Evidence map›Paper›PMID 35907446›Full record

ArticleAcademic pediatrics

Pediatric Caregiver Version of the Shared Decision Making Process Scale: Validity and Reliability for ADHD Treatment Decisions.

K D Valentine, Ellen A Lipstein, Ha Vo, Carol Cosenza, Michael J Barry, Karen Sepucha

Open access · greenAbstract read
In one paragraph

Article in Academic pediatrics. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.4field-weighted citation impact, top 17% of its field
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

5 citing papers in PubMed, 5 citations in OpenAlex.

  1. Clinical Notes Contain Limited Documentation of Shared Decision Making for Colorectal Cancer Screening Decisions.Medical decision making : an international journal of the Society for Medical Decision Making · 2025
    Trial
  2. Trial
  3. Article
  4. Development of a Tool to Measure the Dyadic Process of Shared Decision Making in Young Children: The Making Decisions for Kids (MADE for Kids) Survey.Medical decision making : an international journal of the Society for Medical Decision Making · 2025
    Article
  5. 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 at 4 institutions in 1 country.

K D ValentineDivision of General Internal Medicine (KD Valentine, H Vo, MJ Barry, and K Sepucha), Massachusetts General Hospital, Boston; Harvard Medical School (KD Valentine and K Sepucha), Boston, Mass. Electronic address: Kvalentine2@mgh.harvard.edu.
Ellen A LipsteinJames M. Anderson Center for Healthy Systems Excellence (EA Lipstein), Cincinnati Children's Hospital Medical Center, Ohio; Department of Pediatrics (EA Lipstein), University of Cincinnati College of Medicine, Ohio.
Ha VoDivision of General Internal Medicine (KD Valentine, H Vo, MJ Barry, and K Sepucha), Massachusetts General Hospital, Boston.
Carol CosenzaCenter for Survey Research (Carol Cosenza), University of Massachusetts, Boston.
Michael J BarryDivision of General Internal Medicine (KD Valentine, H Vo, MJ Barry, and K Sepucha), Massachusetts General Hospital, Boston.
Karen SepuchaDivision of General Internal Medicine (KD Valentine, H Vo, MJ Barry, and K Sepucha), Massachusetts General Hospital, Boston; Harvard Medical School (KD Valentine and K Sepucha), Boston, Mass.
Harvard University · USMassachusetts General Hospital · USCincinnati Children's Hospital Medical Center · USUniversity of Massachusetts Boston · US

Funding

Adapting & Evaluating Measures of Decision Quality for Common Medical DecisionsR01HS025718 · AHRQ · MASSACHUSETTS GENERAL HOSPITAL · PI SEPUCHA, KAREN R · 2018 to 2020
$1.5M
AHRQ HHS R01 HS025718
6 · The paper itself

Abstract

objectiveShared decision making (SDM) is recommended for common pediatric conditions; however, there are limited data on measures of SDM in pediatrics. This study adapted the SDM Process scale and examined validity and reliability of the scale for attention-deficit/hyperactivity disorder (ADHD) treatment decisions.

methodsCross-sectional survey of caregivers (n = 498) of children (aged 5-13) diagnosed with ADHD, who had made a decision about ADHD medication in the last 2 years. Surveys included the adapted SDM Process scale (scores range 0-4, higher scores indicate more SDM), decisional conflict, decision regret, and decision involvement. Validity was assessed by testing hypothesized relationships between these constructs. A subset of participants was surveyed a week later to assess retest reliability.

resultsPediatric Caregiver version of the SDM Process scale (M = 2.8, SD = 1.05) showed no evidence of floor or ceiling effects. The scale was found to be acceptable (<1% missing data) and reliable (intraclass correlation coefficient = 0.74). Scores demonstrated convergent validity, as they were higher for those without decisional conflict than those with decisional conflict (2.93 vs 2.46, P < .001, d = 0.46), and higher for caregivers who stated they made the decision with the provider than those who made the decision themselves (3.0 vs 2.7; P = .003). Higher scores were related to less regret (r = -0.15, P < .001), though the magnitude of the relationship was small.

conclusionsThe adapted Pediatric Caregiver version of the SDM Process scale demonstrated acceptability, validity and reliability in the context of ADHD medication decisions made by caregivers of children 5-13. Scores indicate pediatricians generally involve caregivers in decision making about ADHD medication.

Indexed as

Attention Deficit Disorder with HyperactivityDecision Making, SharedCaregiversChildCross-Sectional StudiesDecision MakingHumansPatient ParticipationReproducibility of ResultsSurveys and QuestionnairesADHDmeasurementpatient-centered carepediatricshared decision making

Identifiers

PMID35907446
PMCPMC11181813
OpenAlexW4288046739

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.