ArticleBMC psychology2025
Empowerment in primary care and psychiatric settings: a psychometric evaluation of the Swedish version of the empowerment scale.
Article in BMC psychology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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8 authors.
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Abstract
backgroundThere has recently been an increased emphasis on patient empowerment and collaboration within their healthcare. However, there is widely a lack of clarity to the concept of empowerment and existing measurement tools lack uniformity, covering diverse domains and related concepts.
objectivesThis study aims to conduct a psychometric evaluation of the Swedish version of the Empowerment Scale- Making Decisions, focusing on its structural validity and reliability in assessing patient empowerment. This includes a detailed examination of the factor structure across two different contexts, psychiatric care (n = 211) and primary care (n = 210). We will compare several confirmatory factor analysis (CFA) models proposed in previous research to identify the best fit. If no models provide a good fit, we intend to suggest a new scale for further evaluation.
methodThe dimensionality of the scale was tested by comparing four CFA models, together with a one-factor solution, to identify the best fit for the two samples. Reliability measures were determined by coefficient Omega (ω) as well as Cronbach's alpha (α).
resultsThere was limited support for the one-factor solution in both samples, challenging the scale's assumed unidimensionality (primary care sample: x
conclusionThe results reinforce the difficulties in measuring empowerment given the complexity of this concept. The improved and shortened adaptation of the scale could potentially be used within health care settings to measure empowerment, but further research is needed to conceptualize and measure empowerment in patients with mental health problems. Given scarce support for the scale's unidimensionallity, future research should explore using multiple instruments targeting different constructs to measure patient empowerment more comprehensively.
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