questionnaire to the OPTION Scale - an attempt to establish convergent validity.Health expectations : an international journal of public participation in health care and health policy · 2015
    Article
  15. Editorial.Health expectations : an international journal of public participation in health care and health policy · 2012
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Oliver HirschDepartment of General Practice/Family Medicine, Philipps University Marburg, Germany. oliver.hirsch@staff.uni-marburg
Heidemarie Keller
Meike Müller-Engelmann
Monika Heinzel Gutenbrunner
Tanja Krones
Norbert Donner-Banzhoff

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo examine the psychometric properties of the German version of the 'observing patient involvement' scale (OPTION) by analysing video recordings of primary care consultations dealing with counselling in cardiovascular prevention.

designCross-sectional assessment of physician-patient interaction by two rater pairs and two experts in shared decision making (SDM).

settingPrimary care.

participantsFifteen general practitioners provided 40 videographed consultations. MEASUREMENTS: Video ratings using the OPTION instrument.

resultsMean differences on item level between the four raters were quite large. Most items were skewed towards minimal levels of shared decision making. Measures of inter-rater association showed low to moderate associations on item level and high associations on total score level. Cronbach-α of the whole scale based on the data of all four raters is 0.90 and therefore on a high level. An oblique factor analysis revealed two factors, but both factors were highly correlated so we can confirm a one-dimensional structure of the instrument. ROC analyses between the rater total scores and dichotomized expert ratings (SDM yes/no) revealed a good discriminability of the OPTION total score. Physicians with more expertise in shared decision making received higher OPTION ratings.

conclusionsThe German version of the OPTION scale is reliable at total score level. Some items need further revision in the direction of more concrete, observable behaviour. We were only able to perform a quasi-validation of the scale. Validity issues need further research efforts.

Indexed as

General PractitionersPatient ParticipationPhysician-Patient RelationsAdultCardiovascular DiseasesCross-Sectional StudiesDecision MakingFemaleGermanyHumansMaleMiddle AgedObserver VariationPrimary Health CarePsychometricsReproducibility of Results

Identifiers

PMID21521432
PMCPMC5060630

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.